Endoscopic Carpal Tunnel Release
A tiny camera guides division of the carpal ligament through one or two small incisions — achieving the same permanent nerve decompression as open release with smaller scars and a faster return to hand use.
What is Endoscopic Carpal Tunnel Release?
Endoscopic carpal tunnel release uses a small camera system — the endoscope — introduced through one or two tiny wrist incisions to visualise the transverse carpal ligament from inside the tunnel and divide it under direct camera guidance. The decompression achieved is identical to open release, but the absence of a large palm incision means less post-operative scar sensitivity, reduced pillar pain, and a noticeably faster return to hand-intensive activities. Dr. Sai Kishan offers endoscopic carpal tunnel release at Lux Hospitals for suitable patients who require minimal recovery time or who prefer the smallest possible scarring profile.
Suitable for the same clinical indications as open carpal tunnel release — confirmed median nerve compression failing conservative management — and particularly advantageous for patients who use their hands intensively for work or sport, value minimal scarring, and need the fastest possible return to gripping and lifting.
How the Procedure Works
Local Anaesthesia & Tourniquet Application
Local anaesthetic is injected at the wrist; a tourniquet is applied to the forearm to maintain a bloodless operative field.
Wrist Portal Creation
A small incision at the wrist allows the endoscope sheath to be introduced into the carpal tunnel under the transverse carpal ligament.
Camera Positioning & Ligament Visualisation
The endoscope is advanced through the tunnel; the transverse carpal ligament is identified and confirmed on the camera monitor.
Ligament Division Under Camera View
A hook knife is used to divide the entire transverse carpal ligament from inside the tunnel under direct camera visualisation.
Instrument Removal & Wound Closure
The endoscope is withdrawn; the small portal incision is closed; a light dressing is applied and the patient is discharged home.
Outcomes
Who Needs This Treatment?
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Smaller incisions produce less scar sensitivity and reduced post-operative pillar pain
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Faster return to gripping, manual work, and hand-intensive activity than open release
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Equivalent nerve decompression achieved under direct camera visualisation
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Day-case procedure under local anaesthesia — no general anaesthesia required
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Earlier restoration of driving and hand-dependent occupational function
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Success rates exceeding 95% — equal to open release in appropriate candidates
Endoscopic release gives people the same excellent result as open surgery — but with smaller cuts and a noticeably faster return to using their hands properly. For patients who rely on their hands for work, that difference matters enormously.
— — Dr. Sai Kishan Sirasala, Knee and Hip Joint Replacement & Robotic Surgery
Endoscopic Carpal Tunnel Release Cost in Hyderabad
The cost of endoscopic carpal tunnel release in Hyderabad generally ranges from ₹60,000 to ₹1,20,000, with an average estimated cost of ₹90,000. Endoscopic carpal tunnel release uses a small incision and specialized equipment to relieve pressure on the median nerve at the wrist. The final cost depends on the severity of carpal tunnel syndrome, whether one or both hands require treatment, diagnostic investigations, anesthesia, surgical equipment, hospital stay and postoperative care.
| Procedure | Approximate Cost Range |
|---|---|
| Faster recovery, smaller incision | 1,20,000 2,20,000 |
The above figures are approximate estimates and the final cost may vary depending on the patient's condition and treatment requirements. The overall expense may include consultation, nerve conduction studies or other investigations, surgeon and anesthesia charges, specialized endoscopic equipment, hospital or day-care charges, medicines and follow-up care. Bilateral treatment or additional procedures may involve separate or higher charges.
Factors Affecting the Cost of Endoscopic Carpal Tunnel Release
The cost of endoscopic carpal tunnel release depends on the severity of nerve compression, whether one or both hands are treated, diagnostic requirements, surgical technique, anesthesia and postoperative care. Additional wrist or nerve conditions may also influence the overall treatment expense.
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Severity of carpal tunnel syndrome: The degree of median nerve compression and duration of symptoms can influence treatment planning.
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One or both hands: Bilateral treatment may have different costs compared with surgery on a single hand.
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Diagnostic testing: Nerve conduction studies, electromyography or other assessments may be recommended before surgery.
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Surgical technique: Endoscopic procedures require specialized instruments and equipment.
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Anesthesia: The type of anesthesia or sedation used can affect the overall procedure cost.
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Surgical complexity: Previous wrist surgery, anatomical variations or associated conditions may make the procedure more complex.
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Hospital or day-care facility: The type of facility and duration of observation can influence the total expense.
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Medicines and follow-up: Postoperative medication, dressings and follow-up consultations may contribute to the overall cost.
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Rehabilitation: Some patients may require hand exercises or physiotherapy during recovery.
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Additional procedures: Treatment for associated nerve, tendon or wrist conditions may increase the overall expense.
Insurance Coverage for Endoscopic Carpal Tunnel Release
Endoscopic carpal tunnel release may be covered by health insurance when medically necessary, subject to the terms and conditions of the individual policy. Coverage can vary based on procedure limits, day-care or hospitalization benefits, exclusions, waiting periods and pre-authorization requirements. Patients should confirm their policy coverage with the insurer before surgery.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Sai Kishan
Orthopaedic & Joint Replacement Surgeon
A consultation with an orthopaedic specialist is important for evaluating persistent wrist pain, numbness, tingling or weakness associated with carpal tunnel syndrome. The doctor may assess the symptoms, hand strength, sensation, clinical examination findings and nerve conduction study results to determine whether endoscopic carpal tunnel release or another treatment approach is appropriate. During the consultation, the doctor may assess: Numbness and tingling in the hand and fingers Night-time symptoms and their frequency Grip strength and hand function Sensory changes in the median nerve distribution Clinical signs of carpal tunnel syndrome Nerve conduction study or electromyography findings Duration and severity of symptoms Response to conservative treatments Whether endoscopic release is appropriate Expected recovery and postoperative hand care The recommended treatment is determined based on the patient's symptoms, examination findings, nerve function and overall hand and wrist condition.
Consultation with Dr. Sai Kishan Sirasala Consultation with Dr. Sai Kishan SirasalaCommon Questions
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