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When Endoscopic Carpal Tunnel Surgery May Be Necessary

Endoscopic carpal tunnel surgery is typically considered when conservative treatments such as wrist splinting, corticosteroid injections, or physical therapy fail to alleviate symptoms. Conditions and symptoms that may necessitate surgery include:

  • Persistent numbness, tingling, or pain in the hand and fingers, particularly at night
  • Weakness in the hand, making it difficult to grip or hold objects
  • Progressive symptoms that interfere with daily activities or work duties
  • Nerve damage or muscle wasting
  • The presence of other underlying conditions, such as rheumatoid arthritis or diabetes that may contribute to carpal tunnel syndrome

The Surgical Procedure

During endoscopic carpal tunnel surgery, the patient is usually given local anesthesia to numb the hand and wrist. A small incision is made near the base of the palm, and a thin, flexible tube with a camera (endoscope) is inserted into the carpal tunnel. This allows the surgeon to visualize the structures inside the wrist, including the transverse carpal ligament that forms the roof of the tunnel.

Using specialized instruments inserted through additional small incisions, the surgeon carefully releases the transverse carpal ligament, enlarging the space within the carpal tunnel and relieving pressure on the median nerve. Once the ligament is divided, the incisions are closed with sutures. Endoscopic carpal tunnel surgery is typically performed on an outpatient basis, allowing patients to return home the same day.

Excel Health's Approach

Excel Health specializes in providing state-of-the-art care for carpal tunnel syndrome, utilizing advanced techniques to optimize patient outcomes and minimize recovery time. Our approach includes:

  • Minimally Invasive Surgery: We prioritize endoscopic techniques, which involve smaller incisions, reduced scarring, and faster recovery compared to traditional open surgery.
  • Personalized Treatment Plans: Each patient receives a thorough evaluation to determine the most appropriate course of treatment based on their individual symptoms and medical history.
  • Comprehensive Postoperative Care: Our team provides detailed instructions for hand and wrist exercises, wound care, 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

After endoscopic carpal tunnel surgery, patients are advised to rest and elevate the hand to minimize swelling. Physical therapy exercises may aid in rehabilitation, focusing on improving hand strength and flexibility. It is recommended to gradually resume normal activities while avoiding heavy lifting or repetitive hand movements for several weeks. Follow-up appointments will monitor healing progress, with most patients experiencing symptom improvement within a few weeks. Excel Health provides comprehensive support throughout the recovery process to ensure optimal outcomes.

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