Endoscopic carpal tunnel release in Adelaide

A keyhole approach to carpal tunnel surgery

Dr Tu performs endoscopic carpal tunnel release through a small incision at the wrist. A camera guides the release of the transverse carpal ligament to reduce pressure on the median nerve.

The procedure is typically performed as day surgery under local anaesthetic. Your individual anaesthetic and surgical plan will be discussed before the procedure.

What is carpal tunnel syndrome?

Carpal tunnel syndrome occurs when the median nerve is compressed as it passes through the wrist. It can cause numbness, tingling or pain in the hand, sometimes extending into the arm.

Symptoms often involve the thumb, index and middle fingers and part of the ring finger. They may wake you at night. Some people notice weakness, clumsiness or difficulty holding objects. An assessment is important because other conditions can cause similar symptoms.

Assessment and treatment options

Dr Tu discusses your symptoms, examines your hand and wrist and considers whether tests such as nerve conduction studies are needed. The recommendation depends on the severity, duration and effect on hand function.

For some patients, non-surgical measures such as a night splint, changes to activities or a steroid injection may help. Surgery may be considered when symptoms persist, or when nerve compression is more severe. Dr Tu explains the options and helps you choose a plan appropriate to your circumstances.

Recovery after surgery

Recovery varies. Many patients can resume light activities within days, but heavier use, work and driving require individual advice. Gentle movement, wound care and follow-up appointments are important; hand therapy may be recommended.

Avoid forceful use until your treating team advises that it is appropriate. The timing and extent of symptom improvement differ between patients, and surgery does not guarantee complete relief.

What are the risks?

Dr Tu will explain the risks before you decide on treatment. These include infection, nerve injury and incomplete relief of symptoms. Discuss any concerns about your work, hobbies or recovery at your consultation.

Preparing for your appointment

Bring any relevant test results and a list of your medicines. Make a note of which fingers are affected, whether symptoms wake you at night and how they affect your activities. Contact Dr Tu’s rooms for appointment and referral arrangements.

Further background: American Academy of Orthopaedic Surgeons: carpal tunnel syndrome.

Patient information and postoperative protocol

This information is general. Dr Tu will discuss the treatment, risks and recovery appropriate to your individual circumstances.

For other upper limb concerns, explore shoulder surgery and our wrist and hand patient resources.