Carpal tunnel release is a minimally invasive procedure that releases the transverse carpal ligament to decompress the median nerve — addressing the numbness, tingling, and weakness caused by carpal tunnel syndrome. Consultations with our fellowship-trained surgeons in 1–3 days, with surgery typically 2–4 weeks later. The procedure is outpatient day surgery; most patients return to desk work within days and to full activities over 4–6 weeks.
At Pathway, our fellowship-trained hand and wrist surgeons perform carpal tunnel surgery. Consultations are available in 1–3 days, with surgery typically 2–4 weeks later.
At a glance
Carpal tunnel release is a minimally invasive procedure that releases the transverse carpal ligament to decompress the median nerve — addressing the numbness, tingling, and weakness caused by carpal tunnel syndrome.
Carpal tunnel syndrome occurs when the median nerve becomes compressed as it passes through the carpal tunnel — a narrow passageway in the wrist formed by bones and the transverse carpal ligament. This compression causes numbness, tingling, and weakness in the thumb, index, and middle fingers.
Carpal tunnel release surgery divides the transverse carpal ligament to create more space for the nerve, aiming to reduce pressure and support nerve function recovery.
A straightforward outpatient procedure, typically performed under local anesthesia.
A small incision is made in the palm to directly visualize and divide the transverse carpal ligament. This approach provides excellent access and has a long track record.
A camera is inserted through one or two small incisions to guide the release. This may allow for a faster return to activity with less palm tenderness.
Both techniques achieve the same goal — your surgeon will recommend the best approach for your situation.
Our fellowship-trained surgeon with expertise in hand and upper extremity surgery.
Day of surgery
1Day of surgery
Go home the same day; keep the hand elevated
Weeks 1–2
2Weeks 1–2
Keep the dressing clean and dry; gentle finger movements
Weeks 2–4
3Weeks 2–4
Gradual return to light activities
Weeks 6–8
4Weeks 6–8
Return to most normal activities; grip strength improving
2–4 weeks
Sutures removed
Gradual return to light activities
4–6 weeks
Heavier work
Jobs with heavy gripping or manual labor may need 4–6 weeks off
6–8 weeks
Most activities
Grip strength improving
Many patients experience improvement in symptoms, particularly nighttime numbness and pain. Most do not require formal physical therapy — your surgeon will provide specific exercises to do at home.
The procedure itself typically takes 15-30 minutes. Including preparation and recovery, you can expect to be at the facility for 1-2 hours.
Most patients do not require formal physical therapy. Your surgeon will provide specific exercises to do at home. If recovery is slower than expected, hand therapy may be recommended.
Desk work can often resume within a few days. Jobs requiring heavy gripping or manual labor may require 4-6 weeks off. Your surgeon will provide specific guidance based on your occupation.
No referral is required. You can book a consultation directly with our team to discuss your symptoms and explore treatment options.
Schedule a consultation to discuss your carpal tunnel symptoms and treatment options with our specialist. No referral required.