For most patients with severe carpal tunnel syndrome lasting for more than six months, surgery is the only option that will provide permanent relief. Many orthopedic physicians prefer a new surgical procedure, Balloon Carpal Tunnelplasty, over the traditional surgeries.
Balloon Carpal Tunnelplasty
Balloon Carpal Tunnelplasty is a minimally invasive technique that avoids incisions in the palm of the hand and is the only procedure that fully preserves the transverse carpal ligament.
The procedure utilizes an inflatable directional balloon that elevates and stretches the transverse carpal ligament; taking pressure off the nerve. Because of its minimally invasive nature, it is possible for a patient to return to their normal daily activities in a very short period of time.
“Balloon Carpal Tunnelplasty has become the procedure of choice by leading orthopedic surgeons and OASIS Medical and Wellness, as it is the ONLY surgical carpal tunnel procedure that preserves the transverse carpal ligament; therefore it is the only surgical solution without the long term side effects associated with the loss of biomechanics caused by cutting this ligament,” said Bryan Massoud, MD, Orthopedic surgeon and Founder of OASIS Medical and Wellness, which has offices in NJ: Glen Rock, Union and Old Bridge and NY: Brooklyn.
Traditional carpal tunnel surgery
The two surgical procedures traditionally used are Carpal Tunnel Release and Endoscopic Carpal Tunnel Release, which have several disadvantages in common.
- Palm or Wrist incision(s)
- Cutting of the transverse carpal ligament (TCL)
In the open procedure, the surgeon makes an incision up to 2 inches long in the wrist, then cuts the carpal ligament to enlarge the carpal tunnel.
In the endoscopic carpal tunnel release, the surgeon makes two ½-inch incisions in the wrist and palm, inserts an endoscopic camera via a tube to view the procedure inside the incision and cuts the carpal ligament. This endoscopic surgery minimizes scarring and scar tenderness, and offers faster functional recovery and less postoperative discomfort than open release surgery, but it doesn’t preserve the transverse carpal ligament.
Full recovery can take months as the ligament repairs itself. Occasionally the wrist loses strength because the carpal ligament has been cut and patients must undergo physical therapy after surgery to restore wrist strength.