Dr. John Crock
Plastic and Reconstructive Surgeon

Member
Australian
Society of
Plastic Surgeons

Carpal Tunnel Surgery Melbourne

Carpal Tunnel Syndrome is a common condition caused by the compression of the median nerve as it passes through the carpal tunnel in the wrist. This nerve compression leads to symptoms such as numbness, tingling, and pain in the hand and fingers, particularly in the thumb, index, and middle fingers. If left untreated, Carpal Tunnel Syndrome can progress, leading to weakness and decreased hand function.

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About the Carpal Tunnel Procedure

Carpal tunnel surgery is performed on an outpatient basis, meaning you can go home the same day. The procedure generally takes about 30 to 60 minutes. During the surgery, the transverse carpal ligament is cut to relieve pressure on the median nerve. This releases the compression, alleviating symptoms and preventing further nerve damage.

See more information about the carpal tunnel procedure in our video below:

Types of Carpal Tunnel Treatment

Open Carpal Tunnel Release Surgery

This traditional approach involves making an incision in the palm to access the carpal tunnel. The transverse carpal ligament is cut to relieve pressure on the median nerve.

Endoscopic Carpal Tunnel Release Surgery

A minimally invasive technique where a small camera (endoscope) is used to guide the surgeon in cutting the transverse carpal ligament through a smaller incision.

 

Both methods are effective in relieving symptoms, and the choice of procedure depends on the patient’s specific condition and the surgeon’s recommendation.

Consultation for Carpal Tunnel Surgery

During your consultation at Knox Plastic Surgery, Dr. Crock will conduct a thorough evaluation, including a physical examination and review of your medical history. You may also undergo diagnostic tests, such as nerve conduction studies, to confirm the diagnosis and assess the severity of the condition. This comprehensive approach ensures that you receive the most appropriate treatment for your specific needs.

Am I a Good Candidate for Carpal Tunnel Surgery?

You may be a good candidate for carpal tunnel surgery if you experience:

  • Persistent numbness, tingling, or pain in your hand or fingers, especially at night.
  • Weakness in the hand, making it difficult to grip objects.
  • Symptoms that have not improved with non-surgical treatments like splinting, physical therapy, or corticosteroid injections.

 

Surgery is typically recommended for patients whose symptoms significantly impact their quality of life or for those who have not responded to conservative treatments.

Outcomes of Carpal Tunnel Treatment

Most patients experience significant relief from symptoms after carpal tunnel surgery. The success rate is high, with many patients regaining full hand function and experiencing a marked improvement in their quality of life. It may take several weeks to a few months for complete recovery, especially in terms of regaining strength and sensation in the hand.

Recovery & Post-Procedure

Recovery from carpal tunnel treatment varies depending on the individual and the type of procedure performed. Generally, you can expect:

  • Initial Recovery: Swelling and discomfort are common in the first few days. Keeping the hand elevated and applying ice can help reduce swelling.
  • Suture Removal: Stitches are typically removed within 10-14 days after surgery.
  • Physical Therapy: Engaging in hand exercises or physical therapy can aid in regaining strength and flexibility.
  • Return to Activities: Most patients can return to light activities within 2-4 weeks, with a gradual return to full activities over the next few months.

Risks

As with any surgical procedure, carpal tunnel surgery carries some risks, including:

  • Infection: infections can occur at the incision site.
  • Nerve or Blood Vessel Damage: Care is taken to avoid these, but there is a small risk.
  • Stiffness or Scar Sensitivity: Some patients may experience stiffness or sensitivity in the scar area.
  • Incomplete Relief of Symptoms: In some cases, symptoms may persist if the nerve has been severely damaged before surgery.

Cost of Carpal Tunnel Treatment

The cost of carpal tunnel surgery at Knox Plastic Surgery includes fees for the procedure, anaesthesia, and post-operative care. A detailed quote will be provided during your consultation, tailored to your specific needs. Patients with private health insurance may have varying out-of-pocket expenses, depending on their coverage. It’s advisable to check with your insurance provider to understand your benefits.

About Dr John Crock

Dr John Crock has over 30 years of experience performing carpal tunnel surgery and microsurgical procedures. These procedures have been among the most frequent in his distinguished career, earning him recognition as a leading specialist in the field. Dr. Crock has been honoured with prestigious awards, including the Plastic Surgery Education Foundation Award (USA) and the Surgical Research Societies Young Investigator’s Award. His training spans internationally, with experience in England, the USA, and Australia (Melbourne and Perth). Additionally, he is the recipient of the Johnson and Johnson Clinical Research Award, underscoring his commitment to excellence in surgical practice.