Endoscopic Carpal Tunnel Release

Endoscopic carpal tunnel release is a cutting-edge surgical procedure offered at HSA to effectively treat carpal tunnel syndrome (CTS). This innovative technique allows our skilled surgeons to alleviate the pressure on the median nerve, providing much-needed relief from the symptoms of CTS through a minimally invasive approach.

Understanding carpal tunnel syndrome

Carpal tunnel syndrome is a common condition that develops when the median nerve, which runs through the narrow passageway in the wrist called the carpal tunnel, becomes compressed or irritated.

This compression leads to symptoms such as:

Tingling
Numbness
Weakness
Pain in the hand and fingers

The endoscopic carpal tunnel release procedure

Our experienced surgeons use a small, thin tube with a camera (endoscope) and specialized instruments to access and release the carpal tunnel's transverse ligament during the endoscopic carpal tunnel release. This ligament forms the tunnel's roof and puts pressure on the median nerve when it becomes thickened or inflamed.

The endoscopic approach offers several advantages over traditional open surgery. The procedure requires only one or two small incisions, resulting in minimal scarring and faster healing. Furthermore, the endoscope provides a clear view of the carpal tunnel's internal structures, allowing for precise and targeted release of the transverse ligament and relieving the pressure on the median nerve.

Benefits of endoscopic carpal tunnel release

Here are a few more benefits associated with endoscopic carpal tunnel release:

Minimally Invasive: Smaller incisions mean less tissue disruption, reduced pain, and quicker recovery than open surgery.
Faster Recovery: Patients can typically resume light activities and return to work sooner than with traditional surgery.
Effective Symptom Relief: Endoscopic carpal tunnel release has been shown to provide excellent long-term relief from the symptoms of CTS, restoring hand function and improving the overall quality of life.
Outpatient Procedure: In most cases, the surgery is performed on an outpatient basis, allowing patients to return home on the same day.

Candidates for endoscopic carpal tunnel release

Endoscopic carpal tunnel release is an excellent option for individuals with mild to moderate carpal tunnel syndrome who have not experienced sufficient relief from conservative treatments. Our expert surgeons will evaluate your symptoms and medical history and conduct a thorough examination to determine if you are a suitable candidate for the procedure.

Recovery timeline

The recovery duration following endoscopic carpal tunnel release can vary depending on individual factors, the severity of carpal tunnel syndrome (CTS), and the type of work or activities you engage in regularly. While each patient's recovery is unique, here is a general timeline to give you an idea of what to expect:

Post-surgery period

During the first 1 to 2 weeks after endoscopic carpal tunnel release, you may experience swelling, discomfort, and mild soreness in your hand and wrist. Your surgeon will likely recommend keeping the hand elevated and using ice packs to reduce swelling. You may also be prescribed pain medication to manage any post-operative discomfort.

Dressing and stitches removal

You will return for a follow-up appointment with your surgeon one to two weeks following surgery to ensure your recovery is uneventful and successful. Any stitches or sutures used during the procedure will be removed, and the surgical site will be examined.

Back to work or other activities

Most patients can begin light activities and return to work within a few days to a week after surgery, depending on their job requirements and individual healing progress. However, avoiding heavy lifting or activities that put excessive strain on the hand and wrist during the initial recovery period is crucial.

Rehabilitation

Starting hand therapy or rehabilitation is an essential part of the recovery process. About two to three weeks after surgery, you will begin working with a hand therapist to perform gentle exercises to improve wrist mobility, strength, and flexibility. Your therapist will guide you through a tailored rehabilitation plan to optimize your hand's healing and function.

Full recovery

While many patients experience significant improvement in their hand and wrist function within four to six weeks after endoscopic carpal tunnel release, achieving full recovery may take longer. Some individuals may continue to notice improvements for several months. Adhering to your hand therapist's guidance and diligently performing rehabilitation exercises will help expedite healing.

Returning to sports or other vigorous physical activities

Engaging in sports and activities involving wrist movements or heavy lifting will typically be allowed after six to eight weeks, depending on the surgeon's recommendations and your progress. It's crucial to reintroduce these activities gradually to prevent re-injury.

Results of carpal tunnel release

Endoscopic carpal tunnel release has excellent long-term outcomes, with most patients experiencing relief from CTS symptoms and improved hand function. However, maintaining good hand and wrist health is essential for long-term success. Your surgeon may recommend ergonomic adjustments, wrist exercises, and lifestyle modifications to reduce the risk of CTS recurrence or other hand conditions.

Why choose HSA?

At HSA, our fellowship-trained, board-certified surgeons are experienced in performing endoscopic carpal tunnel release and other specialized hand and upper extremity surgeries. We are committed to delivering individualized care and ensuring the best possible outcomes for our patients with carpal tunnel syndrome. If you are experiencing hand discomfort, tingling, or numbness, schedule a consultation with us to explore the benefits of endoscopic carpal tunnel release and take the first step towards regaining hand function and relieving CTS symptoms.