12 doctors weighed in:
How can I tell if I have an indication for carpal tunnel surgery?
12 doctors weighed in

Dr. Robert Coats II
Orthopedic Surgery
3 doctors agree
In brief: Constant symptoms
Once symptoms have been constant for 6 months, it's hard to resolve them with non-operative treatment.
Loss of muscle bulk in the thumb or complete loss of sensation in the digits is an indication for operative treatment. Oral/injectable steroids, splints and or therapy are used to treat symptoms. If symptoms continue after these treatments, surgery is indicated.

In brief: Constant symptoms
Once symptoms have been constant for 6 months, it's hard to resolve them with non-operative treatment.
Loss of muscle bulk in the thumb or complete loss of sensation in the digits is an indication for operative treatment. Oral/injectable steroids, splints and or therapy are used to treat symptoms. If symptoms continue after these treatments, surgery is indicated.
Dr. Robert Coats II
Dr. Robert Coats II
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Dr. Mark Einbecker
Surgery - Hand Surgery
2 doctors agree
In brief: Conservative failure
If splints, meds, rest and cortisone fail and you have a positive emg/ncs then you may want to consider surgery.

In brief: Conservative failure
If splints, meds, rest and cortisone fail and you have a positive emg/ncs then you may want to consider surgery.
Dr. Mark Einbecker
Dr. Mark Einbecker
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2 doctors agree
In brief: U can not
Let your doctor decide.

In brief: U can not
Let your doctor decide.
Dr. Nalinaksha Joshi
Dr. Nalinaksha Joshi
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Dr. Dan Fisher
Internal Medicine
1 doctor agrees
In brief: Symptoms
Symptoms that are present daily - not responsive to proper splints, associated with wasting of muscles or loss of function and or very painful generally require surgery.
Everything else may wait at your discretion.

In brief: Symptoms
Symptoms that are present daily - not responsive to proper splints, associated with wasting of muscles or loss of function and or very painful generally require surgery.
Everything else may wait at your discretion.
Dr. Dan Fisher
Dr. Dan Fisher
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1 comment
Dr. Dan Fisher
Dr. Einbecker is correct. Symptoms that require surgery are as noted above, but you must also have proof of the syndrome with an EMG/NCV study
Dr. Otto Placik
Surgery - Plastics
In brief: Atrophy/dysfunction
Generally it comes done to permanent damage such as muscle atrophy or injury or interference with function as well as the presence of permanent lesions which will not respond to non-surgical treatments.

In brief: Atrophy/dysfunction
Generally it comes done to permanent damage such as muscle atrophy or injury or interference with function as well as the presence of permanent lesions which will not respond to non-surgical treatments.
Dr. Otto Placik
Dr. Otto Placik
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