Introduction
When symptoms of carpal tunnel syndrome are not improved with non-surgical measures, surgery is recommended.
The aim of surgery is to cut the transverse carpal ligament and therefore relieve the pressure on the room and give the room more space.
Surgery may be Open or Endoscopic (Keyhole). Both types are effective and long-term outcomes are similar.
Dr Baba performs Endoscopic carpal tunnel release in majority of patients. This involves a smaller incision, and potentially less post-operative pain and a quicker return to activities including work.
Endoscopic carpal tunnel release
This is a day surgery procedure that usually takes 10-15 minutes. It is performed under general or local anaesthesia.
A 1cm incision is made over the wrist. A camera with a specialized blade is inserted, the carpal ligament is visualized and cut in entirety.
Dissolvable sutures and dressings are placed over the wound.
Recovery
- Day surgery.
- Drive within 2-3 days.
- Return to office work within 2-3 days.
- Return to manual work within 1-2 weeks.
Results
Patient satisfaction for this surgery is greater than 90%. Grip pinch and strength may take 3 months to return to normal.
In advanced cases, it may take up to 12 months for sensation to return to normal. Strength and feeling may not recover fully in very severe cases.
Risks
These include:
- Pain 4%.
- Scar sensitivity.
- Nerve injury.
- Blood Vessel Injury.
- Incomplete relief of symptoms.
- Recurrence.
Open carpal tunnel release
This is a day surgery procedure that usually takes 10-15 minutes. It is performed under general or local anaesthesia.
A 3-4 cm incision is made over the palm. The carpal ligament is visualized and cut in entirety.
Dressings are placed over the wound.