Carpal tunnel syndrome (plastic surgery)

Carpal tunnel syndrome is a condition in which the median nerve (the main nerve in the hand) becomes compressed at the level of the wrist. This nerve runs together with the finger flexor tendons through a narrow passage called the carpal tunnel. When pressure builds up in this tunnel, the nerve becomes irritated and symptoms can occur.

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What is carpal tunnel syndrome?

Several nerves run through the hand and wrist and are responsible for movement and sensation. Any of these nerves can become compressed and cause symptoms. Common examples include carpal tunnel syndrome, cubital tunnel syndrome and ulnar tunnel syndrome.

In carpal tunnel syndrome, the median nerve is compressed within the carpal tunnel. This tunnel is located on the palm side of the wrist and is formed by the wrist bones, covered by a tight ligament. In addition to the nerve, nine tendons also pass through this tunnel. When the space inside the tunnel decreases, pressure on the nerve increases, leading to symptoms.

Symptoms

The following symptoms may occur:

  • Tingling and altered sensation in the thumb, index finger and middle finger
  • Altered sensation on both sides of the ring finger
  • Pain in the hand, often worse at night
  • Increasing pain with repetitive movements
  • Loss of strength in the thumb

At first, these symptoms often come and go. The longer the nerve remains compressed, the more frequently they occur, until they may be almost constant. Certain movements can also trigger or worsen the symptoms.

How is the diagnosis made? 

If, after a thorough clinical examination, there is a suspicion that the nerve is compressed, nerve tests (EMG and/or nerve conduction studies) may be performed to confirm the diagnosis. These tests help assess the severity of the condition.

How does treatment work?

There are several ways to treat carpal tunnel syndrome, depending on how advanced the symptoms are. In many cases, giving the wrist enough rest can already help reduce inflammation and swelling. Anti-inflammatory medication or a corticosteroid injection may provide additional relief. 

As certain wrist positions further narrow the carpal tunnel, a splint can help keep the wrist in a neutral position. This is especially useful in the early stages.

If these measures do not provide sufficient relief, surgery may be necessary. During the operation, the 'roof' of the carpal tunnel is released, giving the nerve more space and freedom of movement. 

Recovery and aftercare

Tingling and night-time pain usually improve within the first two weeks after surgery. If you also experienced loss of strength and had symptoms for a long time, recovery may take longer.

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Plan your appointment

Call for an appointment (plastic surgery secretariat) 011 69 95 25 Call for an appointment 0490 22 25 72