Your surgeon will make an incision as small as one inch down the front of the wrist and palm. By creating an open incision, the surgeon is able to see the wrist structures and to carefully do the operation.
The surgeon cuts the transverse carpal ligament in order to take pressure off the median nerve. After dividing the transverse carpal ligament, the surgeon stitches just the skin together and leaves the loose ends of the transverse carpal ligament separated. The loose ends are left apart to keep pressure off the median nerve. Eventually, the gap between the two ends of the ligament fills in with scar tissue.
Pain and symptoms usually begin to improve, but you may have tenderness in the area of the incision for several months after surgery. When the stitches are removed, your surgeon may have you work with a specialist hand therapist for six to eight weeks.
Treatments are used at first to ease pain and inflammation. Gentle massage to the incision can help reduce sensitivity in and around the incision and limit scar tissue from building up. Special exercises are used to encourage normal gliding of the tendons and median nerve within the carpal tunnel.