A compression of the median nerve as it passes through the wrist gives rise to a condition called as the�Carpal tunnel syndrome. Both these nerves cross at the front of the wrist within a passage known as the�carpal tunnel. Many tendons pass through this carpal tunnel too and if any swelling occurs, the large median nerve can easily be compressed causing the carpal tunnel syndrome. Pain, tingling and numbness in the index and middle finger and numbness of the thumb are some of the symptoms of the Carpal tunnel syndrome. The condition can be treated with splinting and medications. If these treatments fail to bring relief, an operation may be required.

Some people are at higher risk of developing carpal tunnel syndrome, including:

• Women between the ages of 40 and 60 years
• Pregnant women
• People with certain types of arthritis
• Anyone who experiences a period of rapid weight gain
• People who use their hands for repetitive movements (such as typists)

You may be given either local or general anesthetic. The surgeon makes an incision (usually less than�five centimeters long) into the palm of the affected hand. If the�carpal tunnel syndrome�is particularly severe, this incision may need to be longer. The exposed tissue beneath is then carefully cut through with a scalpel. This second incision reveals the transverse carpal ligament which is the structure responsible for the compression of the median nerve. The ligament is cut and the incision in the palm is sutured closed. (The body’s healing process will rejoin the severed ends of the transverse�carpal ligament�and the resulting scar tissue shouldn’t press so hard on the underlying nerve.) One or both wrists may be operated on at the one time.

After the procedure depending on the anesthesia, your vital parameters would be noted; you may have your wrist placed in a sling to help reduce swelling following the operation. You may find your wrist is quite uncomfortable for a couple of days. A pain relief is given if needed. Advice is given to exercise your hand and wrist as soon as possible.

Some of the possible complications of a carpal tunnel operation include:

• Injury to the median nerve
• Damage to the ulnar nerve
• Injury to surrounding blood vessels
• The transverse carpal ligament isn’t cut through completely which means a second operation is needed.

If you are discharged within a day or two of surgery, you will probably need some help around the house. Cold packs applied at regular intervals can help reduce post-operative swelling if any. Give adequate rest the hand as much as you can for at least four weeks following surgery.

The other Orthopedic Procedures are:

• Achilles Tendon Repair
  
• Hip Replacement
  
• Knee Joint Replacement
  
• Disc Hernia�
  
• Elbow Replacement�� etc

Few Major Hospitals for Carpal Tunnel Surgery are:

• Wockhardt Hospitals
  
• Apollo Hospitals
  
• Max Healthcare
  
• Piyavate Hospital
  
• Florence Nightingale Hospital
  

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