How Endoscopic Carpal Tunnel Release Helps Avoid Sympathetic Dystrophy

When dealing with carpal tunnel syndrome, one of the main surgical options is carpal tunnel release. Traditionally, an open carpal tunnel release has been used to relieve pressure on the median nerve. However, a less invasive method called endoscopic carpal tunnel release has become increasingly popular due to its many benefits—one of the most important being the avoidance of a serious complication known as sympathetic dystrophy.

What Is Sympathetic Dystrophy?

Sympathetic dystrophy, often referred to as complex regional pain syndrome (CRPS), is a condition that can lead to chronic and debilitating pain in the hand or wrist. It typically occurs when the healing process after a surgical procedure is disrupted by limited movement or immobilization. Pain levels can become so severe that even light touch may be unbearable. Fortunately, this issue has never been documented following an endoscopic carpal tunnel release.

Why Sympathetic Dystrophy Occurs More Often in Open Surgery

In open carpal tunnel release, a larger incision is made across the palm, which can lead to more tissue disruption. Because of the incision and perceived post-operative pain, patients may feel compelled to restrict movement, wearing heavy bandaging or bracing their hands longer than necessary. Prolonged immobilization can interfere with normal circulation and nerve signaling, potentially increasing the risk of developing sympathetic dystrophy.

The Endoscopic Advantage

Endoscopic carpal tunnel release uses a smaller incision—often just a tiny portal—to access the transverse carpal ligament. This minimally invasive approach results in:

• Reduced Tissue Trauma – With fewer structures disrupted, there is less reason for prolonged immobilization and less post-surgical pain.
• Faster Recovery – Patients can typically resume daily activities sooner, helping maintain healthy circulation and nerve function.
• Lower Risk of Complications – Because movement is encouraged early in the healing process, the chances of developing complications like sympathetic dystrophy are significantly minimized.

At Nebraska Hand & Shoulder, Dr. Ichtertz has successfully performed thousands of endoscopic carpal tunnel releases without encountering a single case of sympathetic dystrophy. This track record highlights the procedure’s reliability and underscores the importance of choosing a surgical approach that prioritizes both efficacy and patient comfort.

If you’re considering surgery for carpal tunnel syndrome, talk to your hand specialist about the advantages of endoscopic carpal tunnel release. By opting for a procedure that minimizes tissue disruption and encourages early mobility, you significantly reduce the risk of complications like sympathetic dystrophy—ensuring a quicker, more comfortable recovery. For more information or to schedule an evaluation, reach out to Nebraska Hand & Shoulder today. Your hands will thank you.