Hand surgery

Carpal tunnel syndrome (CTS) is a condition where the median nerve is compressed where it passes through a short tunnel at the wrist. The tunnel contains the tendons that bend the fingers and thumb as well as the nerve. CTS commonly affects women in middle age but can occur at any age in either sex.

Waiting times

Referral to first assessment 1 week.

About The Service 

Our NHS carpal tunnel surgery is performed by an orthopaedic consultant supported by a dedicated nursing team.

Service eligibility

We accept all referrals from accredited GPs.

Before your operation

On being referred to us for carpal tunnel surgery you will be contacted by our friendly staff to arrange a convenient appointment usually within one week of the referral.

At your initial consultation you will be assessed by the theatre nurse. You can ask any questions around your care during this appointment. Your initial appointment includes a full assessment and takes approximately 15 minutes. Options are discussed regarding the use of a splint, steroid injections or carpal tunnel surgery. If you are suitable for carpal tunnel surgery this will be discussed in detail and you will be taken through the risks and benefits of the procedure and will sign a consent form.

Following this appointment you will be given a date for your operation and a date for MRSA screening. Prior to your operation the MRSA screening result is checked in order to ensure it is negative. If it proves positive your operation will be cancelled and you will be prescribed antibiotics and screened again for MRSA prior to being re-listed for your operation. You are not able to have your operation until your MRSA screening is negative.  

On the day of the operation

Your operation will be performed by Mr Khuffash (consultant orthopaedic surgeon) in our day surgery unit.

On arrival you will be received by our reception staff and nursing staff who will support you through our pre-admission process. Prior to your operation nursing staff will take your blood pressure and do vital observations.

You will then be seen by Mr Khuffash (consultant orthopaedic surgeon) prior to your operation and you can ask any questions related to the operation.

You will then be taken to the operating theatre for the procedure which usually takes about half an hour.

After the operation you will be given post operative instructions regarding wound care and after care advice.  A contact number is also provided for if you have any concerns.  You will be given an appointment for your stitches removing.

If you do have any concerns or problems after the operation please contact the surgery and speak to a member of our admin or healthcare team so that arrangements can be made for you to be seen immediately.

Aftercare

No further appointments are arranged unless you have any problems. If you do have problems please telephone us and we will arrange an appointment for you to be seen as soon as possible.

BUPA information on CTS