Carpal Tunnel Release Surgery

Peripheral Nerve · Reviewed by Lekhaj Daggubati, MD

Carpal tunnel syndrome is compression of the median nerve at the wrist. It causes numbness and tingling in the thumb, index and middle fingers, often waking people at night, and can progress to weakness and wasting of the thumb muscles. Splinting and injections help many; when symptoms persist or nerve testing shows damage, a short outpatient release procedure relieves the pressure.

Symptoms

  • Numbness and tingling in the thumb through the ring finger
  • Symptoms at night or when driving or holding a phone
  • Dropping objects, weak pinch
  • Wasting of the muscle at the base of the thumb (advanced)

How it is diagnosed

Examination and nerve conduction studies (EMG/NCS).

Treatment options

Without surgery

Night splints, activity modification, steroid injection.

Surgical options Dr. Daggubati offers

Common questions

Can carpal tunnel come from my neck?

Symptoms in the hand can come from the wrist, the elbow or the neck, and sometimes more than one. That is why a neurosurgeon evaluates the whole pathway; treating the wrong site is the commonest reason surgery disappoints.

How long does release surgery take and what is recovery like?

About 15–20 minutes under local anesthesia. You use the hand for light tasks the same day, avoid heavy gripping for three to four weeks, and night symptoms usually resolve within days. Numbness improves over weeks to months depending on how long the nerve was compressed.

Will it come back?

Recurrence after a complete release is uncommon, under five percent.

Not sure this is you?

Bring your imaging and your story. A single visit usually clarifies what is going on and which options are realistic. Request an appointment or call (301) 718-9611.

Related conditions

Talk to us about your brain or spine concern

New patients are contacted within 24 hours and seen within three business days. Bring your imaging, and we will explain what it shows in plain language.

Call (301) 718-9611