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Research Medical Library

Single Incision Carpal Tunnel Treatment

By Bruce Steinberg, MD

Single Incision Carpal Tunnel TreatmentSurgical intervention for carpal tunnel syndrome has significantly progressed. The old technique of an open carpal tunnel release creates an incision within the sensitive palm of the hand. While this approach takes away the kink of the nerve by opening the transverse carpal ligament, the downside is a tender, painful palm. This drawback has been overcome by using an endoscopic device which allows the operation to be done through a ¼ inch incision site away from the palm at the wrist crease.

The median nerve is directly visualized and therefore the contents of the carpal tunnel can be safely decompressed by releasing the transverse carpal ligament. While this operation is more technically demanding than the open carpal tunnel procedure, with training and experience, this surgery is safer and leads to excellent relief of the symptoms while allowing faster return to full activity.