Articles

Dr. Alex Han
Orthopedic Surgery (Hand, Wrist, and Elbow)

 

Carpal tunnel syndrome affects about 4% of people in the United States and the incidence increases with age. Carpal tunnel syndrome occurs when your median nerve becomes compressed as it travels through a passageway in your wrist called the carpal tunnel. Symptoms typically start with night wakening from burning, tingling, or numbness, and can progress to daytime symptoms. It can be treated, but in severe cases surgery may be required. The diagnosis can be made based on history and physical examination but may require a nerve conduction test.

 

What carpal tunnel syndrome treatment options are available?
In mild and moderate cases conservative treatments are first-line, and can include nighttime splinting, anti-inflammatory medications, and occupational therapy. Corticosteroid injections may be recommended for temporary symptomatic relief.

 

In severe cases, surgery is typically the recommended treatment.

 

Why have carpal tunnel surgery?
If left untreated, carpal tunnel syndrome can progress and potentially lead to permanent nerve damage and the loss of sensation and strength.

 

If your pain is continuous and has progressed to the point that it is interrupting your everyday life despite conservative treatments, it is likely time for surgery.

 

What is carpal tunnel surgery?
There are two ways carpal tunnel surgery is performed. Endoscopic surgery, also referred to as minimally invasive surgery, uses one or two small incisions and a tiny camera to guide surgical tools to the carpal ligament and cut it. Open surgery uses an incision made along the palm side of the wrist to access and cut the carpal ligament. Choosing which surgery is right for you is up to you and your doctor. 

 

The timetable for post-surgery recovery can vary from patient to patient. Some patients experience relief as soon as a few weeks post-surgery, while some may take up to a year for complete improvement.