carpal tunnel syndrome - surgery  

The earlier the carpal tunnel syndrome is treated, the better. In most cases, curpal treatment will provide quick and clear relief. However, if it yields no successful results, surgery seems recommendable.


The tight carpal ligament is cut within the scope of open or endoscopic surgery to relieve the median nerve from pressure. The surgeon will cleave the ligament structure that forms the upper edge of the carpal tunnel in order to provide the sinews and nerves inside the carpal tunnel with more space and reduce the pressure exerted on these structures. 

If this approach is being followed, the carpal tunnel syndrome is treated either by open or by endoscopic surgery. If successful, complaints like nocturnal pain or numbness will virtually fade away immediately. However, if the nerve has been damaged significantly it may take a while until most of the symptoms have gone. And if the nerve damage is severe, some complaints might even persist despite surgery. Existing muscular atrophy cannot be reversed through this intervention.

Except for the risks related to any kind of surgical treatment, carpal tunnel surgery might cause tissue scarring. These scars might then exert pressure on the carpal tunnel that limits the treatment success or even renders it void.