Carpal tunnel syndrome (CTS) is a common condition affecting millions of people worldwide. It occurs when the median nerve, which runs through the wrist, becomes compressed, leading to pain, tingling, and weakness in the hand and fingers. For those whose symptoms do not improve with conservative treatments, carpal tunnel surgery becomes a viable option.
Endoscopic carpal tunnel release (ECTR) has gained popularity among the surgical techniques available due to its minimally invasive nature. In this blog, we will take you through what happens during an endoscopic carpal tunnel release and what you can expect during the surgery and recovery.
Understanding Carpal Tunnel Syndrome
Before delving into the specifics of ECTR, it is essential to comprehend carpal tunnel syndrome and why surgical intervention may be necessary. The carpal tunnel is a narrow passageway in the wrist that houses the median nerve, along with tendons and other structures. When the tunnel narrows, or there is inflammation, the median nerve becomes compressed, leading to CTS. As the condition progresses, it can become painful and significantly impact daily activities.
Choosing Surgery
Surgery becomes a viable option when conservative treatments like wrist splints and anti-inflammatory medications fail to provide relief or if the symptoms are severe and disabling. Endoscopic carpal tunnel release is one of the surgical methods used to alleviate the pressure on the median nerve.
The Endoscopic Carpal Tunnel Release Surgery
- Preparation: Begins with anesthesia—often local or Regional to numb the wrist area; general anesthesia is less common for ECTR.
- Incision: Create a small wrist and/or palm incision, significantly smaller than traditional open surgery to minimize scarring.
- Endoscope Insertion: Insert a flexible tube with a camera and light, the endoscope, to visualize the carpal tunnel’s structures.
- Release: Use specialized instruments to release the transverse carpal ligament, relieving pressure on the median nerve and restoring function.
To learn more about the procedure, watch the carpal tunnel surgery video performed at EmergeOrtho.
What To Expect During Surgery
ECTR is a relatively quick procedure, often taking less than 20 minutes. It is typically performed on an outpatient basis, which means you can return home on the same day as the surgery. The local anesthesia used ensures that you will not feel any pain during the procedure. You may, however, experience some pressure and discomfort.
For those who may be anxious about the surgery, some hospitals and medical institutions provide the option to watch a video of carpal tunnel surgery or view a simulation to get a better understanding of what to expect. This can help alleviate fears and provide clarity on the process.
Endoscopic Carpal Tunnel Release Surgery Recovery Time
Recovery after ECTR is generally quicker and less painful than traditional open surgery. Here is a general timeline of what to expect during your recovery:
- Immediate Post-Op: You will spend some time in the recovery area, where medical staff will monitor your progress. It is common to experience some discomfort and mild swelling, but this should improve within a few days.
- Activity Restrictions: You will be advised to limit the use of your operated hand for a few days. Elevating the hand and applying ice can help reduce swelling.
- Suture Removal: If nonabsorbable sutures were used, you must return to the surgeon’s office to have them removed. This typically occurs within two weeks.
- Physical Therapy: While ECTR is minimally invasive, some patients may benefit from physical therapy to regain strength and flexibility in the hand and wrist. Your surgeon will guide you on when it is safe to start these exercises.
- Return to Normal Activities: Many patients can return to light, nonrepetitive tasks within a few weeks. Full recovery can take several months, but most individuals can resume their daily activities with little to no pain.
- Long-Term Benefits: The ultimate goal of ECTR is to alleviate the symptoms of carpal tunnel syndrome, allowing you to enjoy a pain-free and functional hand. The procedure has a high success rate, with many patients experiencing lasting relief from their CTS symptoms.
In Conclusion
Endoscopic carpal tunnel release is a minimally invasive surgical procedure that offers a swift and effective solution for those suffering from carpal tunnel syndrome. By relieving the pressure on the median nerve, ECTR can help you regain the use of your hand and alleviate the pain and discomfort associated with CTS. If you are experiencing the symptoms of carpal tunnel syndrome and conservative treatments have not provided relief, you can request an appointment or call us at (984) 355-5381 to meet with one of our expert Hand & Wrist doctors.
