BOOK FREE CONSULTATION

CALL US

What is carpal tunnel syndrome?

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.

If you have signs of carpal tunnel syndrome, better not avoid the condition and visit an expert orthopedic doctor for carpal tunnel treatment in Mumbai.

USFDA-Approved Procedure

USFDA-Approved Procedure

Support in Insurance Claim

Support in Insurance Claim

No-Cost EMI

No-Cost EMI

1-day Hospitalization

1-day Hospitalization

Book FREE Doctor Appointment
Image of Anup Soni in Pristyncare's doctor uniform
i
i

To confirm your details, please enter OTP sent to you on *

i

Overview

Carpal Tunnel Syndrome
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.
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
  • Surgery
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.
undefined

Treatment

Diagnosis of Carpal Tunnel Syndrome

Before a doctor can recommend the treatment for carpal tunnel syndrome, he or she will perform a thorough diagnosis to evaluate the condition through the patient’s medical history, a physical examination and often diagnostic tests. The doctor will ask you about your symptoms and ask about the severity of these symptoms and how much they affect your daily living. A carpal tunnel syndrome doctor in Mumbai can diagnose carpal tunnel syndrome by doing a physical examination and tests called nerve conduction studies to examine and assess sensation, strength and reflexes of the hand and wrist.

The doctor may also ask you to have diagnostic tests including:

  • X-ray to look at the bones of the wrist in order to determine if there are any abnormalities that may contribute to carpal tunnel syndrome.
  • Ultrasound to evaluate the median nerve and look for any mass lesions which may be present in the carpal tunnel.
  • Electromyogram and Nerve Conduction Study (EMG and NCS) to show how the muscles and nerves are working together.

Carpal Tunnel Release Surgery

To relieve the symptoms of carpal tunnel syndrome, an orthopedic doctor performs a surgery called Carpal Tunnel Release surgery. The goal of carpal tunnel surgery is to reduce pain, swelling and pressure on the median nerve. This surgery is performed in a hospital operating room under the influence of general or local anaesthesia on an outpatient basis. During the surgery, the orthopedic surgeon makes 1 or 2 small incisions, about ½ inch each, in the palm or wrist area. These small incisions will result in very small scars, which in most cases are unnoticeable.

An endoscope is inserted through one incision. The endoscope has a camera on its end, which allows the doctor to look for any pathology or anomaly. The endoscope presents an image on the television screen that allows the surgeon to see the inside of the hand or wrist directly. The doctor may insert surgical instruments through the second incision to cut the transverse carpal ligament and thus releasing the pressure on the median nerve by expanding the carpal tunnel. After the ligament is cut, the incisions are closed by dissolvable sutures. Carpal tunnel release surgery is much less traumatic to the joint, muscles ligaments, and tissues than the conventional carpal tunnel surgery that is performed with long incisions.

In Our Doctor's Word

Dr. Ashish Taneja

MBBS, MS - Orthopaedics

17 Years Experience

"The prevalence of Carpal Tunnel Syndrome is 2.7% to 5.8% in general population. In Inida alone, there are several people suffering from Carpel Tunnel Syndrome and most of them kleep delaying their treatment because of some misconceptions. But the truth is, most of the cases can be treated with the help of medications, surgery and physiotherapy. But, since patients do not approach us on time, the delay severs the condition and makes difficulty to treat. See, the symptoms usually begin through an abnormal pain or swelling around your wrist. If you are experiencing any, do not wait for it to get worse/ self diagnose. See a specialist as soon as possible., because they are the one who can really treat or cure your condition."

Frequently Asked Questions

What activities can cause carpal tunnel syndrome?

Most common activities that can cause carpal tunnel syndrome include-

  • Working in sewing or in an assembly line
  • Prolonged use of vibrating tools
  • Repetitive hand motions
  • Prolonged typing or writing
  • Racquetball and other racquet sports
  • Playing certain musical instruments such as xylophone, piano, drums, chimes, cymbals, tambourine, celesta
When can I go back to work after carpal tunnel surgery? 

Most people take about a week but the time you should take off work after surgery mainly depends on the type of your job. If your job involves manual or high repetitive activities or work for a longer period of time, consider taking a few weeks of break after your surgery.

What is the cost of Carpal Tunnel Release Surgery in Mumbai?

The average cost of Carpal Tunnel Release Surgery in Mumbai can range from INR 40,000 to 60,000. However, several factors can influence the cost of carpal tunnel release surgery, including-

  • Basic fee of the hospital and surgeon
  • Type of anesthesia administered
  • The city where the surgery is being performed.

You can get in touch with our team to get an estimated cost of carpal tunnel surgery reconstruction in Mumbai.

Will my insurance cover carpal tunnel surgery?

Most health insurance companies cover the cost of a carpal tunnel release surgery. At Pristyn care, we have a dedicated team for smooth and hassle-free insurance approvals. We also provide No-Cost EMI Option for patients who do not have a health insurance plan and need assistance with finances for the procedure.

When can I drive after carpal tunnel surgery?

Driving is not recommended for about 1 to 2 weeks after carpal tunnel surgery. Before you start driving a car or bike after your hand surgery, you should get your surgeon’s approval

Is homeopathic medicine for carpal tunnel syndrome effective?

Carpal tunnel syndrome is a progressive condition that needs medical treatment based on the severity of the condition, backed by a detailed diagnosis. Homeopathic medicine for carpal tunnel syndrome can provide temporary relief from the symptoms but that typically lasts until the medication is continued. Clinical trials and research do not support the effectiveness of homeopathic medicine for carpal tunnel syndrome.

Is ayurvedic treatment for carpal tunnel syndrome effective?

As discussed previously, CTS being a progressive condition requires prompt treatment, based on how severe the condition and symptoms are. Patients with mild symptoms can find short-term relief from ayurvedic treatment for CTS. However, patients with severe carpal tunnel syndrome need a more medically advanced treatment approach, which may include use of steroid injections, wearing a wrist brace, or surgery (when no other treatment can help).

How long is the carpal tunnel surgery incision?

Open surgery for CTS requires a long incision of 2 inches. However, endoscopic carpal tunnel release surgery, which is a less invasive technique to release pressure off the median vein requires two small incisions of about ½ an inch each.

Where would I feel carpal tunnel pain?

Carpal tunnel syndrome affects the hand and wrist. Carpal tunnel pain is usually felt worse in the thumb, index and middle fingers. Severe CTS can cause pain in the whole hand. The patient may also have pain running up the arm to the shoulder and neck. In some cases, CTS can affect both hands, which can cause symptoms and pain in both the hands.

What is a carpal tunnel?

The carpal tunnel is a narrow passageway in the wrist and hand that protects the median nerve and other tendons. Carpal tunnel is often the source of carpal tunnel syndrome (CTS), which is caused by repetitive strain injury. The carpal tunnel contains the median nerve and tendons of the flexor digitorum profundus, flexor digitorum superficialis, and flexor pollicis longus. Injury to the carpal tunnel can cause pain, tingling, and weakness in the wrist and hand and may limit or reduce the functional use of the upper extremity.

What are the most common causes of carpal tunnel syndrome (CTS)?

Carpal tunnel syndrome is caused by compression of the median nerve. Pregnant women and people with conditions like diabetes, osteoporosis, rheumatoid arthritis, underactive thyroid, and certain forms of amyloidosis are at increased risk of developing CTS.

People who indulge in repetitive forceful movements involving the wrist and people who use computer keyboards with improper positioning of the hand are also at a risk of CTS. Prolonged exposure to vibrations (such as by using some power tools) is also believed to cause carpal tunnel syndrome. However, in some cases, the cause of CTS cannot be determined.

When can I drive after carpal tunnel surgery?

Driving is not recommended for about 1 to 2 weeks after carpal tunnel surgery.

What is the goal of carpal tunnel surgery?

To relieve the symptoms of carpal tunnel syndrome, an orthopedic doctor performs a surgery. The goal of carpal tunnel surgery is to reduce pain, swelling and pressure on the median nerve. This surgery is performed in a hospital operating room under the influence of general or local anaesthesia on an outpatient basis.

When should you see a carpal tunnel syndrome doctor in Mumbai?

Carpal tunnel syndrome is the most common syndrome affecting the hand. People who perform repetitive hand motions, have a family history of this syndrome, or have certain chronic medical conditions such as diabetes are more likely to be affected by this condition. You should see an orthopedic doctor if you have one or more of the following signs-

  • Weakness in the hand, thumb, or fingers
  • Inability to bring together the index finger and thumb of the same hand
  • Difficulty in holding objects or performing simple movements with hands
  • Numbness, tingling, or pain in the hand for fingers, which has lasted more than 2 weeks
  • Other symptoms of carpal tunnel syndrome that affect your ability to carry out regular work

How to prepare for my carpal tunnel release surgery?

Prior to your surgery, your orthopedic surgeon will ask about all medicines you are taking at that moment, including over the counter (OTC) medicines, dietary or natural supplements and vitamins. You might be asked to stop taking certain medicines, such as ibuprofen and aspirin as they make it difficult for the blood to clot. If you are a smoker, you will be strongly advised to quit before the surgery as smoking can delay healing. You might be asked not to eat or drink anything for 6-12 hours before the surgery.

Based on your medical condition and history your orthopedic surgeon may request other specific preoperative preparations. You may need to undergo certain preoperative tests such as blood tests or an electrocardiogram (ECG) before the surgery. This usually happens the same day of the surgery.

What are the benefits of undergoing endoscopic carpal tunnel release surgery

The benefits of undergoing minimally invasive, endoscopic surgery compared to the alternative, open carpal tunnel surgery, include:

  • Smaller incisions
  • Minimal trauma to muscle, joint ligaments or tissue
  • Less postoperative pain
  • Faster healing and less recovery time
  • Very less risk of infection
  • Minimal scarring
  • Earlier mobilization after surgery
  • Usually performed as outpatient surgery

Pristyn Care houses some of the best hand surgeons in Mumbai and aims to provide the high-quality of orthopedic care and the most suited treatment for carpal tunnel syndrome in your case.

Carpal Tunnel Syndrome Surgery

The surgical treatment for carpal tunnel syndrome is known as carpal tunnel release. A carpal tunnel release surgery can be performed under two different techniques. Both aim at relieving the pressure on the median nerve by increasing the size of the carpal tunnel, by severing the ligament that forms the roof of the tunnel. The two techniques of carpal tunnel release surgery are:

  • Open carpal tunnel release surgery: A small incision is made in the palm of your hand to view the inside of the wrist. During the procedure, your doctor will cut the transverse carpal ligament to increase the size of the tunnel and relieve the pressure on the median nerve.
  • Endoscopic carpal tunnel release surgery: Endoscopic carpal tunnel release surgery involves a smaller insertion and uses a miniature camera to see the inside of the hand and wrist. A special instrument is used to sever a part of the carpal ligament which reduces the pressure on the median nerve.

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.

How is endoscopic carpal tunnel surgery performed?

Endoscopic carpal tunnel surgery is performed in the hospital under the influence of anesthesia. An endoscope is inserted through one incision. The endoscope has a camera on its end, which allows the doctor to look for any pathology or anomaly. The endoscope presents an image on the television screen that allows the surgeon to see the inside of the hand or wrist directly.

The orthopedic surgeon may insert surgical instruments through the second incision to cut the transverse carpal ligament and thus releasing the pressure on the median nerve by expanding the carpal tunnel. After the ligament is cut, the incisions are closed by dissolvable sutures. Endoscopic carpal tunnel release surgery is much less traumatic to the joint, muscles ligaments, and tissues than the conventional carpal tunnel surgery that is performed with long incisions.

Make your appointment at the best orthopedic clinic for carpal tunnel syndrome treatment in Mumbai

At Pristyn Care, we have the best orthopedic specialists for carpal tunnel treatment in Mumbai who are trained and certified in the diagnosis and treatment of various joint problems. To schedule an appointment with the best hand surgeons in Mumbai for your treatment, call us at our number or make your appointment from our website or mobile application.

Read More
Carpal Tunnel Syndrome Surgery in Other Near By Cities
expand icon
Other Treatments in Mumbai
expand icon