Carpal Tunnel Release

Procedure allows the tunnel to open up and decompresses the median nerve.

Carpal Tunnel Release

Carpal tunnel release surgery may be done as an open procedure or endoscopically. The endoscopic carpal tunnel release involves making a small 1.5cm incision in the palm or the distal wrist crease and introducing a small endoscopic camera under the transverse carpal ligament. The transverse carpal ligament (the roof of the tunnel) is cut across its entire length. An open carpal tunnel release is done through a slightly larger incision. In this case, the transverse carpal ligament is cut through direct visualization. Either way, this allows the tunnel to open up and decompresses the median nerve. It is important to note that cutting this ligament will not cause any loss of strength or function. Full recovery after surgery takes about a month. Your wrist and hand will be bandaged after surgery. After two to three days you will remove the bandage and cover the incision with a Nexcare bandage. Two weeks after surgery you will be seen in the office and have your sutures removed. At this point, you can return to normal activities as tolerated. Generally, formal physical therapy is not part of your recovery.

Carpal Tunnel Release
Carpal Tunnel Release

Endoscopic picture of transverse carpal ligament

Benefits

Our world-class orthopedic surgeons have years of experience treating wrist conditions. We believe that even the simplest problems should be evaluated by a specialist.

Video Transcript:

Hey guys, it’s Dr. DeNoble here. I’m going to show you how I do my endoscopic carpal tunnel releases in 60 seconds. Now I do these procedures under straight local, which means the hand is numb but my patients are wide awake. They’re usually listening to the music of their choice and, for about 15 minutes, hanging out with us, chit-chatting and very comfortable. I start by making an incision in the middle of the Palm about a centimeter and a half in length. I gently retract the skin edges with retractors and insert a clear cannula. Once the clear candle is inserted into the carpal tunnel, I take a look. I make sure that there’s nothing interposed between me and the transverse carpal ligament. Once I am comfortable that there’s a nice track, I mount a blade on the head of the scope and from a district approximate direction, I advance this very gently. As you’ll see, as I draw it back, the fibers have spread nicely and the release has almost finished. I then advanced one more time to complete the release and that’s it. A couple of stitches, small incisions, happy patients.

Personalized care

As our patient, you will have an in-depth consultation with one of our doctors. We will create an individualized treatment plan together, tailored to your problem and lifestyle. Our doctors prefer non-invasive treatments whenever possible, including physical therapy and/or injections. If your problem ultimately does require surgery, our doctors prefer the least invasive surgical techniques possible. Our goals are the same as yours: to get you back to living your best life, pain free. 

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