Open Carpal Tunnel Release (CTR)
The compressed median nerve at the wrist is decompressed through a small palm incision — restoring sensation, eliminating night-time numbness and quickly returning hand grip to normal.
What is Open Carpal Tunnel Release (CTR)?
Open Carpal Tunnel Release (CTR) is the time-tested surgical solution for symptomatic carpal tunnel syndrome — a common entrapment neuropathy in which the median nerve is compressed at the wrist beneath the transverse carpal ligament. Through a small palmar incision, the ligament is precisely divided under direct visualisation, immediately decompressing the nerve and restoring its blood supply. Performed under local or regional anaesthesia as a day-care procedure. Dr. Hithesh performs open carpal tunnel release in Hyderabad with focus on safe direct visualisation, providing reliable lasting relief from numbness, tingling and grip weakness.
Indicated for patients with confirmed carpal tunnel syndrome — numbness, tingling, weakness or pain in the thumb-side fingers — that has failed conservative treatment with night splinting and ultrasound-guided injections.
How the Procedure Works
Anaesthesia & Positioning
Local infiltration or regional wrist block; the hand is positioned palm-up on a hand table with tourniquet inflation.
Palmar Incision
A 2–3 centimetre incision aligns with the natural skin crease in the palm directly over the carpal tunnel.
Tissue Dissection
Subcutaneous fat and palmar fascia are carefully spread, exposing the transverse carpal ligament — the roof of the tunnel.
Ligament Division
The transverse carpal ligament is precisely divided along its entire length under direct vision, decompressing the median nerve.
Closure & Recovery
The skin is closed with sutures; a light dressing is applied; light hand use begins within a few days postoperatively.
Outcomes
Who Needs This Treatment?
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Provides rapid lasting relief from numbness and night-time tingling
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Restores hand grip strength and fine manipulation skills effectively
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Quick day-care procedure performed under local or regional anaesthesia
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Direct nerve visualisation makes it the safest carpal tunnel approach
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Time-tested technique with very high success and patient satisfaction
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Suitable for revision carpal tunnel surgery and complex anatomical variations
Few operations deliver relief as quickly as carpal tunnel release. Patients tell me they slept through the night for the first time in years — that single change in life quality is hard to overstate.
— — Dr. Bathini Hithesh, Consultant Orthopaedic Surgeon, Trauma & Joint Replacement Specialist, Lux Hospitals, Hyderabad
Open Carpal Tunnel Release (CTR) Cost in Hyderabad
The cost of open carpal tunnel release (CTR) in Hyderabad depends on the severity of carpal tunnel syndrome, the complexity of the procedure, the investigations required, and the care needed before and after surgery.
For patients requiring a standard open surgical approach, the approximate cost of open carpal tunnel release ranges between ₹40,000 and ₹80,000.
| Procedure | Approximate Cost Range |
|---|---|
| Open Carpal Tunnel Release (CTR) | ₹40,000 – ₹80,000 |
The final cost may vary depending on your individual condition, findings during evaluation, and whether any additional procedures are required.
Factors That Influence Open Carpal Tunnel Release Cost
The overall cost may depend on:
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Severity of carpal tunnel syndrome: The duration and severity of nerve compression, sensory symptoms, weakness, and functional limitations may influence treatment planning.
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Pre-operative evaluation: Required investigations, clinical examination, nerve conduction studies, and medical assessments before surgery may affect the overall cost.
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Additional procedures: If procedures such as treatment of associated nerve or tendon conditions or other hand interventions are required, the cost may vary.
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Hospital stay and post-operative care: The duration of admission, medicines, wound care, physiotherapy, and follow-up requirements may influence the final estimate.
Is Open Carpal Tunnel Release Covered by Insurance?
Open carpal tunnel release may be covered by health insurance when it is performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, the cashless approval process, and insurance-related queries before the procedure.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Hitesh Bathini
Orthopaedic Surgeon
During consultation, Dr. Hitesh Bathini, Orthopaedic Surgeon in Hyderabad, will evaluate your symptoms, medical history, and investigation reports to determine whether open carpal tunnel release is suitable for you. He will explain the procedure, expected outcomes, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Bathini Hithesh and get a personalised treatment plan.