Endoscopic carpal tunnel release is a minimally invasive surgical procedure used to treat carpal tunnel syndrome.

Carpal tunnel syndrome is a common condition that causes pain, numbness, and tingling in the hand and arm due to compression of the median nerve.

How is Endoscopic Carpal Tunnel Release Performed?

In endoscopic carpal tunnel release, a small incision is made in the wrist, and a thin tube with a tiny camera called an endoscope is inserted.

The endoscope allows the surgeon to visualize the structures inside the wrist, including the transverse carpal ligament that covers the carpal tunnel. Specialized surgical instruments are then inserted through additional small incisions and used to cut the ligament, relieving pressure on the median nerve.

Advantages of Endoscopic Carpal Tunnel Release

Endoscopic carpal tunnel release offers several advantages over traditional open surgery:.

Smaller incisions: The incisions made during endoscopic carpal tunnel release are smaller compared to open surgery, resulting in less tissue damage and scarring.
Minimal blood loss: The surgical technique used in endoscopic carpal tunnel release minimizes blood loss, reducing the need for transfusions.
Faster recovery: Patients who undergo endoscopic carpal tunnel release generally have a quicker recovery time compared to those who undergo open surgery.
Less post-operative pain: The smaller incisions and reduced tissue trauma associated with endoscopic carpal tunnel release result in less post-operative pain.
Improved cosmesis: The smaller scars left by the endoscopic approach are generally less noticeable and may lead to improved cosmetic outcomes.

Who is a Candidate for Endoscopic Carpal Tunnel Release?

Endoscopic carpal tunnel release is generally recommended for patients who have tried conservative treatment methods without success and continue to experience symptoms that significantly affect their daily lives.

Candidates for the procedure may include individuals with:.

Persistent pain, numbness, and tingling in the hand and arm
Weakness or difficulty gripping objects
Worsening symptoms that interfere with sleep or daily activities
Electrodiagnostic studies confirming carpal tunnel syndrome

Recovery Process after Endoscopic Carpal Tunnel Release

After the surgery, patients are usually sent home the same day with a splint or bandage to keep the wrist stabilized. Instructions regarding post-operative care, such as keeping the incisions clean and dry, will be provided by the surgeon.

It is important to follow these instructions carefully to minimize the risk of complications and promote healing.

Physical therapy exercises may be recommended to improve strength and flexibility in the wrist and hand. Full recovery can vary from person to person but typically takes several weeks to several months.

During this time, it is important to avoid activities that may strain the wrist and to gradually increase activity levels under the guidance of a healthcare professional.

Potential Risks and Complications

As with any surgical procedure, there are risks and potential complications associated with endoscopic carpal tunnel release. These may include:.

Infection: There is a small risk of developing an infection at the incision site.
Nerve injury: Although rare, there is a small risk of nerve damage during the procedure, which can cause weakness, loss of sensation, or pain.
Bleeding: Excessive bleeding is uncommon but can occur during or after surgery.
Scarring: While the scars from endoscopic carpal tunnel release are generally smaller and less noticeable, some scarring may still occur.
Recurrence: In some cases, carpal tunnel syndrome symptoms may return after surgery.

Alternative Treatment Options

Before considering endoscopic carpal tunnel release, conservative treatment options may be recommended. These can include:.

Wrist splints: Wearing a splint may help relieve symptoms by keeping the wrist immobilized and in a neutral position.
Nonsteroidal anti-inflammatory drugs (NSAIDs): Over-the-counter NSAIDs can help reduce inflammation and alleviate pain.
Steroid injections: Corticosteroid injections into the carpal tunnel can provide temporary relief from symptoms.
Physical therapy: Certain exercises and stretches can help improve wrist strength and flexibility.

Conclusion

Endoscopic carpal tunnel release is a minimally invasive surgical procedure that offers several advantages over traditional open surgery for the treatment of carpal tunnel syndrome.

It provides faster recovery, smaller incisions, and less post-operative pain, among other benefits. However, like any surgical procedure, there are risks and potential complications associated with endoscopic carpal tunnel release. It is important to consult with a healthcare professional to determine the best treatment approach for individual needs.