Here are the key points about carpal tunnel syndrome (CTS) surgery:
Indications:
- Persistent symptoms not relieved by conservative treatments.
- Severe symptoms including pain, numbness, and muscle weakness.
- Positive nerve conduction studies confirming median nerve compression.
Types of Carpal Tunnel Surgery:
- Open Carpal Tunnel Release: Traditional method with a larger incision to cut the transverse carpal ligament.
- Endoscopic Carpal Tunnel Release: Minimally invasive approach using small incisions and an endoscope.
Preoperative Preparation:
- Evaluation by a hand surgeon, including tests and discussion of options.
- Instructions on fasting, medications, and postoperative care.
Surgical Procedure:
- Done under local or general anesthesia.
- Involves cutting the transverse carpal ligament to relieve pressure on the median nerve.
Postoperative Care:
- Pain management and elevation to reduce swelling.
- Splinting or bandaging the wrist temporarily.
- Gradual return to activities, avoiding strenuous movements.
Recovery:
- Initial recovery in days to a week, with full recovery in weeks to months.
- Physical therapy may be recommended for strength and flexibility.
Risks and Complications:
- Infection, bleeding, nerve injury.
- Scar tenderness, incomplete relief, or recurrence of symptoms.
- Rare complications like stiffness or reflex sympathetic dystrophy.
Outcomes:
- Significant symptom relief and improved hand function for most patients.
- High success rates, especially with early intervention.
Conclusion: Carpal tunnel syndrome surgery effectively relieves pressure on the median nerve, offering substantial symptom improvement and functional recovery. Both open and endoscopic techniques are successful, guided by the specific case and surgeon expertise. Adherence to postoperative care is crucial for optimal outcomes.
