Carpal Tunnel Release

Carpal tunnel release is a surgical procedure used to treat carpal tunnel syndrome, a condition that occurs when the median nerve, which runs from the forearm into the palm of the hand, becomes compressed or pinched at the wrist.

What is Carpal Tunnel Syndrome?

Carpal tunnel syndrome is a common condition that causes numbness, tingling, and pain in the hand and arm. It occurs when the median nerve is compressed or pinched as it passes through the carpal tunnel, a narrow passageway of ligament and bones at the base of the hand.

Symptoms of Carpal Tunnel Syndrome

• Numbness or tingling in the thumb, index, middle finger, and part of the ring finger
• Pain or burning sensation in the wrist, palm, or forearm
• Weakened grip or difficulty holding objects
• Tingling or shock-like sensations that radiate to the fingers
• Difficulty distinguishing between hot and cold temperatures

Carpal Tunnel Release Procedure

The carpal tunnel release procedure involves making an incision in the wrist to relieve pressure on the median nerve. There are two types of carpal tunnel release procedures:

• Open Carpal Tunnel Release: This is a traditional surgical procedure where a single incision is made in the wrist to cut the ligament that forms the roof of the carpal tunnel.
• Endoscopic Carpal Tunnel Release: This is a minimally invasive procedure where a small camera and instruments are inserted through one or two small incisions in the wrist to visualize the carpal tunnel and cut the ligament.

Benefits of Carpal Tunnel Release

• Relief from numbness, tingling, and pain in the hand and arm
• Improved grip strength and dexterity
• Reduced risk of permanent nerve damage
• Quick recovery time, with most people returning to normal activities within a few weeks

Risks and Complications of Carpal Tunnel Release

• Bleeding or hematoma at the surgical site
• Infection
• Nerve damage or numbness
• Scarring or keloid formation
• Persistent pain or stiffness in the wrist or hand

Recovery and Rehabilitation after Carpal Tunnel Release

After carpal tunnel release surgery, patients typically experience some pain, swelling, and bruising at the surgical site. To promote healing and prevent complications, it is essential to:

• Elevate the hand above the level of the heart to reduce swelling
• Apply ice packs to the affected area to reduce pain and inflammation
• Take pain medication as directed by the doctor
• Avoid heavy lifting, bending, or strenuous activities for several weeks
• Perform gentle exercises and stretches to maintain range of motion and prevent stiffness

Alternative Treatments for Carpal Tunnel Syndrome

In some cases, carpal tunnel syndrome can be managed with non-surgical treatments, such as:

• Wrist splints or orthotics to immobilize the wrist and reduce pressure on the median nerve
• Corticosteroid injections to reduce inflammation and swelling
• Physical therapy to improve range of motion and strengthen the muscles in the hand and arm
• Lifestyle modifications, such as taking regular breaks to stretch and exercise the hands and wrists