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ENDOSCOPIC CARPAL TUNNEL RELEASE

If you need an endoscopic carpal tunnel release, please Schedule an appointment with one of our orthopedic specialists as soon as possible.

What Is A Endoscopic Carpal Tunnel Release?

Surgeons employ endoscopic carpal tunnel release (ECTR) as a minimally invasive surgical solution for carpal tunnel syndrome (CTS). This condition results from the compression of the median nerve within the wrist’s carpal tunnel. This leads to symptoms like pain, numbness, tingling, and hand and finger weakness.

During endoscopic carpal tunnel release, surgeons insert an endoscope through the tiny wrist incision. This is a small, flexible tube with a camera and light at the end. Moreover, this allows them to visualize the carpal tunnel’s internal structures without requiring a large incision.

The ECTR procedure

Surgeons typically administer local anesthesia to numb the wrist and hand of the patient for enchondroma excision. Additionally, in certain situations, they may opt for regional or general anesthesia. The procedure begins with the surgeon making a small incision, approximately 1 cm in length, in the wrist crease to insert the endoscope for visualization. Moreover, through this endoscopic view, the surgeon accurately identifies the transverse carpal ligament.

Using specialized instruments inserted through small additional incisions, the surgeon cuts and releases the transverse carpal ligament, thereby relieving pressure on the median nerve and alleviating the symptoms of carpal tunnel syndrome. After releasing the ligament, the surgeon closes the incisions with sutures or surgical tape and applies a bandage. This minimally invasive technique minimizes recovery time and reduces scarring, allowing patients to experience symptom relief with a quicker return to normal activities. Additionally, regular follow-up appointments ensure proper healing and monitor the effectiveness of the procedure.

Advantages of Endoscopic Carpal Tunnel Release

Moreover, the endoscopic approach to carpal tunnel release (ECTR) involves several advantages over traditional open surgery. First, it requires only a small incision, which results in less scarring and a reduced risk of complications. This smaller incision also contributes to faster recovery, allowing patients to return to their normal activities more quickly. Additionally, patients often experience less postoperative pain and discomfort compared to open carpal tunnel release.

The endoscope provides a clear and magnified view of the carpal tunnel structures, enabling the surgeon to precisely and effectively release the transverse carpal ligament. Furthermore, this improved visualization ensures a more targeted approach, minimizing damage to surrounding tissues. Overall, the minimally invasive nature of ECTR offers significant benefits. Some of which include reduced scarring, quicker recovery, less pain, and enhanced surgical accuracy. Furthermore, making it a preferred option for many patients suffering from carpal tunnel syndrome.

 

Recovery and Rehabilitation

After endoscopic carpal tunnel release (ECTR), patients may need to wear a wrist splint or brace for a short period to protect the surgical site and promote healing. Additionally, physicians typically prescribe physical therapy to help patients regain wrist strength and flexibility. This therapy includes exercises and stretches designed to improve range of motion and reduce stiffness. Recovery times can vary depending on individual factors, but most patients can resume light activities within a few days to weeks and return to more strenuous activities over several weeks to months.

While ECTR is generally safe, it carries some potential risks and complications, including infection, nerve or blood vessel injury, and incomplete relief of symptoms. To minimize these risks, patients should carefully follow their surgeon’s post-operative instructions, which often include guidelines for wound care, activity restrictions, and signs of potential complications to watch for. Attending follow-up appointments is crucial for monitoring the healing process and addressing any issues that may arise. By adhering to their recovery plan and communicating with their healthcare provider, patients can achieve a smooth recovery and optimal outcome, ultimately relieving the symptoms of carpal tunnel syndrome and improving their quality of life.

If you would like to speak to an Orthopedic Specialist, give us a call at 817-697-4038, or contact us over the web. Tele-medicine appointments are also available.