✦ Keyhole Nerve Decompression

Endoscopic Carpal Tunnel Release

Q: Is endoscopic release as effective as open?

Yes — large studies show identical long-term success rates for both. Choice depends on surgeon preference, anatomy and patient factors.

Q: Are nerve injuries more common?

No — modern endoscopic systems with video visualisation are very safe in trained hands. Complication rates are similar to open release approach.

Q: Can revision cases be done endoscopically?

Generally not. Revision carpal tunnel surgery is usually performed open, allowing direct visualisation of scar tissue around the median nerve.

Q: When can I lift weights again?

Light gripping starts within days. Heavier weights and strenuous gym activity typically resume by 4–6 weeks following progressive recovery.

The carpal ligament is divided through a single 1 cm wrist incision using a tiny endoscope — offering the fastest possible return to gripping work with minimal palmar scarring.

15–30 min PROCEDURE

Day-Care HOSPITAL STAY

>95% SUCCESS RATE

1–2 Weeks FULL RECOVERY

What is Endoscopic Carpal Tunnel Release?

Endoscopic Carpal Tunnel Release is the most minimally invasive surgical option for treating carpal tunnel syndrome. Through a single 1-centimetre incision at the wrist crease, a slim endoscopic camera is introduced into the carpal tunnel, and the transverse carpal ligament is precisely divided from inside the tunnel under direct video visualisation. The skin and palmar fascia outside the tunnel remain undisturbed, sparing the patient the pillar pain and prolonged grip weakness associated with traditional open release. Dr. Hithesh performs endoscopic carpal tunnel release in Hyderabad for patients prioritising the fastest possible return to gripping activity.

Suitable for patients with confirmed carpal tunnel syndrome failing conservative care — particularly manual workers and those wanting fastest return to gripping activity, or concerned about the cosmetic impact of a palmar scar.

How the Procedure Works

Anaesthesia & Setup

Local infiltration or regional wrist block; the hand is positioned palm-up with tourniquet inflation for a bloodless field.

Wrist Crease Incision

A single 1-centimetre incision is made at the proximal wrist crease — significantly smaller than the open release incision.

Endoscope Insertion

A specially designed endoscopic cannula carries a tiny camera into the carpal tunnel, providing magnified internal visualisation throughout.

Ligament Division

Under direct endoscopic vision, a small retractable blade divides the transverse carpal ligament along its entire length precisely.

Closure & Recovery

The tiny incision is closed with one or two sutures; light dressing applied; same-day hand use is encouraged immediately.

Outcomes

15–30 minDURATION

Day-CareHOSPITAL STAY

>95%SUCCESS RATE

1–2 WeeksFULL RECOVERY

Who Needs This Treatment?

→Significantly faster early recovery compared to traditional open release
→Single 1-centimetre wrist scar with no palmar incision required
→Earlier return to manual gripping work and daily occupational duties
→Substantially less pillar pain at the palm during recovery
→Quick day-care procedure performed under local or regional anaesthesia
→Long-term outcomes equivalent to open release in published studies

For manual workers and people who simply cannot afford weeks of pillar pain, endoscopic release is genuinely transformative. Same outcome as open surgery — but with patients gripping tools again within days.

— — Dr. Bathini Hithesh, Consultant Orthopaedic Surgeon, Trauma & Joint Replacement Specialist, Lux Hospitals, Hyderabad

Common Questions

Frequently Asked Questions

Is endoscopic release as effective as open?+

Are nerve injuries more common?+

Can revision cases be done endoscopically?+

When can I lift weights again?+

Not sure which treatment is right for you?

Book a consultation with Dr. Bathini Hithesh and get a personalised treatment plan.

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