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The Carpal Tunnel Syndrome

Carpal tunnel syndrome is by far the most common nerve compression disorder. The median nerve is narrowed at the level of the wrist in the so-called "carpal tunnel", which leads to typical complaints: nocturnal pain, tingling in the thumb, index and middle fingers and, if the compression is not treated promptly, to weakness and muscle wasting. Endoscopic surgery can be used to resolve the problem quickly and efficiently.

The specialists of our clinic will prepare a diagnostic plan after a detailed examination and taking into account your pre-treatment, accompanying diseases as well as professional and private activities. Electrophysiological examinations are often helpful, occasionally X-rays and MRI scans can be recommended. Afterwards you will be advised about the non-surgical and operative treatment options.

We use modern endoscopic and microsurgical techniques in nerve surgery, allowing us smaller access incisions and gentler handling of the tissues. This approach translates to less swelling, less pain and faster postoperative recovery. The operations can mostly performed under local or regional anesthesia.

Duration of treatment

Approx. 30 Minutes

Stay

Outpatient

regeneration

1 week

The Consultation Process

In order to give you the optimal treatment plan for your situation, a careful diagnostic examination is a necessary prerequisite. Please send us your medical records, x-rays, and photos, in advance of the consultation appointment. After reviewing the documents and conducting our own examination, we can provide you with a recommendation as to the best course of action. We often organise a more specialised examination using NMR, (Nuclear Magnetic Resonance Spectroscopy), technology.

Carpal Tunnel Syndrome Karpaltunnel – the operation

The operation is performed on an outpatient basis and under local or regional anesthesia. The access to the carpal tunnel is gained via a 1-2 cm long incision on the wrist. With the help of the endoscope, the constricting roof of the carpal tunnel is carefully released. A single suture is mostly sufficient for skin closure. A soft and pliable drainage tube is inserted and a compression bandage applied.

After the Carpal Tunnel Release Surgery

The drainage tube and the bandage are removed on the following day, after which a Band-Aid is sufficient. The hand should be held in an elevated position for a few days and spared from strenuous activity. After 3-4 days all activities are allowed. The removal of the skin thread takes place after approx. 10 days. Sick leave depends on the type of work, but one week is usually sufficient. The symptoms of the carpal tunnel syndrome often improve already in the first days after the operation!

Medical Center - University of Freiburg

Phone: +49 761 270 21310
Fax: +49 761 270 19310

info-ims@uniklinik-freiburg.de