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, leading to symptoms like pain, numbness, tingling, and hand and finger weakness.

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

The ECTR procedure involves the following steps:

Anesthesia: Surgeons typically administer local anesthesia to numb the wrist and hand of the patient. In certain situations, they may opt for regional or general anesthesia.
Incision: The surgeon makes a small incision, approximately 1 cm in length, in the wrist crease to insert the endoscope.
Visualization: The surgeon makes a small incision, approximately 1 cm in length, in the wrist crease to insert the endoscope.
Release: The surgeon uses specialized instruments, also inserted through small incisions, to cut and release the transverse carpal ligament. This releases the pressure on the median nerve, alleviating the symptoms of carpal tunnel syndrome.
Closure: Once the surgeon releases the transverse carpal ligament, they close the incisions with sutures or surgical tape and apply a bandage.

Advantages of Endoscopic Carpal Tunnel Release

Smaller Incision: The endoscopic approach requires only a small incision, which results in less scarring and reduced risk of complications compared to traditional open surgery.
Faster Recovery: The minimally invasive nature of ECTR generally leads to faster recovery and quicker return to normal activities.
Less Postoperative Pain: Patients often experience less postoperative pain and discomfort compared to open carpal tunnel release.
Improved Visualization: The endoscope provides a clear and magnified view of the carpal tunnel structures, allowing for precise and targeted release of the transverse carpal ligament.

Recovery and Rehabilitation

After ECTR, patients may need to wear a wrist splint or brace for a short period to protect the surgical site and promote healing. Physicians also typically prescribe physical therapy to help regain wrist strength and flexibility.

Moreover, 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. Patients should carefully follow their surgeon’s post-operative instructions and attend follow-up appointments for a smooth recovery and optimal outcome.

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.