LYCOS RETRIEVER 
Carpal Tunnel Syndrome: Surgeries
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Treatment of CTS may involve surgery to release the compression on the median nerve and/or use of antiinflammatory drugs and hand splinting to reduce tendon swelling in the carpal tunnel. Such medical interventions have met with mixed success, especially when an affected person must return to the same working conditions.
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Once the transverse carpal tunnel ligament is divided, the surgeon stitches up the palma fascia and the skin, leaving the ends of the ligament loose. Over time, the space between the ends of the ligament will be joined with scar tissue. The resulting space, which studies indicate is approximately 26% greater than prior to the surgery, is enlarged enough so that the median nerve is no longer compressed.
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Fortunately for most people who develop carpal tunnel syndrome, proper treatment usually can relieve pain, numbness and tingling, and restore normal function of the wrist and hand. Treatment may include the use of splints or braces, anti-inflammatory medications, cortisone injections or surgery.
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Two reports offer different solutions as to what should be the primary treatment for carpal tunnel syndrome. One report suggests surgery is more effective than splinting, while another report claims prevention is the key.
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At times, surgery can be done with an endoscope, a device with a tiny television camera attached to it that allows the surgeon to see inside the carpal tunnel and perform the surgery through small incisions in the hand or wrist. The endoscopic method is more technically demanding and it is important to select a medical center experienced in this technique.
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There are several carpal tunnel release surgery variations: each surgeon has differences of preference based on their personal beliefs and experience. All techniques have several things in common, involving brief outpatient procedures; palm or wrist incision(s); and cutting of the transverse carpal ligament.
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