Carpal Tunnel Release Surgery

What is Carpal Tunnel Release Surgery?

Carpal tunnel release surgery involves cutting or releasing the transverse carpal ligament, a band of tissue that forms the roof of the carpal tunnel. By releasing this ligament, the pressure on the median nerve is reduced, allowing for improved nerve function and relief of CTS symptoms.

Indications for Surgery:

Carpal tunnel release surgery may be considered when conservative treatments (such as rest, splinting, and medications) fail to provide adequate relief for severe or persistent Carpal Tunnel Syndrome symptoms.

Types of Carpal Tunnel Release Surgery:

There are two main approaches to carpal tunnel release surgery:

• Open Carpal Tunnel Release: A small incision is made in the palm of the hand to access the carpal tunnel. The transverse carpal ligament is then cut to relieve pressure on the median nerve.
• Endoscopic Carpal Tunnel Release: Several small incisions are made, and an endoscope (a thin tube with a camera) is inserted to guide the surgeon in cutting the transverse carpal ligament.

Procedure:

The surgery typically involves the following steps:

• Anesthesia: Local or regional anesthesia is administered to numb the hand and wrist.
• Incision: For open surgery, a small incision is made in the palm. For endoscopic surgery, multiple small incisions are made.
• Ligament Release: The transverse carpal ligament is carefully cut or released to alleviate pressure on the median nerve.
• Closure: The incisions are closed with sutures or adhesive strips, and a bandage is applied.

Recovery and Rehabilitation:

After carpal tunnel release surgery:

• Pain and discomfort are managed with prescribed medications.
• Physical therapy exercises help improve wrist strength and mobility.
• Gradual return to normal activities, with restrictions based on the surgeon’s guidance.

Advantages of Surgery:

• Relief from Carpal Tunnel Syndrome symptoms, such as pain, numbness, and weakness.
• Improved hand and wrist function.
• Potential for faster symptom relief compared to conservative treatments.

Risks and Complications:

While carpal tunnel release surgery is generally safe, potential risks include infection, bleeding, nerve or blood vessel damage, scarring, and incomplete symptom relief.

Conclusion:

Carpal tunnel release surgery is a surgical option for individuals with severe or persistent Carpal Tunnel Syndrome symptoms that significantly impact daily activities. By relieving pressure on the median nerve, the surgery can provide relief from pain and restore hand function, enabling individuals to regain comfort and mobility in their hand and wrist. Consulting with a healthcare provider and discussing the benefits, risks, and expectations of the surgery is essential for making informed decisions about treatment.