Carpal Tunnel Surgery Options
After trying various non-surgical approaches to treating the symptoms of carpal tunnel syndrome without success, it is important to consider surgery if the pain or symptoms persist.
The carpal tunnel surgery aims to relieve the pressure in the median nerve by cutting the ligament that compresses the nerve. After surgery, the healing process involves the growth of ligament tissue leaving more space for the nerve than that existed before the operation.This allows for less pressure on the median nerve, releasing the pain in the wrist for carpal tunnel syndrome.
There are two types of carpal tunnel surgery for carpal tunnel release. It is important to discuss with your surgeon the risks and benefits of both techniques before proceeding with surgery.
The first type of surgery for carpal tunnel syndrome is the endoscopic surgery. The carpal tunnel surgery can be done using an endoscope. The endoscope is a medical tool similar to a telescope with a small camera that allows the surgeon to see inside the carpal tunnel and perform the surgery through small incisions in the hand or wrist.
The other type of carpal tunnel surgery is open surgery. In this case it holds a larger incision in the palm of your hand on the carpal tunnel and proceeds to make a cut through the ligament to relieve pressure on the nerve.
Some surgeons are now considering a third type of carpal tunnel surgery. In this case, the surgeon proceeds with a small-open release surgery or mini-open release surgery. This requires a smaller incision than that required for standard open carpal tunnel release surgery to minimize scar formation and healing time. This type of surgery allows direct observation of the ligament minimizing the damage to the nerve. Unfortunately, there are few studies of this type of surgery comparing it to the endoscopic method or the procedures for the open carpal tunnel release at this time.
After surgery it is suggested that you use your hand slowly before you return to work normally. Avoid strong hand movements and extreme positions of the wrist. After surgery, pain or hand weakness may take several weeks or months to leave. Note that if your symptoms are severe before the surgery, they may not disappear completely after doing it.
You can read more about Carpal tunnel release surgery here.