You may want to have a say in this decision, or you may simply want to follow your doctor's recommendation. Either way, this information will help you understand what your choices are so that you can talk to your doctor about them.
1Get the |
2Compare |
3Your |
4Your |
5Quiz |
6Your Summary |
This problem is often linked to hand and wrist motions that you do a lot. These are called repetitive motions.
Swelling or fluid retention in the wrist—which can happen during pregnancy or because of a health problem—also can cause carpal tunnel symptoms or make them worse.
Severe carpal tunnel syndrome that lasts a long time can lead to permanent damage to the
You may have:
Surgery reduces the pressure on the median nerve in the wrist. The doctor cuts a ligament to relieve the pressure on the nerve.
The surgery is called
You may decide to have surgery if you've had very bad symptoms for a long time and other treatments haven't helped.
Sometimes surgery is done to prevent lasting nerve damage. You will likely have a nerve test to see if you are at risk for nerve damage.
Most people who have surgery for carpal tunnel syndrome have less or no pain and numbness in their hand and better hand function after surgery.
Both types of surgery—open and endoscopic—work equally well to improve symptoms.
Major problems from surgery can happen, but they are rare. About 1 person out of 100 has a major problem after surgery, such as nerve damage, while 99 out of 100 people don't.
You can try several home treatments to help relieve your symptoms. This may be all you need to do for mild symptoms of carpal tunnel syndrome. Doctors suggest that you try these treatments for several weeks to months before you think about having surgery.
You may try to:
Other choices
Rest, ice, and other home treatments may be all you need if you've had mild symptoms for a short time.
Your doctor may also suggest that you try wrist splints or corticosteroids to avoid or delay surgery.
Your doctor might recommend surgery if:
Compare
What is usually involved? |
|
|
---|---|---|
What are the benefits? |
|
|
What are the risks and side effects? |
|
|
These stories are based on information gathered from health professionals and consumers. They may be helpful as you make important health decisions.
One of the most annoying things about my carpal tunnel syndrome is the night pain in my hands. If I don't wear the splints, it wakes me up almost every night. But with the splints, I can get a good night's sleep, and my doctor says that my thumb and hand strength are not too bad. I'm nervous about any kind of surgery, so when my doctor said it would be okay to wait awhile, I said, "Great." If the splints stop working, though, I'll probably be back in my doctor's office!
Dave, age 55
I own a landscaping business, and a few months ago I started having a lot of pain when putting in backyard fences. Then the pain started to wake me up at night and keep me awake. My doctor said I had a classic case of carpal tunnel syndrome. I tried some of the home treatments that she recommended, and the problem didn't get any worse, but it didn't get any better, either. So I went back and asked about surgery. It sounds like the surgery has a good chance of taking care of the problem, so I'm going to give it a try. When you own your own company, it's too expensive to keep missing work. But I'll have to wait till the slow season, because I'll have to take a few weeks' break to recover.
Javier, age 46
I thought for sure that I was going to have to have surgery for my carpal tunnel. I type a lot for my job, and my symptoms were really getting bad. My fingers were numb, so I kept hitting the wrong keys on the keyboard and making errors. The pain was waking me up at night, and it was even starting to hurt during the day. I went to my boss and the human resources manager at work, and together we worked out a job-sharing arrangement. Now, for half the day I do work that's not on a computer. I am going to see how that helps, along with the exercises and the splints.
Catherine, age 40
When I dropped my third coffee cup in a week, I decided it was time to do something about my hands. I've had this carpal tunnel problem for a couple of years now, and I'm tired of wearing the splints and getting occasional steroid shots in my wrists. My doctor says that whether I have surgery or not is really up to me at this point. I think I'm ready for it.
Danitra, age 36
Your personal feelings are just as important as the medical facts. Think about what matters most to you in this decision, and show how you feel about the following statements.
Reasons to have surgery
Reasons not to have surgery
I tried other treatments, but my pain is still bad.
I can live with the pain while I give other treatments some more time to work.
I don't mind having surgery if it can get rid of my symptoms.
I just don't want to have surgery.
I'm not worried about the small chance of problems from surgery.
I don't want to take even a small chance of something going wrong with surgery.
I'm afraid of having lasting nerve damage from carpal tunnel syndrome.
I'm not worried that I'll have lasting nerve damage from carpal tunnel syndrome.
My other important reasons:
My other important reasons:
Now that you've thought about the facts and your feelings, you may have a general idea of where you stand on this decision. Show which way you are leaning right now.
Having surgery
NOT having surgery
Check the facts
Decide what's next
Certainty
1. How sure do you feel right now about your decision?
Here's a record of your answers. You can use it to talk with your doctor or loved ones about your decision.
Author | |
---|---|
Clinical Review Board | All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals. |
This problem is often linked to hand and wrist motions that you do a lot. These are called repetitive motions.
Swelling or fluid retention in the wrist—which can happen during pregnancy or because of a health problem—also can cause carpal tunnel symptoms or make them worse.
Severe carpal tunnel syndrome that lasts a long time can lead to permanent damage to the
You may have:
Surgery reduces the pressure on the median nerve in the wrist. The doctor cuts a ligament to relieve the pressure on the nerve.
The surgery is called
You may decide to have surgery if you've had very bad symptoms for a long time and other treatments haven't helped.
Sometimes surgery is done to prevent lasting nerve damage. You will likely have a nerve test to see if you are at risk for nerve damage.
Most people who have surgery for carpal tunnel syndrome have less or no pain and numbness in their hand and better hand function after surgery.
Both types of surgery—open and endoscopic—work equally well to improve symptoms.
Major problems from surgery can happen, but they are rare. About 1 person out of 100 has a major problem after surgery, such as nerve damage, while 99 out of 100 people don't.
You can try several home treatments to help relieve your symptoms. This may be all you need to do for mild symptoms of carpal tunnel syndrome. Doctors suggest that you try these treatments for several weeks to months before you think about having surgery.
You may try to:
Other choices
Rest, ice, and other home treatments may be all you need if you've had mild symptoms for a short time.
Your doctor may also suggest that you try wrist splints or corticosteroids to avoid or delay surgery.
Your doctor might recommend surgery if:
Have surgery for carpal tunnel syndrome | Try other treatments | |
---|---|---|
What is usually involved? |
|
|
What are the benefits? |
|
|
What are the risks and side effects? |
|
|
These stories are based on information gathered from health professionals and consumers. They may be helpful as you make important health decisions.
"One of the most annoying things about my carpal tunnel syndrome is the night pain in my hands. If I don't wear the splints, it wakes me up almost every night. But with the splints, I can get a good night's sleep, and my doctor says that my thumb and hand strength are not too bad. I'm nervous about any kind of surgery, so when my doctor said it would be okay to wait awhile, I said, "Great." If the splints stop working, though, I'll probably be back in my doctor's office!"
— Dave, age 55
"I own a landscaping business, and a few months ago I started having a lot of pain when putting in backyard fences. Then the pain started to wake me up at night and keep me awake. My doctor said I had a classic case of carpal tunnel syndrome. I tried some of the home treatments that she recommended, and the problem didn't get any worse, but it didn't get any better, either. So I went back and asked about surgery. It sounds like the surgery has a good chance of taking care of the problem, so I'm going to give it a try. When you own your own company, it's too expensive to keep missing work. But I'll have to wait till the slow season, because I'll have to take a few weeks' break to recover."
— Javier, age 46
"I thought for sure that I was going to have to have surgery for my carpal tunnel. I type a lot for my job, and my symptoms were really getting bad. My fingers were numb, so I kept hitting the wrong keys on the keyboard and making errors. The pain was waking me up at night, and it was even starting to hurt during the day. I went to my boss and the human resources manager at work, and together we worked out a job-sharing arrangement. Now, for half the day I do work that's not on a computer. I am going to see how that helps, along with the exercises and the splints."
— Catherine, age 40
"When I dropped my third coffee cup in a week, I decided it was time to do something about my hands. I've had this carpal tunnel problem for a couple of years now, and I'm tired of wearing the splints and getting occasional steroid shots in my wrists. My doctor says that whether I have surgery or not is really up to me at this point. I think I'm ready for it."
— Danitra, age 36
Your personal feelings are just as important as the medical facts. Think about what matters most to you in this decision, and show how you feel about the following statements.
Reasons to have surgery
Reasons not to have surgery
I tried other treatments, but my pain is still bad.
I can live with the pain while I give other treatments some more time to work.
I don't mind having surgery if it can get rid of my symptoms.
I just don't want to have surgery.
I'm not worried about the small chance of problems from surgery.
I don't want to take even a small chance of something going wrong with surgery.
I'm afraid of having lasting nerve damage from carpal tunnel syndrome.
I'm not worried that I'll have lasting nerve damage from carpal tunnel syndrome.
My other important reasons:
My other important reasons:
Now that you've thought about the facts and your feelings, you may have a general idea of where you stand on this decision. Show which way you are leaning right now.
Having surgery
NOT having surgery
1. Home treatments may be all I need to get rid of mild symptoms from carpal tunnel syndrome.
2. Surgery may not be a good choice if my symptoms are caused by pregnancy or a health problem.
3. Most people who have surgery have less or no pain or numbness and better hand function.
1. Do you understand the options available to you?
2. Are you clear about which benefits and side effects matter most to you?
3. Do you have enough support and advice from others to make a choice?
1. How sure do you feel right now about your decision?
2. Check what you need to do before you make this decision.
By | |
---|---|
Clinical Review Board | All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals. |
Current as of: July 17, 2023
Author:
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the
To learn more about Healthwise, visit
© 1995-2024 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.
Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see
All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. This website is not intended for residents of New Mexico.