Surgery should never be a first-line approach to solving any medical problem. Once a patient has exhausted all other options – such as icing, wrist splints, NSAIDs, and warm baths1 – it may be time to consider surgical methods of healing. In the case of Carpal Tunnel Syndrome, a board-certified Orthopedic surgeon may be able to suggest a surgical mode of treatment to alleviate your pain.
Carpal Tunnel Syndrome occurs when the median nerve that runs through the carpal tunnel in the wrist becomes compressed. The result is persistent pain, numbness, or tingling – or a combination of these sensations.2 If possible, it’s best to treat Carpal Tunnel in its early stages with less invasive methods. In some rare instances, such as acute carpal tunnel syndrome (a type of nerve damage) urgent procedures will be required.
Not every situation is alike; there is no one-size-fits-all approach to healing this syndrome. During Open Carpal Tunnel Release, your surgeon will cut the transverse carpal ligament – a malleable, stretchy “cord” that runs along the top of the carpal tunnel.3 This will release some the built-up pressure you’re feeling. Afterwards, your surgeon will seal up the region with a series of stitches. This treatment is fairly convenient and requires no hospital stay. Stitches are removed one to two weeks following surgery. The speed of your recovery hinges on which hand was operated on; surgery of your dominant hand will be lead to a longer recuperation period.
With the advent of cutting-edge technology, surgeries have become more seamless. One example of this is Endoscopic Carpal Tunnel Release. This procedure also involves the cutting of the traverse carpal ligament; however, your surgeon will employ the use of an endoscope – a thin tube with a miniscule camera attached to it.4 Guiding the endoscope through a small incision will allow for an up-close view of the affected region. This procedure is conducted using very minimal incisions, so the patient is able to heal in a shorter amount of time.
After either surgery, pain should subside fairly quickly. According to an article published in the U.S. National Library of Medicine5, approximately 75 to 90 out of 100 people say that their condition has improved, or that they are symptom-free several years following these procedures. The best way to heal is by heeding the advice of your physician. Post-operation, a patient would be required to wear a soft dressing over the wound, and possibly a splint for added support. Physical therapy will be beneficial for regaining coordination and strength in the months following your procedure.
Selecting a reputable surgeon is one of the best ways to maintain peace of mind throughout the process. The staff at Greater Chesapeake Hand to Shoulder is highly skilled at performing wrist diagnoses and surgeries – and they’ve helped patients with a host of issues ranging from arthritis to wrist fractures. For more information, or to schedule a consultation, call (410) 296-6232.
