Carpal Tunnel Release
What Is Carpal Tunnel Syndrome?
Carpal tunnel syndrome occurs when the median nerve (which runs through the wrist) is compressed inside the carpal tunnel—a narrow passageway of bones and ligaments. This causes symptoms such as numbness, tingling, weakness, or pain in the hand and fingers.
What Is Carpal Tunnel Release?
Carpal tunnel release is a surgical procedure designed to relieve pressure on the median nerve. The surgeon cuts the transverse carpal ligament, which forms the roof of the tunnel, to enlarge the space and reduce nerve compression. This can be done using either:
- Open surgery – a small incision in the palm.
- Endoscopic surgery – one or two tiny incisions with a camera-assisted technique.
When Is It Needed?
Your doctor may recommend carpal tunnel release if:
- Symptoms persist despite non-surgical treatments (splints, medications, injections).
- You have severe pain, numbness, or weakness affecting daily activities.
- Nerve tests show significant compression.
- There is risk of permanent nerve damage if untreated.
The Procedure Step-by-Step
- Evaluation – Physical exam and nerve studies confirm diagnosis.
- Anesthesia –Local or regional anesthesia is usually given.
- Release – The transverse carpal ligament is cut to relieve pressure.
- Closure – The incision(s) are closed, and the hand is bandaged.
Recovery and Rehabilitation
- Hospital stay:Usually same-day.
- Hand use:Light activities may resume within days; full recovery takes several weeks.
- Physiotherapy: Helps restore strength and flexibility.
- Return to work: Office work in 1–2 weeks; heavy labor may take 6–8 weeks.
Benefits
- Relieves numbness, tingling, and pain.
- Restores hand strength and function.
- Prevents permanent nerve damage.
- High success rate with long-lasting results.
Risks & Considerations
- Infection, stiffness, or scar tenderness (rare).
- Temporary weakness or soreness.
- Incomplete relief if nerve damage is advanced.
- Recovery time varies depending on severity and occupation.
Key Message for Patients
Carpal tunnel release is a safe and effective surgery for patients with persistent or severe carpal tunnel syndrome. By relieving pressure on the median nerve, the procedure restores hand function, reduces pain, and prevents permanent damage. With proper rehabilitation, most patients return to normal activities quickly and enjoy lasting relief
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