✦ Standard Nerve Decompression

Open Carpal Tunnel Release (CTR)

Q: Will the surgery cure my numbness completely?

Most patients enjoy complete relief within weeks. Severe long-standing compression may leave some residual sensory change despite decompression.

Q: Is the palmar scar painful for long?

Pillar pain near the scar can last 4–6 weeks. Scar massage, gentle stretching and time settle the discomfort completely in nearly all cases.

Q: Can both hands be done together?

Most surgeons prefer staged release. Operating one hand at a time preserves daily function during the brief recovery and rehabilitation period.

Q: What about driving and writing?

Driving usually resumes within a week. Writing depends on dominant hand recovery — typically comfortable by 2–3 weeks postoperatively.

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.

15–30 min PROCEDURE

Day-Care HOSPITAL STAY

>95% SUCCESS RATE

2–4 Weeks FULL RECOVERY

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

15–30 minDURATION

Day-CareHOSPITAL STAY

>95%SUCCESS RATE

2–4 WeeksFULL RECOVERY

Who Needs This Treatment?

→Provides rapid lasting relief from numbness and night-time tingling
→Restores hand grip strength and fine manipulation skills effectively
→Quick day-care procedure performed under local or regional anaesthesia
→Direct nerve visualisation makes it the safest carpal tunnel approach
→Time-tested technique with very high success and patient satisfaction
→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

Common Questions

Frequently Asked Questions

Will the surgery cure my numbness completely?+

Is the palmar scar painful for long?+

Can both hands be done together?+

What about driving and writing?+

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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