Carpal Tunnel Syndrome – When Surgery Is The Next Step

Carpal Tunnel Syndrome is experienced by many people. This is a painful condition that results from the compression of the median nerve within the wrist.

Many factors can cause the development of this condition. The main cause of the syndrome has never been established, although connections have been made to different activities or jobs.

Carpal Tunnel when caught in its early stage is easily reversible. In the event that the condition has been neglected, the consequence can lead to the need for a surgical intervention.

Carpal Tunnel Release is the name of the surgical procedure. It can be done under local or general anaesthetic, depending on the patient’s decision. Whichever way the patient wants to have it done, he/she will have to discuss it with the doctor. The patient may need to be admitted to the facility the night before for preparation for surgery if he/she decides to do it under general anaesthetic.

During the operation, the surgeon makes an incision into the palm of the affected hand. If the condition is particularly severe the incision may need to be longer. The exposed tissue beneath is then carefully cut through with a scalpel. This second incision reveals the transverse carpal ligament, which is the structure that contributes to the compression of the median nerve.

The ligament which is putting pressure on the median nerve is cut, releasing the pressure on the nerve. The next step is to suture closed the incision made in the palm of the hand.

The severed ligament will then start it’s healing process. Scar formation will result from this process. No pressure on the median nerve should happen from the formed scar.

This procedure may be done to one or both wrists at the same time. If done to both, it is termed bilateral carpal tunnel release surgery.

One must also realize that possible complications can happen after the surgery. These complications may include median nerve injury, ulnar nerve damage or injury to the blood vessels surrounding the area.

One also needs to consider how to take care of oneself at home after the surgery. If discharged within two days after the surgery, the patient will probably need help around the house. The patient need to continue to take the prescribed medications at home. Swelling after operation can also be a problem. Applying cold packs regularly can help. The patient need to rest the hand as much as possible for at least four weeks after surgery.

The symptoms of Carpal Tunnel Syndrome should be greatly eased after the surgery. However, for some months after the surgery, pain in the incision site can still be felt. Any grave concerns regarding discomfort felt must be discussed with the doctor.

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