No Stitch Carpal Tunnel Surgery

No Stitch Carpal Tunnel Surgery

Carpal tunnel syndrome can lead to numbness, tingling, pain and loss of use with permanent injury with the entrapment and damage to the median nerve as it passes through the “carpal tunnel”.   The condition is quite common, affecting an estimated 75 million people globally.

Symptoms of Carpal Tunnel Syndrome

The most common symptoms of Carpal Tunnel Syndrome (CTS) include

  • numbness,
  • tingling,
  • burning,
  • weakened grip or
  • severe night pain

The pain can radiate to the tips of the fingers or even to the shoulder. CTS can affect one
or both hands, and the symptoms of CTS frequently occur at night.

By releasing the entrapment and pressure on the nerve by lysing the bands of the wrist, the patient can avoid permanent injury to the nerves and muscles of the hands.

Causes of Carpal Tunnel Syndrome (Etiology)

In the wrist there is a space called the carpal tunnel.  The primary nerve, called the median nerve,  and nine
tendons pass from the forearm into the hand. The roof of this tunnel on the palmar side of the arm is formed by a strong ligament called the transverse carpal ligament.  This structure is inflexible and if there is swelling of the structures in the carpal tunnel, pressure builds on the median nerve, which supplies most of the feeling and
movement to two fingers and thumb. When pressure is over a threshold, it becomes great enough to compress the median nerve that may result in damage to the nerve giving name to the syndrome called Carpal Tunnel Syndrome.
Although the swelling in the carpal tunnel may be caused by many factors, these have been identified

  1. heredity,
  2. diabetes,
  3. thyroid problems,
  4. fractures or
  5. arthritis
  6. Fluid retention in general
  7. Excess salt intake
  8. Fluid retention during
  9. rheumatoid arthritis or other inflammatory conditions
  10. Age
  11. Menopause
  12. Repetitive hand motion
  13. Possibly computer use
  14. and activities that involve grasping, squeezing or clipping can
    contribute to the symptoms
  15. Sex (females >males) possibly due to smaller tunnel
  16. Small wrists
  17. idiopathic (actual cause is unclear).

Many conditions are irreversible but with delivery symptoms present in pregnancy typically resolve. Repetitive hand motion


Treatments for Carpal Tunnel Syndrome

There are medical and surgical treaments for CTS.    Sometimes medical treatments are effective in the short term or long term.  If ineffective and the compression is severe, there can be permanent damage while delaying surgery to release the transverse ligment allowing more space for the median nerve and tendons and vessels.

Older techniques still practiced by many surgeons including surgeons in Las Vegas are called the open procedure.   The recovery is often protracted as there are larger incisions necessary requiring suture placement and removal.  The larger the incision, the more tissue that is damaged to reach the relevant structures.    The no stitch procedure utilizes specially designed tools and endoscopes for direct visualization of the relevant structures to release the compression of the nerve.    With special training and experience the procedure is often less than 5 minutes and damage to the nerve and muscle and vessels can be avoided.  This technique has been extensively studied and a landmark publication details the procedure

Although many types of surgeons perform Carpal Tunnel Release Surgery, the Hand Surgeon focuses on this procedure.   Hand surgeons can have a plastic surgery training, a General Surgery Background and an Orthopedic Surgery Background..  Our surgeons have advanced fellowship training in hand surgery to address the unique anatomy and delicate structures in the hand.  In addition they have extensive experience with the MicroAire endoscopic system.



You Do Not Have To Live With the Pain

The No Stitch Endoscopic Carpal Tunnel Release is Hand Surgery Specialist of Texas’ procedure of choice for treating patients with Carpal Tunnel Syndrome

  • It is minimally invasive
  • Takes less than http://lasvegashandsurgery.com0 minutes
  • Same-day procedure
  • No stitches are required
  • Fast recovery
  • 98% success rate

Download our free brochure provided by MicroAire