Nerve

Carpal Tunnel Syndrome

Carpal tunnel syndrome occurs when the median nerve at the wrist becomes compressed, leading to tingling, numbness (typically in the thumb to ring finger), hand clumsiness, or aching that may extend up the forearm. Symptoms often worsen at night, disrupting sleep and daily comfort.

Initial management may include wearing wrist splints at night, modifying activities, or receiving a targeted steroid injection to ease inflammation. If symptoms persist or weakness develops, surgical release of the carpal tunnel — performed through a small open or endoscopic incision — can relieve pressure and restore comfort.

During surgery, a small, precisely placed incision releases the tight ligament over the nerve, creating space and reducing compression. The aim is to restore sensation, ease, and dexterity with minimal disruption and lasting relief.

Procedure time

15–30 minutes


Anaesthesia

Local


Discomfort

Mild; improves over days


Dressings

1–2 weeks


Light use

From a few days


Return to work

Desk: ~1–2 weeks · Manual: ~3–4 weeks


Driving

1–2 weeks when safe grip returns


Sports

Gradually after 4–6 weeks


Final result

Numbness/tingling improve over weeks; full nerve recovery may take months

  • 1. What causes carpal tunnel syndrome?

    It is usually due to increased pressure on the median nerve at the wrist. This can arise from repetitive hand use, swelling after pregnancy, fluid retention, thyroid issues, diabetes, or no obvious cause at all.

  • 2. Do I need tests before treatment?

    Often, diagnosis is clinical. If symptoms are long-standing, severe, or unclear, I may recommend nerve conduction studies (electrophysiology) or rarely ultrasound to assess nerve health and guide treatment.

  • 3. Can carpal tunnel get better on its own?

    Mild cases may improve with splints, rest, or steroid injections. However, persistent numbness, night pain, or weakness indicates that the nerve is struggling — and surgery may be needed to prevent permanent damage.

  • 4. Will surgery cure my symptoms completely?

    Night pain often improves quickly. Numbness and weakness recover slowly and depend on how long the nerve was compressed and how well you recover. In very advanced cases, full recovery may not return — but surgery prevents further deterioration and usually brings meaningful improvement.

  • 5. Can carpal tunnel come back?

    Recurrence is uncommon but possible. If symptoms return, I offer detailed assessment and revision surgery where appropriate.

  • 6. When can I drive and return to work?

    You can usually return to driving once you feel confident that you can safely control the vehicle, which for most people is around 1–2 weeks after surgery.

    Desk-based work is typically possible at about 2 weeks, depending on comfort and swelling.

    For manual, physical, or tool-based jobs, recovery time is longer. Most patients need 3–6 weeks, and heavier or repetitive roles may require even more time. Your return-to-work plan will be tailored to the specific demands of your job.

  • 7. Is carpal tunnel surgery covered by insurance?

    Yes. This is an insured procedure and I am fee-assured with major UK insurers, meaning no shortfalls in fees.

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