Endoscopic Carpal Tunnel Release

Carpal Tunnel Syndrome is a common, painful, progressive condition that is caused by compression of the median nerve at the wrist area. Common symptoms of carpal tunnel syndrome include numbness and tingling sensation in all the fingers except little finger; pain and burning sensation in hand and wrist that may radiate up the arm and elbow; and weakness in hand with diminished grip strength Exact causes of the condition are not known. However certain factors increase the risk of developing carpal tunnel syndrome and they include congenital abnormalities, repetitive motion of hand and wrists, fractures and sprains, hormonal imbalance, and other medical conditions such as hypothyroidism, rheumatoid arthritis, diabetes, obesity, gout, overactive pituitary gland, or the presence of a cyst or tumor in the canal.

Carpal tunnel syndrome may be treated using conservative approaches or surgery. The conservative treatments include:

  • Treating underlying medical conditions
  • Immobilization of the hand and wrist with a splint or wrist brace for 4-6 weeks
  • Rest the hand for 2 weeks or more
  • Ice packs to avoid swelling
  • Avoid activities that tend to worsen the symptoms
  • Medications such as nonsteroidal anti-inflammatory drugs, diuretics, and steroid injections.
  • Strengthening and stretching exercises once symptoms diminish

If conservative treatment options fail to resolve the condition your surgeon may recommend surgical procedure.

Carpal Tunnel Release Surgery

Carpal tunnel syndrome can be treated with carpal tunnel release Surgery Traditional surgery involves up to a 2- inch incision in the palm and wrist area, whereas endoscopic surgery involves one or two half-an-inch incisions and the use of an endoscope. During the surgery, the transverse carpal ligament will be dissected to release the pressure on the median nerve and enlarge the carpal tunnel. Your surgeon will decide which options are best for you based on your general and medical conditions.

Your surgeon may suggest you to practice certain post-operative procedures for better recovery and to avoid further complications.

  • Elevate the hand above heart level to reduce swelling
  • A splint may be worn
  • Ice packs to the surgical area to reduce swelling
  • Keep the surgical incision clean and dry. Cover the area with plastic wrap when bathing or showering
  • Physical therapy may be ordered to restore wrist strength
  • Eating a healthy diet and not smoking will promote healing

The majority of patients suffer no complications following carpal tunnel release surgery. However some patients may suffer from pain, infections, scarring, and nerve damage causing weakness, paralysis, or loss of sensation and stiffness in the hand and wrist area.

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COVID-19 Limitations and Telemedicine Visits

Due to COVID-19, we’ve limited our operations to help maintain social distancing and limit the spread of the virus. We are seeing urgent issues and new injuries in the office and are also offering Telemedicine visits to all established patients. To schedule a Telemedicine visit, please call 619-299-8500, option 2.

 

Patient/Visitor Guideline Update

In an effort to minimize the risk of COVID transmission, provide a safer environment and promote social distancing, we are asking that patients avoid bringing visitors to their appointment. Additionally, we are respectfully asking that children not accompany any adult patient unless there is a medical necessity.

We are also requiring that any patient or visitor wear a face covering before entering our facility. We do not have enough masks on hand to give them out, so patients and visitors must bring their own. Thank you for understanding and for helping us keep you and your greater community healthy.

 

Scheduling Surgeries

The hospitals and surgery centers are in the process of planning for elective surgeries. This will most likely be a staged process, with the most urgent cases, such as cardiac procedures and organ transplants, going first. As soon as we are given the ok to schedule surgeries by the facilities, we will reach out to anyone who has had their surgery pending.

 

As always, we appreciate our patients and thank you for your patience during this difficult time. We wish you and your families good health, now and always.