What is Endoscopic Carpal Tunnel and Cubital Tunnel Surgery?
Endoscopic carpal tunnel and cubital tunnel surgery are minimally invasive procedures designed to relieve nerve compression in the wrist (carpal tunnel syndrome) and elbow (cubital tunnel syndrome). Unlike traditional open surgery, these techniques use a small camera (endoscope) and specialised instruments to access and release the compressed nerve through tiny incisions, resulting in faster recovery and minimal scarring.
Who Would Need Endoscopic Carpal Tunnel and Cubital Tunnel Surgery?
These procedures are typically recommended for individuals experiencing:
- Carpal Tunnel Syndrome: Symptoms include numbness, tingling, and weakness in the hand due to median nerve compression at the wrist.
- Cubital Tunnel Syndrome: Symptoms include numbness and tingling in the ring and little fingers due to ulnar nerve compression at the elbow.
- Persistent Symptoms: When conservative treatments such as splinting, physiotherapy, or corticosteroid injections fail to provide relief.
- Severe Nerve Compression: Cases where prolonged compression may cause muscle weakness or permanent nerve damage.
How is the Surgery Performed?
The surgery is performed under local or regional anaesthesia and involves the following steps:
- Small Incision: A tiny incision is made near the wrist (for carpal tunnel) or near the elbow (for cubital tunnel).
- Endoscope Insertion: A small camera is inserted to provide a clear view of the nerve and surrounding structures.
- Nerve Release: Specialised instruments are used to cut the ligament or tissue compressing the nerve.
- Closure and Recovery: The incision is closed with stitches or adhesive strips, and a bandage is applied.
The procedure typically takes about 20 to 40 minutes, depending on the complexity of the case.
What to Expect After Surgery?
Recovery from endoscopic carpal tunnel and cubital tunnel surgery is usually quicker than open surgery, with minimal post-operative discomfort.
- Mild Swelling and Soreness: Some discomfort may persist for a few days but can be managed with pain relief.
- Improvement in Symptoms: Numbness and tingling often begin to improve within days to weeks.
- Activity Restrictions: Patients should avoid heavy lifting or repetitive hand movements for a few weeks.
- Return to Normal Activities: Most patients can resume light activities within a few days and full function within a few weeks.
Endoscopic surgery provides an effective and minimally invasive solution for nerve compression in the wrist and elbow, improving function and quality of life. If you experience persistent nerve-related symptoms, consult a specialist to determine if this procedure is right for you.