Endoscopic Carpal Tunnel Surgery in Houston, TX

Signs and Causes of Carpal Tunnel Syndrome

Carpal tunnel syndrome develops when the median nerve, which runs from your forearm into your hand, becomes compressed as it passes through a narrow passageway in your wrist called the carpal tunnel. This nerve is responsible for sensation in your thumb, index, middle, and part of your ring finger.

Common symptoms you might experience include:

• Numbness and “pins and needles” tingling in the thumb, index, middle, and ring fingers.
• Pain or a burning sensation in your hand and wrist, which can sometimes travel up the arm.
• Weakness in the hand, leading to a weaker grip and a tendency to drop objects.

There are a few reasons why this condition might develop. Sometimes the cause is not obvious, but it is often related to repeated hand movements, the shape of your wrist, past injuries like fractures or sprains, or health issues such as diabetes, rheumatoid arthritis, or thyroid problems. Some jobs or activities involving forceful/repetitive hand use or vibration can increase the risk of getting carpal tunnel syndrome. Computer use may worsen symptoms for some people, but it isn’t consistently proven to be the main cause.

If treatments like bracing, rest, anti-inflammatory medicine, or steroid shots stop working, our carpal tunnel surgeon may suggest surgery.

Why Choose Endoscopic Carpal Tunnel Release Surgery?

If you are a good candidate, endoscopic carpal tunnel release surgery at our Houston clinic can offer important benefits compared to traditional open surgery. This newer approach helps reduce discomfort and can help you get back to your normal activities sooner.

The main difference is how the surgery is done. Open release is typically done through a small palm incision (often around 2–4 cm), and many surgeons use a “mini-open” approach. The endoscopic method that Dr. Omar Dimachkieh uses only needs one or two very small cuts, each about half an inch long.

Endoscopic and mini-open surgery both work well. Endoscopic may allow earlier recovery for some people, but long-term results are similar. The best option depends on your anatomy, surgeon experience, and your work/needs.

After making the cut, our hand surgeon inserts a thin camera called an endoscope. This lets him see the area clearly on a monitor and carefully cut the transverse carpal ligament to relieve pressure on the median nerve, all without making a large open cut.

What Can Patients Expect During Recovery After Endoscopic Carpal Tunnel Surgery?

Knowing what to expect during recovery can help you feel less anxious and get ready for a smooth healing process. Our carpal tunnel surgeon in Houston will give you clear, personalized instructions.

Right after your procedure, your hand will be bandaged, and you will probably wear a splint or light brace for support. You can go home the same day. To help with swelling and healing, keep your hand raised above your heart as much as you can for the first few days and use ice packs on the area.

For the first few weeks, keep the surgical area clean and dry. Start moving your fingers gently to avoid stiffness. Our surgeon might suggest certain exercises or send you to a hand therapist to help your wrist and hand get stronger and more flexible. Most people can go back to light desk work in a week or two, but you should avoid heavy lifting or strong gripping for several weeks.

Many people improve quickly, sometimes within days to weeks. If the nerve has been compressed for a long time, sensation and strength may take months to improve and may not fully return. Following your carpal tunnel surgeon’s instructions is important for the best results.