Endoscopic Carpal Tunnel Surgery is slightly more difficult than open surgery and is therefore infrequently taught but the results are excellent. The majority of research papers show a faster return to normal activities. This tends to be about 2 weeks faster than with the open technique.
We always do this operation with the patient awake. We normally use a tourniquet but can do the operation without if necessary.





This sequence of photos shows the steps in the operation.



Markings for endoscopic surgery to show the safe area.


Starting to inject the local anaesthetic


Last few drops of local being injected.

The clock starts

The incision.



The scope in position




The view inside the wrist



7 minutes later. The final dressing!