Carpal tunnel surgery releases the median nerve at the wrist by cutting the tight ligament that forms the roof of the carpal tunnel. It is one of the most common hand operations.
It reliably stops night time tingling and numbness. Where the nerve has been compressed for years, lost sensation and wasted thumb muscle may only partly recover.
What Carpal Tunnel Surgery involves
The hand is numbed with local anaesthetic injected into the palm and wrist. In open release, a cut of 2 to 4 cm is made in line with the ring finger at the base of the palm. The fat and the thin palmar fascia are parted to expose the transverse carpal ligament, which is divided along its full length under direct vision while the nerve and its small motor branch to the thumb are protected. The nerve is checked, the skin alone is stitched and a soft dressing is applied with the fingers left free. In endoscopic release a small camera and blade are passed under the ligament through a 1 cm wrist crease cut, and the ligament is divided from inside.
Who is a good candidate for Carpal Tunnel Surgery?
It is offered when symptoms are confirmed as carpal tunnel syndrome and have not responded to splints or a steroid injection, or when nerve tests show significant damage.
- Numbness in the thumb, index and middle fingers that wakes you at night
- Symptoms lasting more than 3 to 6 months despite a night splint
- Nerve conduction tests showing moderate or severe compression
- Weakness or wasting at the base of the thumb
Es ist normalerweise nicht die richtige Wahl, wenn:
- Tingling caused by a trapped nerve in the neck rather than the wrist
- Mild symptoms in pregnancy, which often settle after delivery
- Hand numbness from diabetic neuropathy alone
- Untreated thyroid disease or inflammatory arthritis driving the swelling, which should be treated first
Technikoptionen
- Open release: The standard method with a short palm incision; lets the surgeon see the nerve directly.
- Endoscopic release: Smaller scar and slightly quicker return to work; needs specific equipment and experience.
- Ultrasound guided release: A newer needle or thread technique offered in some centres; long term data are still limited.
Was passiert während Ihrer Behandlung
The procedure takes 15 to 25 minutes, normally under local anaesthetic with a tourniquet on the upper arm, which feels tight. You are awake, feel pushing but not sharp pain, and leave an hour or so later with a bandaged hand.
Vorbereitung auf Ihre Reise
Plan for 3 to 5 days in Istanbul. Your surgeon reviews photographs and your medical history before you book, and you meet in person the day before surgery for examination, marking and consent with a professional interpreter.
- Stoppen Sie das Rauchen und Nikotin mindestens vier Wochen vor und nach der Operation; es ist die größte vermeidbare Ursache von Wundproblemen
- Erzählen Sie dem Team von allen Medikamenten und Ergänzungen, die Sie einnehmen; Blutverdünner, einige Kräuterprodukte und Hormonbehandlungen müssen möglicherweise auf Anraten Ihres Arztes unterbrochen werden
- Vereinbaren Sie, dass jemand mit Ihnen reist oder erreichbar ist, und halten Sie die ersten Tage zu Hause frei von Arbeit und Heben
- Buchen Sie einen veränderlichen Rückflug; Ihr Chirurg bestätigt, wenn Sie fit sind
Genesung und Ergebnisse
Move the fingers from day one and keep the hand raised for 2 to 3 days. Stitches are removed at 10 to 14 days. Light use and typing are possible within a week, driving at about 1 to 2 weeks, and heavy gripping at 6 weeks. The scar and the heel of the hand can be tender for 2 to 3 months. Night symptoms often go within days.
- Back to everyday activity: 1 to 2 weeks for light work
- When results show: Night symptoms ease within days
- How long they last: Permanent in most people; recurrence is uncommon
Sicherheit, Risiken und Revisionspolitik
Serious problems are rare, but minor ones are fairly common.
- Tender scar and pillar pain either side of the incision for some months
- Wound infection
- Incomplete relief if the ligament was not fully divided or the nerve was badly damaged
- Injury to the median nerve or its branches, which is rare
- Temporary grip weakness
- Complex regional pain syndrome with swelling and stiffness, uncommon
Jeder schriftliche Vorschlag wird durch Clinic-Y gibt an, was die Klinik abdeckt, wenn eine Korrektur erforderlich ist. Fragen Sie danach, bevor Sie buchen, nicht danach.
Cost of Carpal Tunnel Surgery in Türkiye
Clinic-Y does not publish a single price for Carpal Tunnel Surgery, because the honest figure depends on your case. What moves it:
- Open or endoscopic technique
- One hand or both
- Local anaesthetic versus sedation
- Nerve conduction studies if you have not had them
Senden Sie Ihre Fotos oder Berichte und Sie erhalten geschrieben, All-inclusive Vorschläge von geeigneten Teams, Seite an Seite. Die Überprüfung Ihres Falls ist kostenlos.
Häufig gestellte Fragen
Can both hands be done at once?
It is possible, but you will struggle with washing and dressing for a week or two. Most surgeons prefer to leave 2 to 4 weeks between hands.
Do I need nerve tests first?
They are strongly advised. They confirm the diagnosis, show how severe it is and give a baseline if symptoms persist.
Will my numbness go completely?
Intermittent tingling usually goes quickly. Constant numbness present for a long time recovers slowly over months and sometimes incompletely.