What is Carpal Tunnel Release?

Carpal tunnel release is a surgical procedure used to treat carpal tunnel syndrome, a condition caused by compression of the median nerve as it passes through the carpal tunnel in the wrist. The procedure involves cutting the transverse carpal ligament to relieve pressure on the nerve and restore normal function.

At Katranji Hand Center, we offer both open and endoscopic carpal tunnel release procedures based on the patient’s condition and preference, with the goal of minimizing downtime and maximizing long-term relief.

Causes

Carpal tunnel syndrome may result from:

• Repetitive hand or wrist motion (e.g., typing, tool use)

• Wrist fractures or dislocations

• Rheumatoid arthritis or other inflammatory conditions

• Fluid retention (e.g., pregnancy or thyroid dysfunction)

• Anatomical factors – such as a smaller carpal tunnel space

The condition involves swelling or thickening of tissues inside the carpal tunnel, which compresses the median nerve.

Signs & Symptoms

Common symptoms that may indicate the need for carpal tunnel release:

• Numbness and tingling in the thumb, index, middle, and half of the ring finger

• Hand weakness or clumsiness (especially in gripping or pinching)

• Pain that may extend to the forearm or shoulder

• Symptoms that worsen at night or with repetitive use

• Relief when shaking or hanging the hand down (flick sign)

Diagnosis

At Katranji Hand Center, diagnosis includes:

• Physical examination – including Tinel’s sign, Phalen’s test, and checking for thenar muscle wasting

• Nerve conduction studies (NCS) and EMG – to confirm median nerve compression

• Ultrasound or MRI (in complex or atypical cases)

We aim to confirm diagnosis and rule out other causes such as cervical radiculopathy or peripheral neuropathy.

Treatment Options

Non-Surgical Management

• Wrist splinting (especially at night)

• Anti-inflammatory medications (NSAIDs)

• Activity modification and ergonomic adjustments

• Corticosteroid injections

If symptoms persist or worsen, surgical release is recommended.

Surgical Procedure

Carpal Tunnel Release can be performed using:

• Open Technique: A small incision is made in the palm to access and release the transverse carpal ligament.

• Endoscopic Technique: A camera-assisted method using one or two small incisions, allowing for quicker recovery and less tissue disruption.

Both approaches are outpatient procedures, usually performed under local or regional anesthesia.

Postoperative Care

• Light dressing or bandage for a few days

• Gradual return to hand use for light activities

• Avoid heavy lifting for several weeks

• Hand therapy if stiffness, weakness, or swelling persists

Most patients experience symptom relief within days to weeks, with full recovery in 4 to 6 weeks.

Associated Risks

While rare, risks may include:

• Infection

• Nerve irritation or injury

• Scar tenderness

• Incomplete symptom relief

• Pillar pain (soreness at the base of the palm)

Prognosis

Carpal tunnel release has a high success rate—over 90% of patients experience significant improvement or complete resolution of symptoms. At Katranji Hand Center, our expert surgeons and individualized care plans ensure optimal recovery and function.