Carpal Tunnel Syndrome OP

The carpal tunnel syndrome is caused by pressure on the so-called median nerve in the wrist. Typical initial symptoms are pain or paraesthesia radiating out from the hand into the whole of the arm. At the beginning these often occur at night, but later on also during the day. At an advanced stage of carpal tunnel syndrome, there may be muscle wasting in the ball of the thumb, weakness of the grasp and impairment of the sense of touch.
Simple forms of carpal tunnel syndrome can be treated conservatively, at least temporarily. In more severe cases, the carpal ligament needs to be surgically opened, in which the carpal tunnel is then initially left open in depth and gradually heals on its own (carpal tunnel syndrome surgery). The resulting scar tissue leads to a permanent widening of the tunnel. The skin over it is sewn up and heals within about two weeks. However, complete tissue healing after carpal tunnel syndrome surgery takes longer.
Accordingly, there is usually a significant lack of strength for about 6 – 8 weeks after carpal tunnel syndrome surgery. The recovery of nerve function with the disappearance of finger crunching and numbness as well as pressure-related pain in the arm is very different. If the microsurgical treatment is carried out in good time and before there is structural damage to the nerve, the symptoms often disappear abruptly after the operation or in the course of the next few days.
All in all, the microsurgical carpal tunnel operation is a small operation with a high success rate. Complications are rare.
DURATION OF OPERATION: approx. 30 minutes
ANAESTHETIC: optionally, short anaesthetic or brachial plexus anaesthetic
HOSPITALISATION: usually out-patient
AFTER-TREATMENT: immobilisation for 3 – 5 days, suture removal after 10 – 12 days
PRESENTABILITY, RETURN TO WORK: depending on occupation, as from 5 days after operation
SPORT: after complete healing

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