Endoscopic Carpal Tunnel Release
A minimally invasive procedure using a small camera to release the compressed median nerve — relieving hand numbness, pain, and weakness with smaller incisions and faster recovery.
What is Endoscopic Carpal Tunnel Release?
Endoscopic Carpal Tunnel Release relieves compression of the median nerve in the wrist. In carpal tunnel syndrome, the nerve is compressed as it passes through the narrow carpal tunnel, causing pain, numbness, tingling, and hand weakness — often worst at night or with repetitive activity. When symptoms persist despite splints, medication, and physiotherapy, surgical release is recommended. The endoscopic approach uses a small camera and specialised instruments inserted through one or two small incisions to precisely divide the transverse carpal ligament — decompressing the nerve with minimal tissue disruption.
SUITABLE FOR Patients with persistent carpal tunnel syndrome symptoms — numbness, tingling, hand weakness, or nocturnal discomfort — that have not improved with conservative treatments including splints, medication, or physiotherapy.
How the Procedure Works
Pre-operative Nerve Conduction Assessment
Nerve conduction studies confirm the diagnosis, grade severity, and guide surgical planning; anaesthesia is administered on the day of surgery.
Small Incisions
One or two small incisions are made near the wrist to allow introduction of the endoscope and surgical instruments into the carpal tunnel.
Endoscope Insertion
A thin tube with a high-resolution camera is inserted, allowing the surgeon to clearly visualise the transverse carpal ligament and surrounding structures on a monitor.
Ligament Release
Using a specialised blade introduced through the endoscope, the transverse carpal ligament is precisely divided under direct visualisation, decompressing the median nerve.
Nerve Inspection
The surgeon confirms the median nerve is fully decompressed and free of any residual compression along its course through the carpal tunnel.
Wound Closure & Dressing
Instruments are removed; incisions are closed with sutures or adhesive strips and covered with a sterile dressing; hand use begins early.
Outcomes
Who Needs This Treatment?
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Minimally invasive — smaller incisions than open carpal tunnel release
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Effective and lasting relief from numbness, tingling, and hand weakness
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Reduces night-time discomfort that disrupts sleep
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Day-care procedure — no overnight hospital admission required
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Precise endoscopic visualisation ensures accurate ligament release→ Faster return to daily activities and work than open surgery
“Endoscopic carpal tunnel release allows us to precisely divide the compressing ligament with minimal tissue disruption. For patients whose symptoms affect their work or sleep, this procedure offers reliable, lasting relief with a quick return to normal hand activity.”
— Dr. Satish Reddy Gandavarapu, Senior Orthopaedic Consultant and Trauma Surgeon , Lux Hospitals, Hyderabad
Endoscopic Carpal Tunnel Release Cost in Hyderabad
The cost of Endoscopic Carpal Tunnel Release in Hyderabad generally ranges from ₹60,000 to ₹1,20,000, with an indicative average cost of around ₹90,000. Endoscopic carpal tunnel release may be considered for selected patients with carpal tunnel syndrome when symptoms persist despite appropriate non-surgical treatment or when nerve compression requires surgical release. The final cost depends on the severity of nerve compression, surgical technique, anaesthesia, hospitalisation and postoperative care.
| Procedure | Approximate Cost Range |
|---|---|
| Endoscopic Carpal Tunnel Release | ₹60,000 – ₹1,20,000 |
The above range is indicative; the final package and inclusions should be confirmed with the hospital before publication. Endoscopic carpal tunnel release may be performed through a smaller incision in selected patients. The appropriate surgical approach depends on the patient's symptoms, examination findings, nerve conduction results and other clinical factors.
Factors Affecting the Cost of Endoscopic Carpal Tunnel Release
The overall cost of Endoscopic Carpal Tunnel Release can vary depending on the severity of carpal tunnel syndrome, diagnostic findings, surgical technique, anaesthesia, hospitalisation and postoperative care requirements.
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Severity of nerve compression: The extent of median nerve compression and duration of symptoms may influence treatment planning and the need for surgical intervention.
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Diagnostic investigations: Nerve conduction studies, electromyography, blood tests or other investigations may be recommended to confirm the diagnosis and assess nerve function. These may be billed separately when not included in the package.
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Surgical technique: Endoscopic release uses specialised equipment to visualise and divide the transverse carpal ligament, and equipment or operating-room requirements may affect the overall cost.
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Anaesthesia: The type of anaesthesia used for the procedure can vary according to the patient's condition and surgical plan and may contribute to the treatment cost.
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Associated conditions: Arthritis, tendon disorders, previous wrist surgery, nerve problems or other conditions affecting the hand and wrist may require additional assessment or treatment.
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Hospital and consumable charges: Operating-room use, surgical instruments, medicines, dressings, nursing care and hospital charges may contribute to the overall package according to the hospital's structure.
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Postoperative care: Follow-up visits, wound care, hand exercises and rehabilitation may be recommended after surgery. Some of these services may be billed separately.
Insurance Coverage for Endoscopic Carpal Tunnel Release
Endoscopic Carpal Tunnel Release may be covered by health insurance when medically necessary, subject to the patient's policy terms, exclusions, waiting periods, insurer approval and hospital coverage arrangements. Patients should confirm pre-authorisation requirements and applicable coverage with their insurer before treatment.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Satish Reddy Gandavarapu
Orthopaedic & Joint Replacement Surgeon
Dr. Satish Reddy at Lux Hospitals, Hyderabad, can evaluate patients with symptoms of carpal tunnel syndrome and help determine whether endoscopic carpal tunnel release or another treatment approach is appropriate based on clinical examination and nerve-related investigations. During the consultation, the doctor may assess: Hand and wrist symptoms: The doctor may review numbness, tingling, burning sensations, pain and weakness affecting the hand or fingers, particularly symptoms that worsen at night or during repetitive activities. Median nerve distribution: The pattern of sensory changes and symptoms in the thumb, index, middle and part of the ring finger may be assessed to determine whether it is consistent with median nerve compression. Hand strength: Grip strength, thumb opposition and other hand functions may be examined for evidence of weakness or reduced dexterity. Physical examination: Wrist movements, sensation, tenderness and clinical tests for carpal tunnel syndrome may be performed as part of the assessment. Nerve conduction studies: When indicated, nerve conduction studies or electromyography may be reviewed to assess the severity of median nerve compression and support treatment planning. Previous treatment: Wrist splinting, activity modification, medicines, injections and other non-surgical treatments may be discussed along with the patient's response. Treatment suitability: Based on the overall findings, the doctor may discuss endoscopic carpal tunnel release, open release or continued non-surgical management as appropriate.
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