Carpal Tunnel Surgery

Carpal tunnel syndrome is characterized by numbness, pain or tingling sensation of the thumb and/or first two fingers. It is a very common problem for people who use their hands for long periods of time in their work, such as on assembly lines or in textile manufacturing. It also commonly develops spontaneously in the general population. The underlying cause is a compressed nerve at the wrist.

Diagnosis by will be made by obtaining an adequate history and through a physical examination. Confirmation is possible by obtaining specific electrodiagnostic studies (EMG) of the nerves in the arm to evaluate their function.

Three different treatment approaches are effective in treating this disorder. The first approach includes immobilization through a splinting program. Injections of anti-inflammatory medication, such as cortisone, are sometimes effective, especially in patients with symptoms of shorter duration. This is usually used in combination with a splinting program.

Sometimes surgery is necessary to open up the carpal tunnel, relieving pressure on the median nerve. This procedure is carried out on an outpatient surgical basis. It may be performed under local or general anesthetic depending upon preference of the surgeon and patient. New minimally invasive surgical techniques are available.