Carpal Tunnel-- Are You a Candidate For Surgery?

Carpal tunnel syndrome, or CTS is classified as a repetitive stress injury. This type of stress injury affects the function of the hands and wrists. Millions of people in the United States suffer from this type of injury. Often work related routines contribute to the development of CTS. If you have this disorder or suspect that your symptoms may be more serious than you previously thought, you may be a candidate for surgery.

Surgery for CTS is one of the most common hand surgeries in the United States. Surgery can relieve 70% to 90% the painful and restricting symptoms of carpal tunnel syndrome. Finding out whether you are a candidate for surgery depends on a few things. Generally, doctors recommend surgery for those patients who are not responding successfully to other conservative treatments. Experiencing symptoms for more than 10 months or longer with no improvement is one of the characteristics of someone who is a candidate for surgery. Continual numbness and shrinking muscles are a sign that it is time for surgery. Also, age may play a factor in determining who is a good candidate for surgery. Generally, if the patient is above the age of 50 and is experiencing the aforementioned symptoms, then they are considered good candidates for surgery.

However, it is worth noting that surgery will not cure all patients with carpal tunnel. And since the procedure for CTS involves permanently cutting the carpal ligament, strength in the wrist may be lost. And, even though the function of the wrist remains, experts wonder if surgery is too often performed. Experts believe that all aggressive treatments should be exhausted before surgery is performed. Other treatments include splints, and anti inflammatory medications. But, other studies have shown that since carpal tunnel syndrome is a progressive disorder, it will likely worsen over time.

Resolving the debate about whether or not to have surgery is done on a case by case basis. Since all cases of CTS are not solved with surgery, a physician will take into account a variety of factors when deciding to recommend surgery for their patient with CTS. Doctors agree that having surgery performed within 3 years of a diagnosis of carpal tunnel will make for a successful post surgical experience. Of course, being in general good health will also play a role in a successful after surgery. But, one factor that seems to be part of those who have a more positive outcome are that their symptoms are worse at night than the day.

Some people do not make successful candidates. People with extreme carpal tunnel symptoms will not make good candidates for surgery. Also, having poor nerve function will be a contributing factor as well. But, really only a doctor can help you decide. After trying several different treatments you and your doctor can determine if surgery will be a benefit for you.