ORTHOPAEDIC · CONDITION GUIDE
Carpal Tunnel Syndrome
A condition caused by compression of the median nerve as it passes through the wrist, resulting in tingling, numbness, and weakness in the hand and fingers.
ABOUT THIS CONDITION
What is Carpal Tunnel Syndrome?
Carpal tunnel syndrome occurs when the median nerve — which runs through a narrow passageway in the wrist called the carpal tunnel — becomes compressed or squeezed. This causes the characteristic tingling, numbness, and weakness in the thumb, index, middle, and ring fingers. It is one of the most common nerve compression conditions, particularly affecting people who perform repetitive hand movements, use vibrating tools, or work extensively with keyboards. Symptoms are often worse at night and can disrupt sleep. In mild cases, splinting and activity modification may provide relief. In persistent or severe cases where nerve function is compromised, surgical release of the carpal tunnel is a highly effective and quick procedure that provides lasting relief. Dr. Sai Kishan Sirasala offers both open and endoscopic carpal tunnel release at Lux Hospitals.
SIGNS TO WATCH
Common Symptoms
Symptoms that need attention
WHY IT HAPPENS
Causes & Risk Factors
- Repetitive hand and wrist movements in occupational or domestic activities
- Prolonged use of vibrating tools or extended keyboard work
- Fluid retention during pregnancy causing increased pressure in the tunnel
- Underlying conditions such as diabetes, hypothyroidism, or rheumatoid arthritis
- Wrist fractures or injuries causing swelling and narrowing of the carpal tunnel
- Anatomical variation — some individuals naturally have a smaller carpal tunnel
CLINICAL DETAILS
KeyFacts
Clinical examination, nerve conduction study, and EMG testing
Open carpal tunnel release (CTR) or endoscopic release
Both procedures divide the tight band of tissue compressing the median nerve
Return to light activity within 1–2 weeks; full recovery in 4–6 weeks
Over 95% of patients experience significant symptom relief after surgical release
Available at Lux Hospitals, Hitech City, Hyderabad
HOW WE TREAT IT
Treatment Approach
Carpal tunnel release is one of the most reliable and successful procedures in hand surgery. Dr. Sai Kishan offers both open and endoscopic release techniques, selecting the best approach based on severity and patient preference, ensuring minimal downtime and excellent long-term results.
Dr. Sai Kishan offers both open and endoscopic release techniques, selecting the best approach for each patient to ensure minimal downtime and excellent long-term symptom relief.
- 1
Consultation & Assessment
Clinical examination and nerve conduction studies confirm the diagnosis and determine the severity of nerve compression, guiding the choice of treatment.
- 2
Treatment Planning
Mild cases may be managed with wrist splinting and steroid injections. Moderate to severe or persistent cases are recommended for surgical carpal tunnel release.
- 3
Surgical Procedure
Under local anaesthesia, the transverse carpal ligament is divided to decompress the median nerve — either through an open incision or endoscopically through tiny cuts.
- 4
Rehabilitation & Recovery
The hand is bandaged for 1–2 weeks. Most patients notice immediate improvement in tingling and numbness, with full grip strength restored within 4–6 weeks.
AVAILABLE TREATMENTS
Treatment Options
Open Carpal Tunnel Release (CTR)
A small cut is made in the palm and the tight band of tissue pressing on the nerve is released — relieving the tingling, numbness, and weakness in your hand.
Endoscopic Carpal Tunnel Release
The nerve decompression is performed using a tiny camera through one or two very small incisions — causing less discomfort and allowing a faster return to daily activities.
COMMON QUESTIONS
Frequently Asked
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