We perform mini-open carpal tunnel release and ulnar nerve decompression / transposition. We do not do nerve grafting or other complex peripheral nerve surgery.
Carpal Tunnel Syndrome is a condition where a ligament protecting the peripheral nerve going into your hand (carpal tunnel) has become thickened causing entrapment or compression of the nerve. This may cause pain, numbness and tingling of the hand and fingers. This condition is often manifested in people who do repetitive hand motions, such as typing, working of assembly lines, etc.
Carpal tunnel release is one of the most common operations we perform, and is generally indicated for patients with persistent signs and symptoms of carpal tunnel syndrome unresponsive to conservative treatment. The operation involves a very small incision over the wrist, approximately 1 cm in length, and release of the ligament that is compressing the median nerve and causing the symptoms.
Ulnar neuropathy is a condition where the ulnar nerve is trapped by a ligament in the elbow area. This can cause arm and hand pain, numbness and tingling (much like pain caused when you “hit your funny-bone”), and weakness of the hand muscles.
Ulnar Nerve Decompression or Transposition involves an incision across the inside of your elbow. The ulnar nerve will be decompressed by cutting the tunnel which constricts it, and it may be moved to a more desirable location if needed (transposition).
For more information on peripheral nerve surgery, please visit http://www.neurosurgeon.org/