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Peripheral nerve surgery for carpal tunnel syndrome

Carpal tunnel syndrome causes numbness, pain, pins and needles and tingling in the thumb, fingers and parts of the palm of the hand. The underlying cause is compression of the median nerve, which passes under the carpal ligament, the strong ligament that stretches cross-ways and that holds the bones of the wrist in place. The nerve passes from your arm into your hand through a small space called the carpal tunnel.

When the ligament presses onto the median nerve for a long period of time, the nerve becomes compressed and this may need surgery to relieve the pressure to allow the nerve to recover.

This is a fairly straightforward operation and generally brings about an immediate improvement in pain. The numbness and tingling wear off over the next few months as the nerve gets back to normal.

All-inclusive Fixed Price Package

How long will I stay in hospital?
Expected length of stay - Day case

How much will it cost?
All-inclusive package: £1,720

Find out more about our All-inclusive packages

At The London Clinic, the operation to relieve carpal tunnel syndrome is generally done under local anaesthetic, sometimes in combination with a sedative and you might be asked to lie down or to sit up in a chair with your arm extended.

We also offer open or minimally invasive laparoscopic carpal tunnel surgery; whichever procedure you have, you can expect it to be completed in half an hour. The carpal ligament is located, and then cut cleanly so that it can no longer exert pressure on the median nerve.

Signs and symptoms of carpal tunnel syndrome 

In the early stages, carpal tunnel syndrome starts slowly and tends to come and go. Symptoms are usually worse at night and may include:  

  • Ache or pain in fingers, hand or arm: The pain may travel up the arm and the shoulder.
  • Numb hands
  • Tingling or numbness: This is usually in the thumb and index, middle or ring fingers, but not the little finger. You may feel an electric shock sensation in these fingers.
  • Difficulty gripping or a weak thumb: The condition may cause weakness in your hand and cause you to drop objects, due to the numbness in your hand or weakness of the thumb’s pinching muscles.

Surgical treatment of ulnar decompression

If the ulnar nerve becomes compressed at the elbow, where it also passes through a small tunnel, this can cause tingling in the ring finger and little finger. The surgery to relieve pressure on the ulnar nerve is a little more complex, and you may have a general anaesthetic and need to stay overnight.

Treating peroneal neuropathy

Compression of the peroneal nerve just below the knee is usually caused by knocking the knee, kneeling heavily or twisting your ankle. When the nerve becomes compressed, this causes pain in the foot and calf, numbness or tingling in the top of the foot and it can lead to a condition called foot drop.

When you cross your legs, your foot will drop downwards as you have no control over the muscles that draw it up towards your knee. Surgical treatment involves an incision below the knee to release the pressure on the nerve. Again, you are likely to have a general anaesthetic and stay in hospital overnight.

Carpal Tunnel Syndrome TREATMENT COST

The London Clinic offers affordable, competitive self-pay packages for certain treatments. An All-inclusive package for this treatment is available from £1,730.

Please call +44 (0)20 3219 3315 to speak to our helpful team to find out more and to book an appointment.

Appointment enquiries: +44 (0) 20 3944 1073 Concierge service: +44 (0) 203 219 3323 Self-Pay service: +44 (0) 203 918 7301International office: +44 (0) 203 219 3266 Invoice and payment enquiries: +44 (0) 207 616 7708 General enquiries: +44 (0) 20 3918 9135

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