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Carpal Tunnel Release

Carpal tunnel release is a surgical procedure that cuts the transverse carpal ligament to relieve pressure on the median nerve in the wrist. It is one of the most common hand surgeries, performed when carpal tunnel syndrome does not respond to splinting, injections, or activity modification. The procedure has a success rate of over 90% and can be performed open or endoscopically.

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Who Needs Carpal Tunnel Release?

Carpal tunnel release is recommended for patients with moderate to severe carpal tunnel syndrome who have not improved with 3-6 months of conservative treatment, patients with constant numbness or muscle wasting (thenar atrophy) in the hand, and those with nerve conduction studies confirming significant median nerve compression.

What to Expect

1
Nerve conduction study (EMG/NCS) to confirm diagnosis and severity
2
Surgery takes 15-30 minutes under local anesthesia
3
Performed as an outpatient procedure (go home same day)
4
Open technique: 2-inch incision in the palm; Endoscopic: 1-2 smaller incisions
5
The transverse carpal ligament is cut to release pressure on the nerve
6
Bandage and splint applied after surgery

Recovery Timeline

Days 1-3

Keep hand elevated. Gentle finger movements encouraged. Mild to moderate soreness.

Weeks 1-2

Stitches removed. Numbness and tingling begin improving. Light hand use for daily tasks.

Weeks 3-6

Progressive return to normal hand use. Grip strength gradually returning.

Months 2-3

Full grip strength returns. Scar tenderness resolves for most patients.

Risks & Complications

  • Pillar pain (soreness at the base of the palm, common but temporary)
  • Incomplete relief of symptoms
  • Infection (less than 1%)
  • Nerve or vessel damage (rare)
  • Scar tenderness
  • Recurrence (rare, less than 5%)

Frequently Asked Questions

How long does carpal tunnel surgery take?

The surgery itself takes only 15-30 minutes. Including preparation and recovery room time, expect to be at the surgery center for 2-3 hours. It is performed under local anesthesia - you are awake but your hand is numb.

How soon can I use my hand after carpal tunnel surgery?

You can use your hand for light activities (eating, writing) within a few days. Most patients return to desk work within 1-2 weeks. Heavy gripping and lifting should be avoided for 4-6 weeks. Full grip strength returns by 2-3 months.

Is carpal tunnel surgery worth it?

For patients with moderate to severe carpal tunnel syndrome, surgery has a success rate of over 90%. Most patients experience significant improvement in numbness and tingling within weeks. Without surgery, severe carpal tunnel can cause permanent nerve damage and muscle wasting.

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Estimated Cost

$3,000 - $10,000 (before insurance). Widely covered by insurance with documented failed conservative treatment.

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Related Specialty

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This information is for educational purposes only. Costs are estimates and vary by location, surgeon, and insurance. Always consult a qualified healthcare provider.