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A 40-year-old member asked:

Local aneasthesia for carpal tunnel? i'm terrified about general anaesthesia and am a poor candidate for it due to my age and heart condition. i require surgery for carpal tunnel in my hands. is there a way i could undergo this with local anaesthesia only

5 doctor answers14 doctors weighed in
Dr. Geoffrey Rutledge
Internal Medicine 41 years experience
Yes, : Yes, carpal tunnel surgery can be done under regional anesthesia rather than general. Regional anesthesia involves using injections of anesthetic medication directly around the nerves that usually carry pain signals from the hand and wrist to the brain. This can be done at the level of the wrist, or more commonly near the neck and shoulder to numb the entire limb. Often patients under local or regional anesthesia are given sedative medications to make them sleepy during surgery so that they are not uncomfortable not moving for the hour or so while the surgery occurs, and also so that they don't remember being operated on. The sedation is mild enough that you remain partially conscious and will not need a machine to help you breathe.
Dr. Todd Guyette
Specializes in Hand Surgery
Yes: Newer endoscopic techniques can require general anesthesia, but the traditional open technique, which has just as good results, can be done under straight local anesthesia.
Dr. Richard Pollard
Anesthesiology 30 years experience
Yes: You will have to discuss this with your surgeon and anesthesiologist. I would suggest that a small dose of a sedative would be safe despite your condition. This would make your experience more pleasant.
Dr. Rodney Del Valle
A Verified Doctoranswered
A US doctor answeredLearn more
Yes: Few techniques can be use. Monitor anesthesia care with sedation and local anesthesia by surgeon; bier block-intravenous regional block and regional blocks like axillary brachial plexus block. All are very safe.
Dr. Alex Meyers
Hand Surgery 25 years experience
Carpal tunnel syn: Local anesthetic alone for carpal tunnel surgery can work great. It's a good option for that surgery.
Dr. David Rosenfeld
Pain Management 27 years experience
A carpel tunnel release can certainly be done under local anesthetic.
Apr 29, 2017

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Last updated Jan 23, 2019

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