For most people, **carpal tunnel syndrome** progressively worsens without treatment. However, in the early stages, symptoms may be **modified or stopped**. If symptoms are clearly related to an activity or occupation, changing or stopping that activity may prevent progression.

If diagnosed and treated early, **carpal tunnel syndrome** can be relieved without surgery. In **mild to moderate cases**, doctors typically try **conservative treatments first**.

Bracing or Splinting

Wearing a **brace or splint at night** helps keep the wrist in a **neutral position**, preventing irritation to the **median nerve** that occurs when the wrist is curled during sleep.

Medications

Nonsteroidal anti-inflammatory drugs (**NSAIDs**) such as **ibuprofen** can help relieve pain.

Activity Modifications

Avoiding **hand positions and activities** that worsen symptoms may help. If work-related tasks cause symptoms, modifying job duties may **slow or stop** disease progression.

Steroid Injections

A **corticosteroid injection** into the carpal tunnel may provide **temporary relief**. However, symptoms may return over time.

If nonsurgical treatments **fail to relieve symptoms**, or if the condition is **severe**, surgery may be recommended.

In **severe, long-standing cases** with constant **numbness and muscle wasting**, surgery may be necessary to **prevent irreversible nerve damage**.

The **goal of surgery** is to cut the **transverse carpal ligament**, reducing pressure on the **median nerve**.

Surgical Technique

Most **carpal tunnel release** surgeries are performed **on an outpatient basis** using **local anesthesia**.

• A **small incision** is made in the **palm of the hand**.
• The **transverse carpal ligament** is cut to enlarge the carpal tunnel.
• Over time, the ligament heals while **creating more space** for the nerve and tendons.

Endoscopic Method

Some surgeons use an **endoscopic** technique, making a **smaller incision** and inserting a **tiny camera (endoscope)** to guide the release of the ligament from inside the carpal tunnel.

While this method may **speed up recovery**, both **traditional and endoscopic** procedures produce the **same long-term results**. Your doctor will recommend the best option for your condition.