Endoscopic Carpal Tunnel Surgery for Carpal Tunnel Syndrome

Overview

Endoscopic carpal tunnel release is a surgical procedure used to treat carpal tunnel syndrome. It involves making one or two small incisions in the wrist and palm and using a tiny camera to see inside the wrist. During the procedure, the surgeon cuts the carpal ligament, which is the tissue that holds joints together, to increase the size of the carpal tunnel and relieve pressure on the median nerve.

Before undergoing endoscopic carpal tunnel release, there are some instructions for pre-procedure preparation which may include the following:

  • It is important not to eat or drink anything for up to 12 hours before the surgery. This allows for a smoother procedure and reduces the risk of complications.
  • Additionally, it is recommended to follow any specific instructions given by your doctor based on your medical condition.

During the endoscopic carpal tunnel release procedure, a surgeon performs the surgery:

  • They make one or two small incisions in the wrist and palm and insert a camera attached to a tube.
  • The surgeon then observes the nerve, ligament, and tendons on a monitor and cuts the carpal ligament with a small knife inserted through the tube. This creates more space in the carpal tunnel.
  • The surgeon may use general anesthesia to put you to sleep or local anesthesia to numb your hand and arm during the procedure.

After undergoing endoscopic carpal tunnel release, there are instructions for recovery and follow-up, which may include the following:

  • While you may experience immediate relief from symptoms after surgery, full recovery can take months.
  • It is normal to have some discomfort, stiffness, and pain at the scar site.
  • Your grip strength may decrease initially but should improve over time.
  • It is important to follow any post-operative instructions provided by your doctor, such as keeping the surgical area clean and dry and avoiding heavy lifting or strenuous activities.

Potential complications from endoscopic carpal tunnel release include infection, bleeding, nerve injury, stiffness, and pain at the scar site. While these complications are rare, it is important to be aware of them. If you experience severe pain, excessive bleeding or swelling, signs of infection (such as redness or pus), or any other concerning symptoms after surgery, it is important to contact your doctor immediately.

In summary:

  • Endoscopic carpal tunnel release is a surgical procedure used to treat carpal tunnel syndrome.
  • Pre-procedure preparation includes fasting for up to 12 hours before surgery.
  • During the procedure, a surgeon makes small incisions in the wrist and palm and uses a tiny camera to cut the carpal ligament.
  • Recovery may take months and includes following post-operative instructions provided by your doctor.
  • Potential complications include infection, bleeding, nerve injury, stiffness, and pain at the scar site.
  • Contact your doctor immediately if you experience severe pain, excessive bleeding or swelling, signs of infection, or any other concerning symptoms after surgery.