Carpal Tunnel Release

The carpal tunnel is a narrow passageway in the wrist that contains the median nerve and several tendons responsible for finger movement. When pressure increases inside this tunnel, the median nerve can become compressed, causing the symptoms of Carpal Tunnel Syndrome.

Carpal Tunnel Release Surgery aims to relieve this pressure by releasing the ligament forming the roof of the carpal tunnel, creating more space for the nerve and allowing it to function more effectively.

The procedure can be performed using traditional open surgery or a minimally invasive endoscopic technique. The most appropriate approach is determined by the surgeon based on the patient’s condition and the severity of nerve compression.

Carpal Tunnel Syndrome may cause:

• Numbness or tingling in the thumb, index, middle, and part of the ring finger.

• Pain in the hand or wrist that may extend into the forearm.

• Symptoms that become worse at night or during prolonged hand use.

• Weakness when gripping or holding objects.

• Frequently dropping objects from the hand.

• Difficulty performing precise hand movements.

• Reduced sensation in the fingers.

• Weakness or muscle wasting around the thumb in advanced cases.

Causes & Risk Factors

Carpal Tunnel Syndrome occurs when the median nerve becomes compressed inside the carpal tunnel. Several factors may contribute to this condition, including:

• Repetitive use of the wrist and hand.

• Previous wrist injuries or fractures.

• Arthritis or swelling around the wrist.

• Diabetes.

• Thyroid disorders.

• Pregnancy and fluid retention.

• Family history of Carpal Tunnel Syndrome.

• Conditions that cause nerve damage or increased fluid retention.

Diagnosis of Carpal Tunnel Syndrome is based on the patient’s symptoms and a clinical examination of the hand and wrist. The doctor may recommend Nerve Conduction Studies and Electromyography (EMG/NCS) to evaluate the median nerve and determine the severity of compression.

Treatment depends on the severity of the condition and may include wrist splinting, activity modification, physical therapy, medications, or corticosteroid injections in suitable cases.

When symptoms are severe, persistent, or do not improve with conservative treatment, or when tests show significant nerve compression, Carpal Tunnel Release Surgery may be recommended.

During the procedure, the surgeon releases the ligament compressing the median nerve to increase the space within the carpal tunnel and relieve pressure on the nerve.

The main goals of surgery are to:

• Relieve pain, numbness, and tingling.

• Prevent further nerve damage.

• Improve hand sensation and function.

• Restore the patient’s ability to use the hand comfortably.

Recovery varies depending on the severity of the condition, the surgical technique used, and the patient’s overall health and daily activities.