Carpal Tunnel Release

Carpal Tunnel Release Surgery is a widely performed procedure designed to alleviate the symptoms of Carpal Tunnel Syndrome (CTS), a condition caused by pressure on the median nerve in the wrist. This pressure leads to pain, numbness, tingling, and weakness in the hand and fingers. The goal of carpal tunnel release is to relieve the pressure on the nerve and restore normal hand function, allowing individuals to return to their daily activities without discomfort or limitations.

At the Brain and Spine Center of Texas, our skilled surgeons specialize in carpal tunnel release surgery, employing both traditional and minimally invasive techniques to achieve the best outcomes for our patients. Whether your symptoms are mild or severe, this procedure offers significant relief and is performed with a focus on minimal recovery time and optimal results.

Carpal Tunnel Syndrome occurs when the median nerve, which runs from the forearm into the palm of the hand, becomes compressed as it passes through the carpal tunnel—a narrow passageway in the wrist. This compression can result from a variety of factors, such as repetitive hand movements, wrist injuries, or certain medical conditions (e.g., diabetes, arthritis). When the median nerve is compressed, it can cause symptoms including:

• Pain in the wrist, palm, and fingers.
• Numbness or tingling sensations, especially in the thumb, index, and middle fingers.
• Weakness in the hand, making it difficult to grip objects.
• Loss of coordination or dexterity in the fingers and hands.

If left untreated, Carpal Tunnel Syndrome can worsen over time, leading to more severe symptoms and potentially permanent nerve damage. Carpal tunnel release provides a solution by alleviating the pressure on the median nerve.

Carpal Tunnel Release Surgery involves cutting the transverse carpal ligament, which is the ligament pressing against the median nerve in the carpal tunnel. By releasing this ligament, the surgeon provides more space for the median nerve, relieving the pressure and improving blood flow to the affected area.

The procedure can be done using one of two methods:

1. Traditional Open Surgery – A small incision is made at the base of the palm, and the carpal ligament is cut to relieve pressure on the median nerve.
2. Minimally Invasive (Endoscopic) Surgery – A smaller incision is made, and a small camera (endoscope) is used to guide the surgeon in cutting the ligament with greater precision and less tissue disruption.

The choice between traditional open surgery and minimally invasive surgery depends on the severity of the condition, the patient’s anatomy, and the surgeon’s recommendation.

Carpal Tunnel Release Surgery is typically recommended for patients who have severe or persistent Carpal Tunnel Syndrome that has not responded to conservative treatments such as rest, splinting, medications, or physical therapy. Surgical intervention may be necessary if:

• Non-surgical treatments have failed to alleviate symptoms.
• Symptoms significantly interfere with daily activities or work.
• The condition has progressed to the point of muscle weakness or atrophy in the hand.
• Nerve damage or loss of hand function is a concern.

Carpal Tunnel Release Surgery can restore hand function, reduce pain, and prevent further damage to the median nerve, providing long-term relief.

The procedure typically takes between 15 to 30 minutes and is usually performed under local anesthesia. Here’s what to expect:

1. Pre-Surgical Evaluation – Prior to surgery, the surgeon will perform a thorough examination and may use imaging studies such as X-rays or ultrasound to assess the severity of the condition and confirm that surgery is the appropriate course of action.
2. Surgical Procedure – The surgeon will make a small incision at the base of the palm and cut the carpal ligament to relieve pressure on the median nerve.
3. Post-Surgical Care – The incision is closed with stitches, and a bandage is applied. Patients are typically able to go home the same day.

Recovery from carpal tunnel release surgery is generally quick, especially with the minimally invasive technique. However, full recovery may take several weeks, and here’s what you can expect:

• Pain Management – Mild pain or discomfort may occur after surgery, but it can be managed with prescribed medications.
• Bandages and Dressing – A bandage or dressing will be applied to the surgical site. It’s important to keep the wound clean and dry to prevent infection.
• Hand Exercises – Your surgeon may recommend specific exercises or therapy to improve flexibility and strength in the hand and wrist as you recover.
• Activity Restrictions – You may need to avoid heavy lifting or strenuous activities for a few weeks while the incision heals.
• Follow-Up Appointments – Regular follow-up visits will be scheduled to monitor healing progress and ensure there are no complications.

• Expert Surgeons – Our team of board-certified surgeons has extensive experience performing carpal tunnel release surgery, both through traditional and minimally invasive techniques.
• Minimally Invasive Options – We offer minimally invasive techniques to help reduce recovery time and minimize scarring.
• Comprehensive Care – From your initial consultation to post-operative rehabilitation, we provide comprehensive care every step of the way.
• Personalized Treatment – We take the time to assess your specific needs and tailor the treatment approach to ensure the best possible outcome.