Carpal tunnel surgery
Our world-leading surgeons provide the latest procedures and cutting-edge techniques in carpal tunnel release surgery.
Carpal tunnel syndrome
Carpal tunnel syndrome is a condition where there is increased pressure on a nerve that crosses the front of your wrist (the median nerve).
2 treatments available
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As a centre of excellence, we offer carpal tunnel release surgery to restore impaired function to the wrist and hand, so you can get back to doing normal activities.
Our expert orthopaedic surgeons may recommend surgery if you are in pain or there is a chance you might have nerve damage.
We offer two types of surgery:
- Open surgery
- Endoscopic surgery
Your surgeon will assess which type of surgery is best for you, based on your personal needs.
Contact us today to start your treatment journey and get back to living the life you love.
During your consultation, you can take as much time as you need to ask any questions about the treatment.
Your enhanced pre-assessment may include blood tests, a CT scan and a nerve conduction study. Then you will have treatment in one of our state-of-the-art operating theatres, using the latest surgical techniques.
At The London Clinic carpal tunnel surgery is usually a day case procedure, so you won’t need to stay overnight.
Our teams of specialist consultants, anaesthetists and nurses are passionate about your health. They will always provide you with the best treatment plan possible, putting your recovery and wellbeing right at the heart of your experience.
By choosing The London Clinic you’ll get a more complete, personalised kind of care from pre-admission, right through to aftercare and follow up.
Why choose The London Clinic
Excellence in one place
We operate as teams of experts with world-class resources dedicated to maintaining the highest standards of medical care. You are surrounded by the latest treatments and advice with everything you need to get back to your best health.
Personal care, every time
Exceptional patient care is a way of life for us. Our nurses, clinicians and support teams are dedicated to the care of a very small number of patients, so have more time for you. They’ll be with you every step of the way, tailoring your care around you and giving the peace-of-mind that comes with knowing you’re in the best hands.
We work together as one to guide you through each step of your experience, with complexities unravelled and answers readily to hand. Your personal treatment plan will be laid out for you, with all the details taken care of so you can focus on you.
What's included in your package?
Choosing The London Clinic means your treatment plan will be laid out for you, with all the details taken care of so you can focus on you.
Your treatment package will include:
- Enhanced pre-admission assessment
- Your treatment with our complete care team at your fingertips
- Personalised aftercare and follow-up
We want you to be in control of your health. That’s why we also offer optional services such as comprehensive recovery packages and extra touches for you to choose from during your stay with us.
How to pay
- You can use private medical insurance (PMI) to access this treatment. We work with all major PMI providers in the UK and many internationally
- You can pay for yourself (self-pay)
- If you’re paying for yourself, we have finance options available with Chrysalis
Carpal tunnel syndrome surgery is a treatment to release pressure in the carpal tunnel of your wrist.
Carpal tunnel syndrome occurs when the median nerve becomes pinched (compressed), due to swelling, or a thickening of the tendons and ligaments that connect the wrist and hand.
If you have carpal tunnel syndrome, you’re likely to have pain, numbness, tingling and weakness in the hand, wrist or arm, which worsens at night.
At The London Clinic, we will offer you carpal syndrome release surgery if your symptoms are severe, or if other treatments haven’t been effective.
On the day of your operation, we will give you a local anaesthetic to numb your hand and wrist.
There are two types of carpal tunnel surgery:
Open carpal tunnel surgery
For open carpal tunnel surgery, your surgeon makes a small incision (4 to 5 cm) on the skin in the palm of your hand.
Then the ligament that forms the roof of the carpal tunnel is cut to release pressure on the median nerve.
Endoscopic carpal tunnel surgery
For endoscopic surgery, your surgeon makes two small incisions (1cm each) in your wrist or palm so they can insert the endoscope (a tiny camera on the end of a thin tube) and specialised surgical tools.
Your surgeon then cuts the transverse carpal ligament, to relieve pressure on the median nerve.
They then remove the instruments and close the cuts with stitches. Your surgeon will apply a dressing and place your arm in a sling to keep it elevated.
We will then take you to the recovery suite while your anaesthetic wears off. Your care nurse will be by your side to check your progress and then you’ll be free to go home.
Most people find their pain and discomfort disappears after carpal tunnel surgery, and they can return to normal activities.
If you’ve had carpal tunnel syndrome for a long time before surgery, or you have diabetes or rheumatoid arthritis, surgery will provide enough relief for you to enjoy life again.
As part of your treatment journey, your physiotherapist will give you a tailored exercise plan to help you before and after your surgery. These exercises go hand in hand with helping your surgery results be as successful as possible.
How long it takes to recover from carpal tunnel surgery depends on how fit and healthy you are before surgery. Recovery time also depends on whether you’ve had the surgery on your dominant (writing) hand or other (opposing) hand.
If you’ve had surgery on your dominant hand, it may take six to eight weeks before you can return to work or carry out normal activities like writing.
If the surgery was on your non-dominant hand, you should be able to return to work after two weeks.
Symptoms such as pain and tenderness should settle down after a few days, then improve within a few weeks. For best recovery results, you should avoid heavy use of your hand for up to three months.
Exercising the affected hand and wrist can speed up recovery, and your physiotherapist will give you some specific exercises to help you heal more quickly.
Carpal tunnel syndrome surgery is a routine operation with a good success rate, and possible side effects include:
In a small number of cases, side effects can develop after carpal tunnel surgery, such as:
- Recurrence of symptoms
- Numbness in the thumb, index and middle fingers
- Wrist pain
- Severe stiffness and loss of use of the hand.
Most people make a full recovery from carpal tunnel surgery after a few weeks, but heavy lifting is not advised for up to three months.
At The London Clinic, we use the latest minimally invasive surgical techniques for a quicker recovery and less scarring.
At The London Clinic, we offer a thorough assessment and investigation of your condition so that you get the best treatment possible.
The surgeons who offer carpal tunnel surgery, have all had extensive training in both endoscopic and open surgery.
Before your treatment, your care team will guide you through the procedure and recovery plan and answer all your questions.
Carpal tunnel surgery is normally a same-day procedure, so you’ll just need someone to collect you after your operation, or we can organise a taxi to take you home.
Your comfort is our priority, and to make you feel more at home we offer extra touches like a personalised food menu and concierge service.
After surgery, it’s important for you to follow any advice your care team gives you, such as exercise, caring for the wound and resting your wrist and hand until you feel better.
Once at home your personal care team will keep in contact with you to make sure everything is going smoothly.
The type of surgery you have will depend on factors like your age, how much carpal tunnel syndrome is affecting your daily activity and other underlying health factors.
Open surgery is more likely to be suitable for you if you have a natural narrowing of the carpal tunnel (idiopathic carpal tunnel syndrome), or if your surgeon needs to remove a tumour or cyst at the same time.
Endoscopic surgery is a less invasive surgery, with a quicker recovery time and less scarring.
Both types of surgery will improve your symptoms and your surgeon will talk to you about which type of surgery might be best for you.
At The London Clinic we offer a thorough assessment and investigation of your condition so that you get the best treatment possible.
If surgery isn’t suitable, your surgeon may recommend other treatments for carpal tunnel syndrome including:
- Steroid injections
- Wrist splints
- Movement modification
- Icing of the wrist
- Weight management
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