Carpal Tunnel Surgery & Safer Options

Carpal tunnel syndrome (CTS) occurs when the median nerve in the wrist becomes compressed, leading to symptoms such as numbness, tingling, and weakness in the hand and fingers. While arthroscopic surgeries such as open release and endoscopic release are common treatments for CTS, these procedures carry risks such as infection, nerve damage, and recurrence of symptoms due to scar tissue formation. Recent studies indicate that non-surgical treatments can be just as effective in providing relief. At Chiropractic Specialty Center® (CSC), we combine chiropractic care, physiotherapy, and advanced therapies such as shockwave therapy, ultrasound, and high-intensity laser therapy to target the root cause of CTS and promote healing. These methods provide safer, faster recovery without the need for invasive procedures. Patients undergoing our non-invasive care experience significant improvements in their symptoms within a month of starting treatment. We recommend non-surgical solutions as the first line of defense against CTS, reserving surgery as a last resort when conservative treatments have failed. Contact us today to schedule a consultation and explore effective, non-surgical CTS care.

Understanding Carpal Tunnel Syndrome (CTS)

showing median nerve pain distribution with carpal tunnel syndrome

Carpal tunnel syndrome (CTS) occurs when the median nerve, which passes through the wrist’s carpal tunnel, becomes compressed or irritated. This condition often results in symptoms such as:

  • Numbness and tingling in the thumb, index, middle, and half of the fourth finger.
  • Burning sensations and discomfort in the hand or wrist.
  • Weakness or difficulty gripping objects.

The carpal tunnel is formed by wrist bones (the floor) and a thick connective tissue (flexor retinaculum, which forms the roof). This narrow passage houses tendons, blood vessels, and the median nerve. Repetitive wrist movements or injuries can lead to inflammation, irritation, and CTS symptoms.

Accurate diagnosis is crucial for effective treatment. CSC specializes in non-surgical care, offering personalized therapy plans for CTS patients.

Carpal Tunnel Surgery Overview

Carpal tunnel surgery is a procedure typically performed by orthopedic surgeons to relieve pressure on the median nerve. It involves cutting the ligament forming the roof of the carpal tunnel to create more space and reduce nerve compression.

Common Types of Carpal Tunnel Surgery:

  1. Open Release Surgery:
    • A small incision is made in the wrist, and the surgeon cuts the transverse carpal ligament.
    • This traditional method provides direct access but may involve longer recovery times.
  2. Endoscopic Surgery:
    • A minimally invasive technique using a tiny camera and specialized tools to cut the ligament.
    • It results in smaller incisions, less scarring, and faster recovery.

Risks & Outcomes of Carpal Tunnel Surgery

Illustration of Carpal Tunnel Surgery

While carpal tunnel surgery can relieve symptoms, it comes with potential risks:

  • Infection or bleeding at the surgical site.
  • Nerve damage leading to persistent numbness or weakness.
  • Recurrence of symptoms due to scar tissue formation.
  • Prolonged recovery time for certain patients.

Studies have shown that non-surgical treatments are equally effective for many CTS patients without the risks associated with surgery.

Non-Surgical Alternatives for Carpal Tunnel Syndrome

CSC offers non-invasive treatments that address the root cause of carpal tunnel symptoms. Our chiropractic and physiotherapy teams use targeted methods, including:

  • Manual Therapy: Gentle techniques to reduce tension and inflammation.
  • Physiotherapy: Advanced modalities like shockwave therapy, ultrasound, and high-intensity laser therapy to improve circulation and tissue healing.
  • Chiropractic Adjustments: Precision treatments to restore wrist and nerve function.
  • Rehabilitation Exercises: Strengthening and stretching routines to improve wrist stability and reduce recurrence.

Most CSC patients experience significant improvement within a month of starting treatment.

Why Choose CSC for Carpal Tunnel Syndrome?

Chiropractic Specialty Center® combines chiropractic, physiotherapy, and advanced technology to deliver non-surgical care for CTS in Malaysia. Our proven methods eliminate the need for invasive procedures, ensuring safer, faster, and more sustainable recovery.

Don’t let carpal tunnel symptoms hold you back. Contact CSC today to schedule your consultation and explore effective, non-surgical solutions.

Carpal Tunnel Syndrome: Surgery or Therapy?

When all non-invasive conservative treatments fail to relieve carpal tunnel symptoms, surgery may become an option. The surgical approach depends on the surgeon’s recommendation and the severity of the condition.

Surgical Options for Carpal Tunnel Syndrome

  1. Open Carpal Tunnel Release Surgery:
    • A traditional method where an incision is made at the palm’s base to expose the transverse carpal ligament.
    • The surgeon cuts portions of the ligament to reduce pressure on the median nerve, allowing scar tissue to form during the healing process.
  2. Endoscopic Carpal Tunnel Release Surgery:
    • A minimally invasive option where one or two small incisions are made to insert a thin tube with a camera and surgical tools.
    • This approach results in less cutting, reduced scar tissue, and a shorter recovery period compared to open surgery.

Both procedures aim to relieve pressure on the median nerve, but neither constitutes a cure. Scar tissue formation after surgery can cause flare-ups, and many patients experience recurring symptoms over time.

Open Wrist Surgery vs. Endoscopic Surgery

Endoscopic carpal tunnel release illustration

  • Recovery Time: Endoscopic surgery typically requires less recovery time than open surgery.
  • Outcomes: Symptoms in the hand and fingers may gradually subside after surgery. However, both methods carry the risk of recurring symptoms.

Suitability: Surgery is recommended only for those with severe muscle weakness or when conservative management fails.

Potential Complications of Wrist Surgery

Like any invasive procedure, carpal tunnel surgery carries risks, including:

  • Scar Tissue Formation: This may irritate the median nerve and cause recurring symptoms.
  • Reflex Sympathetic Dystrophy (RSD): A rare complication that can cause additional nerve damage.
  • Incomplete Symptom Relief: Nerve conduction abnormalities may persist even after surgery, as seen in some nerve conduction tests (EMG).

What to Expect After Carpal Tunnel Surgery

Post-surgical recovery times vary by individual, but common outcomes include:

  • Limitations in Movement: Restricted mobility in the fingers, hand, or wrist.
  • Discomfort and Soreness: Discomfort in the wrist, hand, or fingers.
  • Swelling: Localized swelling at the surgical site.

These symptoms typically subside within weeks or months. However, some patients may continue to experience limited motion or reduced hand strength after surgery.

Consider Non-Surgical Alternatives Before Surgery

Carpal tunnel surgery should only be considered after conservative treatments have been thoroughly explored. Chiropractic Specialty Center® offers advanced, non-surgical solutions to relieve carpal tunnel symptoms without the risks and complications associated with surgery. Contact us today for effective, long-lasting care.

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