Endoscopic Carpal Tunnel Release
A minimally invasive procedure using a small camera to release the compressed median nerve — relieving hand numbness, pain, and weakness with smaller incisions and faster recovery.
What is Endoscopic Carpal Tunnel Release?
Endoscopic Carpal Tunnel Release relieves compression of the median nerve in the wrist. In carpal tunnel syndrome, the nerve is compressed as it passes through the narrow carpal tunnel, causing pain, numbness, tingling, and hand weakness — often worst at night or with repetitive activity. When symptoms persist despite splints, medication, and physiotherapy, surgical release is recommended. The endoscopic approach uses a small camera and specialised instruments inserted through one or two small incisions to precisely divide the transverse carpal ligament — decompressing the nerve with minimal tissue disruption.
How the Procedure Works
Pre-operative Nerve Conduction Assessment
— Nerve conduction studies confirm the diagnosis, grade severity, and guide surgical planning; anaesthesia is administered on the day of surgery.
Small Incision(s) —
One or two small incisions are made near the wrist to allow introduction of the endoscope and surgical instruments into the carpal tunnel.
Endoscope Insertion
A thin tube with a high-resolution camera is inserted, allowing the surgeon to clearly visualise the transverse carpal ligament and surrounding structures on a monitor.
Ligament Release
Using a specialised blade introduced through the endoscope, the transverse carpal ligament is precisely divided under direct visualisation, decompressing the median nerve.
Nerve Inspection
The surgeon confirms the median nerve is fully decompressed and free of any residual compression along its course through the carpal tunnel.
Wound Closure & Dressing
— Instruments are removed; incisions are closed with sutures or adhesive strips and covered with a sterile dressing; hand use begins early.
Outcomes
Who Needs This Treatment?
- →Minimally invasive — smaller incisions than open carpal tunnel release
- →Effective and lasting relief from numbness, tingling, and hand weakness
- →Reduces night-time discomfort that disrupts sleep
- →Day-care procedure — no overnight hospital admission required
- →Precise endoscopic visualisation ensures accurate ligament release→ Faster return to daily activities and work than open surgery
“Endoscopic carpal tunnel release allows us to precisely divide the compressing ligament with minimal tissue disruption. For patients whose symptoms affect their work or sleep, this procedure offers reliable, lasting relief with a quick return to normal hand activity.”
— Dr. Satish Reddy Gandavarapu, Senior Orthopaedic & Trauma Surgeon, Lux Hospitals, Hyderabad
Common Questions
Frequently Asked
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