Carpal tunnel release
Carpal tunnel syndrome (CTS) is a common condition caused by compression of the median nerve as it passes through the carpal tunnel in the wrist. Symptoms include numbness, tingling, pain, and weakness in the thumb, index, middle, and part of the ring finger. If untreated, CTS can lead to permanent nerve damage and reduced hand function.
Carpal tunnel release is a surgical procedure performed to relieve pressure on the median nerve and restore normal function. The surgery is indicated when conservative treatments—such as wrist splinting, anti-inflammatory medications, activity modification, or corticosteroid injections—fail to relieve symptoms. There are two main techniques: open release and endoscopic release.
In an open release, the surgeon makes a small incision in the palm at the base of the wrist, carefully cutting the transverse carpal ligament to enlarge the carpal tunnel and relieve nerve compression. Endoscopic release involves one or two smaller incisions and uses a camera and specialized instruments to perform the same ligament release, often resulting in faster recovery and less postoperative pain.
Postoperative care includes wound management, pain control, and gradual mobilization of the fingers and wrist. Most patients begin gentle hand exercises soon after surgery to prevent stiffness and regain strength. Full recovery and return to normal activities usually occur within a few weeks to a few months, depending on the severity of preoperative symptoms and the type of work performed.
Potential complications are uncommon but may include infection, nerve injury, scar tenderness, or incomplete relief of symptoms. Despite these risks, carpal tunnel release is highly effective, with most patients experiencing significant pain relief, improved sensation, and better hand function.
Overall, carpal tunnel release is a safe and reliable procedure that restores hand function, reduces discomfort, and improves quality of life for individuals suffering from persistent median nerve compression.
