Carpal Tunnel Surgery is technique used to release the pressure on the carpal tunnel. Carpal Tunnel treatment is of two types Carpal tunnel Surgery and carpal tunnel non-surgical treatment method
Carpal Tunnel Surgery Methods:
- Open Release,
- Mini Open Release,
- Percutaneous Balloon Carpal Tunnel-Plastry.
A number of experts believe that Carpal Tunnel Surgery is performed frequently and that CTS patients should opt for the non-surgical methods of treatment before going for a Carpal Tunnel Surgery and some experts argue that often the condition is progressive and will worsen over time without the Carpal Tunnel Surgery, which generally brings good results.
One study indicated performing Carpal Tunnel Surgery within three years of the diagnosis of CTS is more successful than waiting for long periods as actually waiting for long period can reduce the benefits of the surgery. The Electrodiagnostic tests for nerve conduction might be more helpful in determining who would most like to get benefited from the this type of Carpal Tunnel Surgery.
The results suggested that workers who had significantly slow nerve conduction and other abnormal results showed the most improvement after Carpal Tunnel Surgery and those who had normal or near-normal nerve conduction results before surgery were least likely to get benefited from the Carpal Tunnel Surgery. As said by a study patient who had less preoperative muscle weakness and whose symptoms were worse at night most likely to be satisfied with the Carpal Tunnel Surgery.
Patients suffering from CTS, which is an outcome of nerve damage due to medical conditions, like the diabetes, hypothyroidism, or rheumatoid arthritis, appear to have the same outcome as those without such conditions and so such disorders should not prevent the Carpal Tunnel Surgery.
It is generally Carpal Tunnel Surgery is recommended if symptoms of CTS continue to exist for four to six months and if muscles begin to atrophy in the base of the palm. The surgical procedure does not always cure all patients because it permanently cuts the carpal ligament, which might lead to loss of wrist strength.
Open Release Surgery:
Carpal Tunnel Surgery generally is an open surgical procedure performed in an outpatient facility. A local anesthetic is injected either into the hand or higher up the arm and wrist. A two-inch incision in made in the palm by the surgeon and he cuts the carpal ligament free from the underlying median nerve by which the ligament is literally released and therefore the pressure on the median nerve is relieved.
The risk of complications with this surgery is less than one percent. Although other techniques are being developed, this procedure is still the most cost effective. Carpal tunnel release is the most commonly performed hand surgery, with more than 100,000 procedures each year.
Mini-Open Release Surgery:
Mini open release technique is the more recent variation ofCarpal Tunnel Surgery, in which an incision that is only about an inch and a half. With the help of only a local anesthetic the mini open release surgery can be performed in the doctor’s office itself and it takes just about 12 minutes.
A study on the results reported that there is no loss of finger mobility, recurrence of CTS after a year, and no infection, or no injury to the median nerve but it is more expensive than standard open release surgery.