Carpal Tunnel Surgery: When, Where & How
When to have your surgery
If the nerve compression is severe and conservative treatment doesn’t improve your symptoms, the next step is surgery. But the facts about Carpal Tunnel surgery are often misunderstood.
There are many false beliefs about the outcome of Carpal Tunnel Syndrome surgery (sometimes within the medical community itself): Some patients believe the surgery is lengthy, difficult and often unsuccessful; some think it is more painful than the condition itself; some are even fearful of losing the function of their hands altogether.
But the truth is: Carpal Tunnel surgery can be done quickly, is straightforward, has a very high success rate, and in almost every instance, patients are encouraged to begin using the hand again for normal activities immediately after surgery.
Where to have surgery
Carpal Tunnel Syndrome surgery does not require an overnight stay in a hospital. In almost every case, the surgery is performed on an outpatient basis, which means once the operation is completed, the patient may return home and begin using their hand again to regain their normal hand function. Dr. Moore operates at Community Hospital of the Monterey Peninsula and at Natividad Medical Center. However, the majority of his surgical procedures are performed at the Monterey Peninsula Surgery Center (MPSC), which he considers the region’s Mecca for outpatient surgery. MPSC has the finest and most advanced minimally invasive technology, as well as a superb support team for patient care – all delivered at significantly lower cost.
How the surgery is done
A significant breakthrough in the treatment of carpal tunnel syndrome is the endoscopic carpal tunnel release. With this procedure the anesthesiologist makes the hand numb, with the patient comfortable under conscious sedation, rather than being put all the way to sleep. A small incision is placed in the wrist flexion crease, and a tiny camera lens is inserted into the carpal tunnel. Fiber optic lighting provides the surgeon with an excellent view of the tight carpal ligament, which is then divided from the inside out, opening the carpal canal to relieve the pressure on the nerve. No incision is needed in the palm, which allows for a faster recovery with less discomfort during healing, and much less scarring.
Surgical instrument and planned incision site.
A small incision is made in the wrist.
Surgical camera and instrument inserted in the carpal tunnel.
Dr. Moore's camera view of the tight ligament being divided.
Steven Moore, MD 19 Upper Ragsdale Drive, Suite 150, Monterey, CA 93940, 831-655-4263