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About Carpal Tunnel

Carpal tunnel syndrome, also known as median nerve compression, is a condition which affects the hand. The median nerve is located on the palm side of your hand which is also known as the carpal tunnel. The median nerve is responsible for providing sensation to the thumb, the index finger, and parts of the ring finger. The nerve is responsible for the muscle going to the thumb. Carpal tunnel syndrome is usually accompanied by sensations of pain, tingling, burning or swelling in the palm of the hands and may extend to the first three fingers of the hand and the thumb.



Carpal Tunnel Surgery Incision

Incision in open carpal tunnel release surgery is about 2 inches.

In endoscopic carpal tunnel release, the doctor makes two incisions of half-inch each

Restrictions after Carpal Tunnel Surgery

Avoid lifting things heavier than 0.5 to 1 kg and overusing your hand for about 2 weeks.

Avoid doing repeated arm or hand movements, and activities like typing or using a computer, or chopping food.

Avoid activities that cause vibration in the hand.

Carpal Tunnel Surgery- Endoscopic vs Open Surgery

Incision size- Size of open carpal tunnel surgery incision is usually 3 to 4 cm. Endoscopic carpal tunnel incision size is approximately 1 cm, which is much smaller.

Blood loss- Due to the smaller incisions, there is minimal blood loss in case of endoscopic carpal tunnel surgery.

Recovery Period- Recovery period after endoscopic carpal tunnel release is much smaller as compared to open surgery.

Risks and complications- Risk of infection, complications, hand pain and scar tenderness is higher following an open surgery as compared to endoscopic surgery.

Carpal Tunnel Syndrome Management

Wearing a wrist splint to put it in a neutral position

Ultrasound therapy

Oral corticosteroids

Local steroid injections

Anti inflammatory medications



  • Thyroid dysfunction
  • Fractures or trauma to the wrist
  • Diabetes
  • Autoimmune disorders such as rheumatoid arthritis
  • Fluid retention from pregnancy or menopause


  • Numbness, tingling, and pain in your thumb and the first three fingers of your hand
  • Pain and burning that travels up your arm
  • Weakness in the muscles of the hand
  • Wrist pain at night that interferes with sleep


Physical examination for Carpal Tunnel Syndrome

How is Carpal tunnel syndrome diagnosed?

A doctor can diagnose carpal tunnel syndrome by doing a physical examination and tests called nerve conduction studies. The physical examination may include a thorough evaluation of your hand, shoulder, wrist, neck or any other parts that can cause pressure in the nerve. The doctor may also check if there is any tenderness or swelling in the wrist. The doctor may further check the sensation of the fingers and the strength of the muscles in your hand.

Carpal Tunnel Release Surgery

A doctor can diagnose carpal tunnel syndrome by doing a physical examination and tests called nerve conduction studies. The physical examination may include a thorough evaluation of your hand, shoulder, wrist, neck or any other parts that can cause pressure in the nerve. The doctor may also check if there is any tenderness or swelling in the wrist. The doctor may further check the sensation of the fingers and the strength of the muscles in your hand.

To relieve the symptoms of carpal tunnel syndrome, the doctor conducts a surgery called Carpal Tunnel Release surgery. During a carpal tunnel release or surgery, the surgeon cuts through the ligament that is pressing down on the carpal tunnel. This makes more room for the median nerve and tendons passing through the tunnel, and usually improves pain and function.

When does a person require a carpal tunnel release?

The doctor might suggest a carpal tunnel release when:

  • The nonsurgical interventions for carpal tunnel syndrome fails to provide relief from the pain.
  • The muscles of the hands or wrists are weak and actually getting smaller because of the severe pinching of the median nerve.
  • The symptoms of carpal tunnel syndrome have lasted 6 months or longer with no relief.
  • The doctor performs an electromyography test of the median nerve and determines that you have carpal tunnel syndrome.
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Frequently Asked Questions

Can carpal tunnel go away without surgery?

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Does massage help carpal tunnel syndrome symptoms?

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Do you massage the wrist with heat or ice?

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Why are carpal tunnel symptoms worse at night?

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Is carpal tunnel syndrome related to arthritis?

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Can carpal tunnel syndrome be caused due to typing?

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Can CTS happen in children?

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Can carpal tunnel affect the entire arm?

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Are there any diseases that can be misdiagnosed as carpal tunnel syndrome?

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What are the warning signs of carpal tunnel syndrome?

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Is carpal tunnel surgery painful?

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What is the cost of carpal tunnel surgery in Chandigarh?

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Will I have any pain after carpal tunnel release surgery?

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How long does carpal tunnel surgery take?

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What does the recovery for carpal tunnel release surgery depend on?

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How soon can I go back to work after carpal tunnel surgery?

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Can carpal tunnel syndrome lead to permanent disability?

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Will I be awake during carpal tunnel surgery?

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Why is carpal tunnel syndrome more common in pregnant women?

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What are the major risk factors associated with carpal tunnel syndrome?

Risk factors associated with carpal tunnel syndrome are:-

  • People with small carpal tunnels hereditarily are more likely to get carpal tunnel syndrome.
  • Women are three times more likely to get carpal tunnel syndrome, especially during pregnancy due to constant hormonal fluctuations.
  • Patients between the ages of 40 and 70.
  • Wrist injury including sprained and fractured wrists.
  • Frequent exposure of hands to extreme temperatures.
  • Medical conditions such as overactive pituitary gland, hypothyroidism, rheumatoid arthritis, diabetes, etc.
  • Delayed complication of improperly managed Colles’ fracture.
  • Repetitive movements of hands or wrists.

What are the stages of carpal tunnel syndrome (CTS)?

There are three stages in carpal tunnel syndrome:

Stage 1- Mild symptoms

In the initial stage, most patients only feel numbness and tingling sensation. The condition is usually reversible in this stage. Symptoms most observed during this stage of the disease are:

  • Numbness or tingling of the palm and thumb, and fingers
  • Clumsiness- dropping things
  • Pain extending up to the elbow
  • Loss of finger coordination of the fingers in one or both hands
  • Weak grip

Stage 2- Moderate symptoms

Most people start noticing the symptoms of carpal tunnel in this stage, and hence it is the stage in which most people are diagnosed. The patients begin experiencing symptoms during the day as well as night and start having difficulty with everyday tasks such as getting dressed, holding small objects, driving, etc.

Stage 3- Severe symptoms

In the severe stage, the patients lose muscle function due to muscle atrophy. Symptoms during this stage include constant numbness and pain. In rare cases, the patient may not have complete muscle function even after surgery.

Complications of carpal tunnel release surgery

Endoscopic carpal tunnel release surgery is extremely safe, but in rare cases, it can be associated with certain complications such as:

  • Excessive bleeding
  • Infection
  • Injury to the median nerve to the surrounding blood vessels
  • Sensitivity to postoperative scar

The complications are much more prevalent in open surgeries or if the condition has gone untreated for a longer period of time. Recovery may take from a few weeks to a few months, and the patient needs to be very careful about the surgical site in this period.

Physiotherapy for carpal tunnel surgery

After carpal tunnel release surgery, if the patient does not follow proper rehabilitation and physiotherapy, then the recovery will take much longer. Physiotherapy helps avoid the build-up of scar tissue in the operated region and opens up the tunnel in the wrist to allow proper wrist function. It also helps regain a complete range of motion for the wrist. In addition to physiotherapy, patients should also wear assistive devices such as thumb splints to encourage recovery.

Common carpal tunnel syndrome exercises to follow after carpal tunnel surgery are:

  • Fingertip touching: Hold up your hand, with palm side up and touch your thumb with each fingertip in both directions to complete a full cycle. Perform this exercise 3 to 5 times.
  • Wrist flexion and stretch: Extend your arm with the wrist flexed at a 900 angle. Pull the wrist back by the other hand. Hold this position for 10-30 seconds 5-6 times for each hand.
  • Tendon gliding: Hold your hand straight up and bend your fingers at a 900 angle towards the first knuckle while keeping the fingers together. Then, bend them towards the second knuckle, then form a fist. Then open the hand and repeat the action 5-10 times.

Why undergo carpal tunnel syndrome treatment at Pristyn Care?

Pristyn Care is among the best surgery providers in Chandigarh in association with the best orthopedic hospitals in Chandigarh. Our patients are very important to us, and to ensure their maximum care and comfort, we provide several facilities, including:

  • Pristyn Care has the best orthopedic surgeons in Chandigarh on its panel who are experts in providing successful carpal tunnel treatment to patients without any complications.
  • We provide affordable endoscopic carpal tunnel release surgery at the best orthopedic clinics in Chandigarh without compromising the quality of the treatment.
  • We follow rigid COVID safety standards at all our treatment centers to ensure that our patients and their attendants are safe from coronavirus.
  • We provide complete insurance support and help the patients with filing insurance claims.
  • We provide cab and meal facilities to all patients on the day of the surgery.

How to book an appointment for carpal tunnel release surgery in Chandigarh through Pristyn Care?

You can book an appointment with the best orthopedic surgeons near you at Pristyn Care by:

  • Download our patient care app and look through our doctor database, and book your appointment based on your symptoms.
  • Call the number on the top of our page and talk to our care coordinator to book an appointment at your convenience.
  • Fill in the ‘Book an Appointment’ form and our care coordinators will promptly reach out to you to book your appointment.
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