2024-01-01 · hand, nerve, orthopedic
Carpal Tunnel Release Surgery FAQ
What Is Carpal Tunnel Release?
Carpal tunnel release is a surgical procedure that relieves pressure on the median nerve at the wrist. The surgery involves cutting the transverse carpal ligament to increase space in the carpal tunnel and reduce nerve compression, improving pain, numbness, and hand function.
Why Might Carpal Tunnel Release Be Needed?
Surgery is typically recommended when:
- Symptoms persist despite splinting, injections, or activity changes
- Numbness or weakness interferes with daily activities
- Nerve tests show significant compression
- There is muscle weakness or wasting in the hand
What Are the Symptoms of Carpal Tunnel Syndrome?
Common symptoms include:
- Numbness or tingling in the thumb, index, and middle fingers
- Hand weakness or dropping objects
- Nighttime hand pain or burning
- Symptoms that worsen with repetitive wrist motion
Early evaluation helps determine whether surgery is appropriate.
About the Carpal Tunnel Release Procedure
Carpal tunnel release is usually performed under local or regional anesthesia and takes about 15 to 30 minutes. The surgeon makes a small incision in the palm or uses an endoscopic approach to cut the ligament. This creates more room for the median nerve and tendons.
What Happens After Surgery?
Most patients go home the same day with a bandage or splint. Hand elevation and gentle finger movement are encouraged to reduce swelling. Stitches are often removed within one to two weeks.
How Long Does Recovery Take?
Recovery varies by individual, but typical expectations include:
- Improved numbness and tingling within days to weeks
- Return to light activities in one to two weeks
- Full strength and function over several months
Hand therapy may be recommended to restore grip strength and flexibility.
What Are the Potential Complications?
Possible complications include:
- Infection or bleeding
- Scar tenderness
- Incomplete symptom relief
- Nerve or tendon injury
- Temporary stiffness
Most complications are uncommon and can be addressed with follow-up care.
Can I Return to Work and Sports?
Many people return to desk work within one to two weeks. Heavier labor or sports may require four to six weeks, depending on healing and strength recovery.
When Should I Seek Medical Attention?
Seek prompt care if you develop increasing pain, swelling, redness, fever, or loss of finger movement.