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Carpal tunnel SURGERY

Carpal tunnel syndrome is a common problem that causes pain, numbness, and weakness in the hands. Carpal tunnel syndrome can disturb sleep, restrict function, and potentially result in permanent nerve damage.

The world-leading orthopaedic surgeons at The London Clinic provide expert assessment and treatment of carpal tunnel syndrome. They can operate to release the carpal tunnel, resolve your symptoms, and safeguard your hand's strength and function.

The London Clinic’s surgeons operate in state-of-the-art theatres, using the very latest technology. They are assisted by an expert multidisciplinary team to support your safe recovery and rehabilitation. 

What is carpal tunnel syndrome?

Carpal tunnel syndrome is a common condition that causes pain, numbness, tingling, and weakness in the hand. It's caused by compression of the median nerve in the wrist.

The nerve runs through a narrow tunnel in the wrist, together with the muscle tendons that bend the fingers. If the tunnel is constricted, there is pressure on the median nerve causing the symptoms of carpal tunnel syndrome. 

Carpal tunnel syndrome can be very uncomfortable, disrupting sleep, and impairing the function of your hand. 

Symptoms and signs of carpal tunnel syndrome

Compression of the median nerve causes progressive problems in the hand, especially the index and middle fingers and the thumb. Look out for:

  • Numbness
  • Tingling or pins and needles: Symptoms are often worse at night and may wake you from sleep
  • Weakness: This can be a particular problem in the thumb and can affect your ability to grip
  • Clumsiness and dropping things
  • Pain

If the carpal tunnel syndrome problem is severe, the compression can permanently damage the nerve and weaken the muscles. However, the expert orthopaedic surgeons at The London Clinic can operate to decompress the carpal tunnel, ease your symptoms, and restore your hand's function.

Who can benefit from carpal tunnel surgery?

The orthopaedic consultants at The London Clinic can help if your carpal tunnel syndrome is disturbing your sleep or reducing your quality of life.

Many people gain relief from wrist splints, icing the wrist, and self-help measures. However, the surgeons may recommend carpal tunnel surgery if the problem is ongoing, your symptoms are severe, or there is a risk of nerve damage.

Treatment options

Carpal tunnel syndrome can be resolved without surgery. Wrist splints, steroid injections, movement modification, and icing of the wrist can provide relief for many people.

The London Clinic offers thorough assessment and investigation so that you can access the best treatment to resolve your symptoms.

Carpal tunnel surgery consultation at The London Clinic

Our experienced surgeons will assess and advise you in The London Clinic’s comfortable and well-equipped consulting rooms. They will take a detailed medical history, examine your wrist and hand and ask about the impact your symptoms are having on your wellbeing and lifestyle. 

Your consultant may arrange tests and investigations in the cutting-edge imaging suite. These may include:

  • Blood tests to exclude underlying conditions
  • Nerve conduction studies
  • X-ray to look for arthritis

In consultation with you, they will then plan your admission for carpal tunnel surgery and advise you about any preparation needed. They will take the time to answer all your questions.

Carpal tunnel surgery at The London Clinic

The orthopaedic surgeons at The London Clinic perform carpal tunnel surgery under local anaesthetic. It is usually a day-case procedure, so you will not need to stay in hospital overnight.

The surgeon will inject a local anaesthetic to numb the area and ensure that you're comfortable throughout. They will make a small incision in the skin on the palm of your hand. They will cut the ligament that makes up the roof of the carpal tunnel. 

This reduces the pressure on the median nerve, which should resolve your symptoms.

Recovery and aftercare

After surgery, the expert team will apply a dressing, bandage your hand and place your arm in a sling. The sling should be worn for 2-3 days following surgery to reduce swelling, ease pain, and help healing.

You will be able to go home on the day of your surgery. The London Clinic’s staff will provide support, advise you about your individual recovery, and arrange follow-up to assess your progress.

The rehabilitation team will give you a programme of exercise. Gentle movement of your fingers, arm, and shoulder are essential to help fluid drain away and reduce stiffness.

Pain and pins and needles usually settle within a few days. However, symptoms can continue to improve for three to six months, and it can take three months for the scar to feel completely comfortable. The team will always be on hand if you have any problems or worries.

Frequently asked questions

Can steroid injections cure carpal tunnel syndrome?

The surgeons can inject steroids into the wrist. This reduces inflammation and can reduce symptoms. However, the problem often comes back after a few months. It can be beneficial for easing symptoms in people who are also working on modifying repetitive actions so that symptoms are less likely to recur.

What are the complications of carpal tunnel surgery?

All surgery has risks. The London Clinic works hard to reduce complications and help your recovery. Problems with pain, bleeding, scarring, and infection can happen after any operation.

Specific issues with carpal tunnel surgery are very uncommon but include recurrence of symptoms, numbness in the thumb, index and middle fingers, wrist pain, and severe stiffness and loss of use of the hand.

Why choose The London Clinic?

The London Clinic is dedicated to providing the best, personalised healthcare with over 600 world- renowned consultants available to offer informed health advice and treatment.

Spanning Harley Street and Devonshire Place, The London Clinic is situated in the heart of London’s internationally-known medical district. This central location, together with state-of-the art technologies and facilities that are not widely available in other hospitals, makes The London Clinic the hospital of choice for around 120,000 patients every year.

The London Clinic is an HTA licensed and JACIE accredited cancer centre with an ‘Excellent’ MacMillan Quality Environment Mark and with access to a Level 3 intensive care unit.

Offering affordable and competitive self-pay packages and expert support from Clinical Nurse Specialists and our specialised multidisciplinary team, over 98% of our patients said they would recommend The London Clinic to their friends and families.

Treatment cost

The London Clinic offers affordable, competitive self-pay packages for certain treatments. An All-Inclusive Package for this treatment is available from £1,995.

Patients have the option to spread the cost of treatment with Chrysalis Finance.

Please call +44 (0)20 3613 7502 to speak to our helpful team to find out more and to book an appointment.

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