Open Carpal Tunnel Release in Cleveland, OH
Carpal tunnel syndrome occurs when the median nerve—which runs from your forearm into the palm of your hand—becomes pressed or squeezed at the wrist. This leads to the classic symptoms of pain, numbness, and “pins and needles” that can disrupt your sleep and your livelihood. When the compression is severe or anatomy is complex, the Open Carpal Tunnel Release is the gold-standard surgical solution.
Dr. Rodney Green performs this procedure with meticulous care, focusing on fully decompressing the nerve to prevent permanent damage and restore your hand’s strength and sensation.
What is Open Carpal Tunnel Release?
While endoscopic methods are preferred by Dr. Green,, the “open” technique remains a vital tool in hand surgery. It allows the surgeon direct, 100% visibility of the transverse carpal ligament and the median nerve.
- Direct Access: Dr. Green makes a small incision (typically 1–2 inches) in the palm of the hand.
- The Release: By having a direct view, Dr. Green can safely divide the ligament that is pressing on the nerve, providing immediate room for the nerve to begin healing.
- Comprehensive Inspection: This method is often preferred if there are other issues in the wrist, such as small cysts or complex scar tissue from a previous injury, that need to be addressed simultaneously.
Who is a Candidate for the Open Approach?
Dr. Green may recommend an open release over an endoscopic one if:
- Severe Compression: The nerve is significantly flattened or damaged, requiring a more extensive decompression.
- Complex Anatomy: You have smaller-than-average wrists or anatomical variations that make endoscopic visualization difficult.
- Revision Surgery: You have had carpal tunnel surgery in the past that was unsuccessful or has recurred.
The Procedure: What to Expect
Open Carpal Tunnel Release is a highly successful outpatient procedure that generally takes about 20 to 30 minutes.
- Anesthesia: Usually performed under local anesthesia with light sedation. Your hand will be completely numb and you will feel no pain.
- The Incision: A small vertical incision is made in the palm. Dr. Green follows the natural creases of your hand to ensure the resulting scar is as discreet as possible.
- The Repair: Once the ligament is divided, the skin is closed with fine sutures and a protective bandage is applied.
Recovery: Your Path to Healing
Your surgery is performed on an outpatient basis at Legacy Surgery Center, where Dr. Green serves as the Medical Director, ensuring the highest standards of safety and care.
- Immediate Finger Movement: You will be encouraged to move your fingers immediately after surgery to help keep the tendons gliding and reduce swelling.
- The First Week: You should keep your hand elevated and avoid heavy lifting. Most patients find that the “stabbing” nerve pain they had before surgery is gone almost instantly.
- Suture Removal: Stitches are typically removed within 10 to 14 days.
- Pillar Pain: Some patients experience “pillar pain” (soreness in the palms) for several weeks. This is a normal part of the healing process as the palm tissue adjusts to the released ligament.
- Direct Access: Our team maintains close contact with patients via telephone, and Dr. Green is always available for direct consultation and reassurance.
Important Note on Your Recovery & Results
Every individual’s body is unique, and as such, recovery timelines and the restoration of hand strength will vary from patient to patient. Long-term nerve health depends on how long the nerve was compressed before surgery.
While Dr. Green and our team are here to support you, your safety is a partnership. It is vital that you contact our office immediately at 440-449-8880 if you notice any unusual symptoms, such as significant swelling, fever, or a change in the color of your fingertips. Early communication ensures we can provide the necessary guidance to keep your recovery on track.
Open Carpal Tunnel FAQs
How long will the numbness take to go away?
If the nerve was compressed for a long time, the numbness may take weeks or even months to fully resolve as the nerve fibers regenerate. However, the “pain” usually subsides much faster.
Will I have a scar in my palm?
Yes, but Dr. Green’s precise suturing technique ensures the scar fades significantly over time, usually becoming a thin, pale line hidden in the natural contours of the palm.
When can I return to work?
For “desk work,” many patients return in 1 week. For manual labor or jobs requiring a strong grip, it may take 4 to 6 weeks to ensure the palm is fully healed.
Will I need physical therapy?
Most patients do not require formal physical therapy and can regain strength through a series of simple home exercises provided by Dr. Green.
Consultation Checklist: Questions to Ask Dr. Green
- Why is the open approach better for my specific case than the endoscopic approach?
- How long should I wait before re-piercing or wearing jewelry on that hand?
- What are the chances of my carpal tunnel symptoms returning?
- What home exercises do you recommend to prevent stiffness?
Achieve Your Dream Body With Our Experienced Surgical Team
We understand that your body is unique, and your goals for surgery are too. That’s why we offer a variety of surgical procedures to help you achieve your desired results.
Dr. Rodney Green is dedicated to providing you with the highest quality care and support. We will work with you to create a personalized treatment plan that meets your individual needs and expectations.
Call us at 440-449-8880 or email us at drgreen@dr-rodgreen.com to take the first step toward the body of your dreams. to take the first step toward the body of your dreams.