Carpal tunnel syndrome is characterized by numbness, pain or tingling sensation of the thumb and/or first two fingers. It is a very common problem for people who use their hands for long periods of time in their work, such as on assembly lines or in textile manufacturing. It also commonly develops spontaneously in the general population. The underlying cause is a compressed nerve at the wrist.
Sometimes Carpal tunnel surgery is necessary to open up the carpal tunnel, relieving pressure on the median nerve. This procedure is carried out on an outpatient surgical basis. It may be performed under local or general anesthetic depending upon preference of the surgeon and patient. New minimally invasive surgical techniques are available.
Carpal Tunnel Release Surgery
Carpal tunnel release Surgery is one of the most common surgical procedures in the United States. NeuroSpine Institute will only recommend Carpal Tunnel surgery for carpal tunnel syndrome if you have moderate to severe symptoms of the condition and have lasted for six months or longer. Surgery involves severing the band of tissue around the wrist to reduce pressure on the median nerve. Surgery is done using local anesthesia and does not require an overnight stay in the hospital. Lots of patients need Carpal Tunnel surgery on both hands. The following are types of carpal tunnel release surgery:
Carpal Tunnel Open Release Surgery
Carpal tunnel Open release surgery, this procedure is used to correct carpal tunnel syndrome, it consists of making a cut up to two inches on the wrist and then cutting the carpal ligament to enlarge the carpal tunnel. The surgery is generally done under a local anesthesia and usually does not require an extended stay at the hospital, unless there are unusual medical considerations.
Endoscopic Carpal Tunnel Surgery
Endoscopic Carpal tunnel surgery may allow faster recovery and less discomfort than traditional open carpal tunnel release surgery. The surgeon makes two incisions (about one half inch each) in the wrist and palm, inserts a camera attached to a tube, looks at the tissue on a screen, and cuts the carpal ligament (the tissue that holds joints together). This two-portal endoscopic Carpal tunnel surgery, generally performed under a local anesthesia, is effective and decreases the chances of scarring and scar tenderness, if any.
Single Portal Endoscopic Carpal Tunnel Surgery
Single portal endoscopic Carpal tunnel surgery for carpal tunnel syndrome is also available and can result in less post-operative pain and a minimal scar. It generally allows people to resume some normal activities in a short time period.
Recurrence of carpal tunnel syndrome following treatment is rare. The majority of patients recover completely.