Carpal Tunnel Release Surgery

Carpal Tunnel Syndrome (CTS) is a common condition that affects millions of people worldwide, causing pain, numbness, and weakness in the hands and wrists. When conservative treatments fail, hands and wrists surgery is often recommended. In this article, we will explore everything you need to know about this procedure, from symptoms and causes to recovery and success rates.

What is Carpal Tunnel Syndrome?

Carpal Tunnel Syndrome occurs when the median nerve, which runs through the carpal tunnel in the wrist, becomes compressed. This leads to tingling, pain, and weakness in the hand. Common causes include repetitive hand movements, wrist injuries, arthritis, and conditions like diabetes.

When is Hands and Wrists Surgery Necessary?

Surgery is typically recommended when:

• Symptoms persist despite non-surgical treatments (bracing, physical therapy, medications).
• Pain and numbness interfere with daily activities and sleep.
• Muscle weakness or loss of grip strength occurs.
• Nerve damage is detected through electromyography (EMG) or nerve conduction studies.

How is Carpal Tunnel Release Surgery Performed?

Carpal Tunnel Release Surgery involves cutting the transverse carpal ligament to relieve pressure on the median nerve. There are two main techniques:

1) Open Carpal Tunnel Release Surgery

• A small incision (about 2 inches) is made in the palm.
• The hand surgeon cuts the transverse carpal ligament to free the nerve.
• Stitches are used to close the incision, and the hand is bandaged.

2) Endoscopic Carpal Tunnel Release Surgery

• A tiny camera (endoscope) is inserted through a small wrist incision.
• A specialized tool is used to cut the ligament with minimal tissue damage.
• This method results in a faster recovery and less scarring.

What to Expect Before Surgery?

Before the procedure, the orthopedic surgeon will:

• Perform diagnostic tests (nerve conduction studies, ultrasound, MRI if needed).
• Discuss medical history, current medications, and allergies.
• Provide instructions about fasting and stopping certain medications.

What is the Recovery Process Like?

Recovery time varies based on the surgical method and individual healing. Here’s what to expect:

Immediate Post-Surgery Care

• The hand will be bandaged, and mild swelling or discomfort may occur.
• Pain medication and ice packs can help reduce discomfort.
• Elevating the hand can minimize swelling.

Healing and Rehabilitation

• Stitches are removed within 10-14 days.
• Gentle hand exercises and physical therapy may be recommended.
• Most patients regain function within 6 weeks to 3 months, but full recovery can take up to a year.

Returning to Daily Activities

• Light activities can resume within a few days.
• Avoid heavy lifting and repetitive motions for 4-6 weeks.
• Full strength may take longer to restore, especially in severe cases.

What are the Potential Risks and Complications?

While hands and wrists surgery is generally safe, some risks include:

• Infection at the incision site.
• Nerve damage or incomplete symptom relief.
• Scarring and stiffness in the wrist.
• Temporary weakness or pain at the surgical site.

How Successful is Carpal Tunnel Release Surgery?

The success rate for Carpal Tunnel Release Surgery is over 90%. Most patients experience significant relief from symptoms, especially if the surgery is performed early before severe nerve damage occurs.

Are There Alternative Treatments to Surgery?

Before considering surgery, doctors often recommend:

• Wrist Splints: Worn at night to relieve pressure on the nerve.
• Corticosteroid Injections: Temporary relief from inflammation and pain.
• Physical Therapy: Exercises to improve mobility and reduce stiffness.
• Lifestyle Adjustments: Reducing repetitive strain and improving ergonomic work setups.

Final Thoughts: Is Hands and Wrists Surgery Right for You?

If you have persistent symptoms that interfere with your quality of life and non-surgical treatments are not effective, Carpal Tunnel Release Surgery could be the best option. Consulting with a hand surgeon or an orthopedic surgeon like Dr. Vishal Sahni Orthopedic Surgeon will help determine the best approach for your condition.

About London Orthopedic Clinic Nagpur

London Orthopedic Clinic Nagpur is a leading orthopedic clinic specializing in advanced treatments for various musculoskeletal conditions. Headed by Dr. Vishal Sahni Orthopedic Surgeon, the clinic provides expert care for shoulder, elbow, wrist, and hand disorders.

Dr. Vishal Sahni is a Consultant in Trauma & Orthopaedic Surgery with over 24 years of experience at the consultant level. He specializes in shoulder, elbow, wrist, and hand disorders. Dr. Sahni has been a meritorious student throughout his academic career and was awarded the “Best Student of University” medal for excellence in academics, sports, dramatics, and extracurricular activities.

His higher surgical training was completed in the North West of England, where he undertook a fellowship in upper limb surgery with Professor John Stanley at Wrightington Hospital. He also received advanced training in keyhole and joint replacement surgery for shoulder and elbow joints with Professor Simon Frostick at Royal Liverpool University Hospital.

Dr. Sahni is passionate about staying updated with the latest advances in shoulder and elbow surgery. To ensure he offers the most cutting-edge treatments, he regularly attends visitations worldwide to stay informed about recent developments in orthopedic surgery.

If you are experiencing persistent hand or wrist pain, visit London Orthopedic Clinic Nagpur to consult with Dr. Vishal Sahni Orthopedic Surgeon for expert diagnosis and treatment.