Carpal Tunnel Release

Carpal tunnel release relieves pressure on the median nerve at the wrist, the cause of the numbness, tingling, and weakness of carpal tunnel syndrome. Through a small incision in the palm, the ligament forming the roof of the carpal tunnel is released. It is usually an outpatient procedure.

Orthopedic specialist examining a patient's wrist for carpal tunnel syndrome

What Is Carpal Tunnel Release?

The carpal tunnel is a narrow passage at the wrist formed by the wrist bones and the transverse carpal ligament. The median nerve and the finger tendons pass through it. When the tunnel is crowded, the median nerve is compressed and the hand becomes numb, tingly, and weak.
 
Carpal tunnel release divides the transverse carpal ligament, which enlarges the tunnel and takes pressure off the nerve. Surgery is not always necessary; non-surgical options are considered first. Learn more about carpal tunnel syndrome.

Conditions Carpal Tunnel Release Treats

This procedure is used for the following conditions. Each links to its own page with symptoms and other treatment options.

When Is Surgery Recommended?

Carpal tunnel release is considered when symptoms persist despite splinting, activity and ergonomic changes, anti-inflammatory medication, and corticosteroid injections, or when there is constant numbness or weakness of the thumb muscles.
 
An examination and nerve conduction studies show how much the median nerve is compressed and help rule out a pinched nerve in the neck.
Labeled anatomy of the carpal tunnel showing the compressed median nerve in the wrist

How The Procedure Works

Carpal tunnel release is a short outpatient procedure:

  1. 1

    Anesthesia

    The hand is numbed, often with light sedation.

  2. 2

    A small incision

    A small incision is made in the palm of the hand.

  3. 3

    Releasing the ligament

    The transverse carpal ligament is divided to release the pressure on the median nerve.

  4. 4

    Closing

    The incision is closed and a soft dressing or splint is applied.

  5. 5

    Home the same day

    Gentle finger motion is encouraged right away.

Recovery After Carpal Tunnel Release

Recovery time varies with the individual and the procedure.

First days

Gentle use

Finger motion and light tasks; keep the hand elevated.

First weeks

Protect the incision

A splint or brace may be worn for several weeks.

Weeks to months

Regain strength

Physical therapy may be recommended; grip strength returns gradually.

Frequently Asked Questions

What is carpal tunnel release?

Carpal tunnel release is a procedure that divides the transverse carpal ligament, the band of tissue forming the roof of the carpal tunnel, to relieve pressure on the median nerve.

When is carpal tunnel release recommended?

It is considered when numbness, tingling, or weakness persists despite splinting, activity changes, and injections, or when there is constant numbness or weakness of the thumb muscles.

Is carpal tunnel release an outpatient procedure?

Yes. It is a short procedure, usually performed on an outpatient basis, so most patients go home the same day.

How big is the incision?

The procedure is performed through a small incision in the palm of the hand.

How long is recovery?

Many patients use the hand for light tasks within days and may wear a splint for several weeks to protect the incision. Grip and pinch strength return over a few months.

Will my numbness go away?

Nighttime tingling often improves quickly. Long-standing numbness or weakness may improve more slowly, and recovery depends on how long and how severely the nerve was compressed.

Will I need therapy after surgery?

Physical therapy may be recommended to regain strength and function in the hand and wrist.

How do I find out if I need surgery?

An examination and nerve conduction studies show how much the median nerve is compressed. Call (321) 499-4646 to schedule an evaluation.

Symptoms Carpal Tunnel Release Can Relieve

Releasing the pressure on the median nerve can relieve:

  • Numbness and tingling in the thumb, index, middle, and ring fingers.
  • Symptoms that wake you at night.
  • Weak grip and dropping objects.
  • Pain in the wrist and hand.
  • Clumsiness with buttons and small objects.

Related Treatments

Conservative Care Or Surgery?

Conservative Care Or Surgery?

How non-surgical care compares with carpal tunnel release.

Non-surgical careSurgical releaseWhen conservative care is not enough
GoalReduce inflammation and pressure to ease symptoms.Permanently create more room for the nerve or tendon.
Best forMild or early symptoms.Persistent, severe, or progressing symptoms.
Typical optionsSplinting, activity changes, therapy, medication, and injections.An outpatient procedure through a small incision.
RecoveryNo downtime, but symptoms may return.A short recovery with protected use of the hand, then therapy if needed.

Early evaluation and treatment can prevent symptoms from worsening and protect hand function.

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  • Ultra-minimally invasive and endoscopic techniques

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    Our orthopedic specialists offer non-surgical therapies and carpal tunnel release.

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