5 doctors weighed in:

What are the criteria for going ahead with carpal tunnel surgery?

5 doctors weighed in
Dr. Michael Fitzmaurice
Surgery - Hand Surgery
1 doctor agrees

In brief: Persistent symptoms

If you have persistent symptoms of numbness, weakness or pain with a diagnosis of CTS despite trying some conservative management including a splint, anti inflammatories, or steroids then you really should consider surgery.
the success rate is very good at over 90%. Surgery will delay any further injury to the nerve which can even lead to permanent nerve damage if not managed appropriately.

In brief: Persistent symptoms

If you have persistent symptoms of numbness, weakness or pain with a diagnosis of CTS despite trying some conservative management including a splint, anti inflammatories, or steroids then you really should consider surgery.
the success rate is very good at over 90%. Surgery will delay any further injury to the nerve which can even lead to permanent nerve damage if not managed appropriately.
Dr. Michael Fitzmaurice
Dr. Michael Fitzmaurice
Thank
Dr. Edward Smith
Neurology
1 doctor agrees

In brief: Pain or weakness

If you can't stand the pain or the numbness despite conservative therapy surgery should be considered.
Most important is weakness and / or muscle wasting (atrophy). If you have that, get surgery. What strength you lose you may not get back. Surgery is to prevent further loss. Good news--carpal tunnel surgery has a 90% success rate.

In brief: Pain or weakness

If you can't stand the pain or the numbness despite conservative therapy surgery should be considered.
Most important is weakness and / or muscle wasting (atrophy). If you have that, get surgery. What strength you lose you may not get back. Surgery is to prevent further loss. Good news--carpal tunnel surgery has a 90% success rate.
Dr. Edward Smith
Dr. Edward Smith
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Dr. Kevin Vaught
Neurosurgery

In brief: Not better

Carpal tunnel surgery is an option if you have been thoroughly evaluated by a specialist, the diagnosis has been confirmed with nerve studies and you have failed appropriate conservative measures.
Having said that, the surgery had a good success rate.

In brief: Not better

Carpal tunnel surgery is an option if you have been thoroughly evaluated by a specialist, the diagnosis has been confirmed with nerve studies and you have failed appropriate conservative measures.
Having said that, the surgery had a good success rate.
Dr. Kevin Vaught
Dr. Kevin Vaught
Thank
Dr. Mark Einbecker
Surgery - Hand Surgery

In brief: You're tired of it

If you have exhausted conservitive treatment and you are tired of putting up with the symtoms then you and your doc can talk about surgery.
Also intractable pain, loss of two point discrimination or wasting of the muscle at the base of the thumb are all reasons to consider surgical treatment.

In brief: You're tired of it

If you have exhausted conservitive treatment and you are tired of putting up with the symtoms then you and your doc can talk about surgery.
Also intractable pain, loss of two point discrimination or wasting of the muscle at the base of the thumb are all reasons to consider surgical treatment.
Dr. Mark Einbecker
Dr. Mark Einbecker
Thank
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