Carpal tunnel syndrome is a condition that causes numbness and tingling in the hand. Predominantly, it affects the thumb, index, middle and part of the ring finger. It is caused by constriction around a nerve called the median nerve in the wrist area. While we always strive to treat the condition non-operatively with changes to our activities, nighttime wrist bracing, and anti-inflammatories, there are times when we have to operate to get symptom relief.
Traditionally, an incision is made in the palm, which allows us to incise the transverse carpal ligament and release the tightness around the nerve. However, there is another method, which has been shown to have a slightly faster recovery. A small incision (roughly 1-2cm long) can be made in the wrist crease is made, and using a camera, the transverse carpal ligament can be incised using a blade attached to the end of the camera. The results of the open and endoscopic carpal tunnel releases are equal, but the endoscopic release typically is a easier recovery. It also provides a more cosmetic recovery. Often times, a patient can return to work the next day. Soreness in the base of the palm can be expected for 2-3 months, but that usually dissipates. Improvement in tingling can be felt the same day. Numbness, depending on severity and frequency, may persist and never return to normal.
If you’re interested in having an endoscopic or minimally invasive carpal tunnel release, please contact our offices at for an appointment.
