What is Carpal Tunnel Syndrome Repair Surgery?

Carpal tunnel syndrome repair surgery is a procedure in which the transverse carpal ligament is cut to alleviate the pressure on the median nerve in the wrist.

 The median nerve, which carries sensation to the thumb and first three fingers, passes through a natural passageway in the wrist. This opening - called the carpal tunnel - is formed by arch-shaped wrist bones and a connecting ligament.

Various conditions, such as pregnancy, injury, arthritis and changes in the tendons caused by repetitive motion can crowd the already narrow tunnel, putting pressure on the nerve.

This added pressure can cause a tingling sensation in the fingers and the thumb and may even lead to numbness, pain and restricted movement. This combination of symptoms is called the carpal tunnel syndrome.

The surgeon will numb the involved area of the hand and wrist with an anesthetic, either with a local injection or by completely blocking a nerve higher up on the arm.

When the operative field is completely numb the surgeon will make an incision.

Skin and other tissue will be carefully drawn aside to expose the carpal ligament.

Then the surgeon will cut the ligament, relieving pressure on the nerve that runs beneath it.

Finally the doctor will close the incision with fine sutures.

A sterile bandage will be applied and a splint will be put in place to prevent the wrist from moving while healing takes place.

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This video is intended as a tool to help you to better understand the procedure that you are scheduled to have or are considering. It is not intended to replace any discussion, decision making or advice of your physician.