Carpal and cubital tunnel release

Carpal and cubital tunnel release surgery are procedures aimed at relieving pressure on nerves in the hand and arm. Carpal tunnel syndrome occurs when the median nerve, which runs through the wrist, becomes compressed, leading to symptoms such as numbness, tingling, or weakness in the hand. Cubital tunnel syndrome involves compression of the ulnar nerve at the elbow, resulting in similar symptoms in the hand and fingers.

When Carpal and Cubital Tunnel Release Surgery May Be Necessary

Carpal or cubital tunnel release surgery might become necessary when conservative treatments fail to alleviate the symptoms. These surgical interventions are typically considered when a patient’s condition significantly impacts their daily activities or leads to chronic pain and weakness. Below are some situations that may warrant surgery:

  • Persistent symptoms that do not improve with non-surgical treatments like splinting, anti-inflammatory medications, or physical therapy
  • Severe or worsening pain, numbness, or tingling in the hand or arm
  • Difficulty performing everyday tasks due to weakness or loss of hand function
  • Evidence of nerve damage from diagnostic tests such as nerve conduction studies or electromyography (EMG)
  • Sleep disturbances caused by hand or arm pain

The Surgical Procedure

During carpal tunnel release surgery, the transverse carpal ligament, which forms the roof of the carpal tunnel, is divided to relieve pressure on the median nerve. This can be done through traditional open surgery or endoscopic techniques involving smaller incisions and quicker recovery times.

For cubital tunnel release surgery, the roof of the cubital tunnel is typically decompressed by releasing tight structures around the ulnar nerve at the elbow. Depending on the severity and location of nerve compression, various techniques can be used. Both procedures are usually performed on an outpatient basis under local anesthesia, allowing patients to return home the same day.

Excel Health's Approach

Excel Health specializes in providing advanced care for carpal and cubital tunnel release, utilizing minimally invasive techniques to optimize patient outcomes and minimize recovery time. Our approach includes:

  • Personalized Evaluation: Each patient receives a comprehensive evaluation to determine the most appropriate treatment plan based on their symptoms and medical history.
  • Minimally Invasive Surgery: We prioritize techniques that involve smaller incisions, reduced scarring, and faster recovery compared to traditional open surgery.
  • Comprehensive Postoperative Care: Our team provides detailed instructions for wound care, hand exercises, and pain management to support a smooth recovery process.
  • Long-term Follow-Up: We schedule regular follow-up appointments to monitor healing progress, address concerns, and ensure optimal patient outcomes.

Post-surgical Care and Recovery

Following carpal or cubital tunnel release surgery, it’s essential for patients to prioritize rest and elevate the operated hand or arm to reduce swelling. Discomfort can be managed with prescribed pain medication, while careful attention to wound care instructions is vital for optimal healing.

Engaging in recommended physical therapy exercises to enhance strength and mobility is encouraged. Patients should gradually reintegrate normal activities into their routine while being mindful to avoid overexertion of the treated area. Regular follow-up appointments are scheduled to monitor progress, with most individuals experiencing notable relief within several weeks.

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