Endoscopic Carpal Tunnel Release Surgery
Endoscopic carpal tunnel release surgery is a minimally invasive procedure designed to alleviate the symptoms of carpal tunnel syndrome, such as numbness, tingling, and pain in the hand and wrist. This surgery offers a less invasive solution compared to traditional open surgery, allowing for a quicker recovery and reduced post-operative discomfort. The benefits of this procedure include a high success rate, significant relief from symptoms, and a return to normal hand function within a few weeks for most patients.
What is Endoscopic Carpal Tunnel Release Surgery?
Endoscopic carpal tunnel release surgery is a technique for resolving carpal tunnel syndrome that involves a thin tube equipped with a camera (endoscope) to guide the surgical process. The primary goal of the procedure is to cut the transverse carpal ligament, which relieves pressure on the median nerve, reducing the painful symptoms associated with carpal tunnel syndrome. Many surgeons prefer this approach because it minimizes scarring, reduces recovery time, and allows patients to return to normal activities sooner.
What is Carpal Tunnel Release Surgery Like?
The endoscopic procedure begins with administering anesthesia, which may be local, regional, or general, depending on the patient’s needs and the surgeon’s preference. A small incision is made in the wrist (or both the wrist and palm for the two-incision technique). A camera attached to an endoscope is then inserted through the incision to allow the surgeon to visualize the carpal tunnel and surrounding areas.
Once the structures are clearly visible, the surgeon carefully inserts specialized instruments to cut the transverse carpal ligament, alleviating pressure on the median nerve. The surgical instruments are then withdrawn, and the incision is closed with sutures or wound tape. A bandage is applied, and in some cases, a splint is used to limit the wrist movement and protect the incision site. The procedure is typically brief, and the use of endoscopy allows for precision while minimizing damage to surrounding tissues.
What Does Recovery Look Like After Carpal Tunnel Surgery?
Following endoscopic carpal tunnel release surgery, patients may experience some pain, swelling, and stiffness in the hand and wrist. These symptoms are common and usually subside within a few weeks. Patients are often advised to keep their hand elevated for a few days post-surgery to reduce swelling. Sutures are typically removed between 10 days and two weeks, and your surgeon may recommend hand and finger exercises to maintain mobility and prevent stiffness.
While recovery times vary, many patients experience relief from numbness, tingling, and pain soon after the procedure, with full recovery occurring over several weeks. Physical therapy may be recommended in some instances to help regain strength and functionality in the hand. Most patients can return to work and normal activities within a few weeks, depending on the severity of their condition and the nature of their work.
Are There Any Risks Associated with Carpal Tunnel Release Surgery?
Like any medical procedure, endoscopic carpal tunnel release comes with some risks. Potential complications include infection, bleeding, nerve damage, or scarring. However, the risks are generally low, and the minimally invasive nature of the endoscopic approach reduces the likelihood of complications compared to traditional open surgery. In rare cases, symptoms may persist or return, and further treatment may be necessary. Choosing an experienced surgeon specializing in carpal tunnel release surgery can help minimize these risks.
Frequently Asked Questions About Carpal Tunnel Surgery
What is the success rate of Carpal Tunnel Release Surgery?
The success rate of this surgery is high, with most patients experiencing significant relief from symptoms. Most patients report a return to normal hand function within a few weeks. However, full recovery may take longer for some individuals, depending on the severity of their condition and pre-existing factors like age and other medical issues.
How does the endoscopic method compare to other treatment options?
Before opting for surgery, non-invasive treatments such as wrist splints, anti-inflammatory medications, and corticosteroid injections may be recommended. These treatments can help reduce symptoms for some patients, but in cases of severe nerve compression, surgery is often the most effective long-term solution. When compared to other surgical options, the endoscopic method assures a minimally invasive approach that boasts a shorter recovery time and reduces pain and scarring.
Who is a candidate for carpal tunnel release surgery?
Candidates for endoscopic carpal tunnel release surgery are individuals with moderate to severe carpal tunnel syndrome who have not responded to non-surgical treatments. Patients who experience persistent numbness, pain, and weakness in the hand or have had symptoms for an extended period are typically good candidates for this procedure.
Can any surgeon perform endoscopic surgery?
Not all surgeons are trained in the endoscopic technique, requiring specialized training and equipment. Patients should seek a surgeon experienced in endoscopy and carpal tunnel release surgery to ensure the best outcome.
Our orthopedic surgeons at New York Orthopedics are highly specialized in this area, boasting countless procedures across the practice. Contact us today if you’d like to schedule an appointment or for more information.
N.Y. Orthopedics Hand & Surgery Specialists
N.Y. Orthopedics has multiple sports medicine offices in New York City, including Manhattan, Brooklyn, and Staten Island, as well as the surrounding counties, including Nassau, Westchester, and Rockland. N.Y. Orthopedics surgeons are also well-versed in addressing issues with the knees, hips, feet, and shoulders. Contact us today to learn more about our services or make an appointment!
