Hand and Wrist

Carpal Tunnel Syndrome

What is Carpal Tunnel Syndrome?

Overview of Carpal Tunnel Syndrome

The carpal tunnel is a narrow passage from the forearm to the hand that contains the median nerve and several tendons. This tunnel has a floor and walls consisting of bone, and the roof is made of a thick ligament. When pressure increases in the carpal tunnel, it decreases the blood supply to the median nerve and causes the symptoms of numbness, tingling, weakness, and occasionally pain with potential damage to the median nerve. These symptoms occur when the median nerve is compressed in the carpal tunnel and typically occur at night. With constant use of the hand during the day, pain, numbness or tingling can occasionally become constant.

Open Carpal Tunnel Release Surgery

Carpal tunnel release surgery is a procedure used to relieve the pressure on your nerve caused by carpal tunnel syndrome. Though there are several different techniques your wrist doctor may use to perform carpal tunnel release, the goal is to open the “roof” of the tunnel through which your affected nerve passes, dividing it in two. Over time, new tissue will bridge this gap, resulting in a larger tunnel with extra room for your nerve.

Using the most common form of carpal tunnel release, the open technique, your wrist surgeon will access your affected nerve through the middle of your palm. Using the closed technique for carpal tunnel release, your hand doctor will make a small incision in your wrist and your palm, then use an endoscope to open the “roof” of the tunnel through your wrist.

See a Specialist

To learn more about carpal tunnel release surgery and schedule an appointment with one of our hand and wrist surgeons, please request an appointment online, or call 509-344-HAND (4263).

Make an Appointment

Appointment Resources

Once you have scheduled your appointment with one of our hand surgeons, please use the link below to obtain our new patient forms and browse through our tips and suggestions on preparing for your appointment. 

Preparing for My Appointment & New Patient Forms


"Not only was Dr. Sestero professional in his work to fix my carpal tunnel, but he was a joy to be with. Other members of the staff that we visited with were also well trained and very friendly." — Nadine F.

"I developed carpal tunnel syndrome and Dr. Sestero ordered nerve conduction studies that verified the diagnosis. My surgery was done at Northwest Orthopaedic Specialists’ outpatient surgery. All the staff were excellent. The surgery and the results were excellent.  I have no further symptoms.  Recovery was very short and I would do it all again if need be." — Jess L.

"Awesome experience. We first came to Dr. Sestero a few years back for an injury my husband sustained, which was creating carpal tunnel symptoms. And indeed it was, and it was the second time he needed surgery on his right hand for this. He was able to get it done right away. All was well. "I needed it a couple years back, had to save money for mine, and I finally got it done. I'm almost three weeks post-surgery and doing very well. Everyone was absolutely wonderful. Brianna at the desk: wow, she is so amazing. Then all nurses and everyone, we are very, very happy, and since we had to pay for our surgeries ourselves, we are very happy we got such good service for our money. We both thank everyone, and if we ever need surgery again, we know where to go." — Theresa W.

"Had carpal tunnel surgery on in April 2013. The whole staff at the surgery center was great. I felt comfortable during the whole process. Everything was explained to me about the procedure, and I was on my way home sooner then I figured I'd be. I was called the next day to see how I was doing. Thank you to everyone involoved on my case." — Scott