It is generally considered that if the symptoms of Carpal Tunnel Syndrome last for six months, then surgical treatment will be necessary. The surgical procedure is called 'Carpal Tunnel Release'.

This is one of the most common forms of surgery. It consists of cutting through the band of tissue which runs around the wrist, in order to reduce the pressure on the median nerve.

Nowadays this is usually done under a Local Anaesthetic and does not necessitate an overnight stay in hospital. In some cases both hands are operated on at the same time.

There are two forms of this surgery; each can be performed under local anaesthesia.

Open Release Surgery.

This has been the more traditional form of Carpal Tunnel release. An incision of about 2 inches is made in the wrist to reveal the Carpal Tunnel. The ligament is then cut so that the carpal tunnel is enlarged, reducing the pressure on the nerve.

Endoscopic Surgery

In this form of surgery, two small incisions are made one in the wrist and one in the palm of the hand. A small camera attached to a tube is inserted so that the inside of these areas might be observed on a screen. The surgeon is then able to sever the carpal ligament. This is a very effective procedure which minimises scarring.

It can also be performed with just one incision.

Patients are usually overjoyed that the pain of their Carpal Tunnel Syndrome vanishes immediately following the operation. However, full recovery can take several months with the patient enduring stiffness and painful scars. Some never recover full strength in their wrists although physiotherapy can assist this. Others might find it necessary to change their employment. Most, however eventually make a full recovery.

It is very rare for Carpal Tunnel Syndrome to recur after surgery.