When Does Carpal Tunnel Syndrome Require Wrist Surgery?

Woman with carpal tunnel syndrome holds her wrist and thinks about wrist surgery Carpal tunnel syndrome can cause tingling, numbness, and pain in your hand or wrist, often making it hard to type, drive, or even sleep comfortably. While early symptoms may improve with conservative measures such as wrist splints or physical therapy, there comes a point when surgery could be the best option.

At Advanced Orthopaedics Associates, P.A., our hand and wrist surgery specialists help patients in Wichita, KS, find the right treatment, from conservative care to advanced nonsurgical interventions to minimally invasive wrist surgery. We also help you determine the best time to proceed with treatment. Here are some of the factors to consider when you’re dealing with stubborn carpal tunnel syndrome symptoms.

Recognizing When Non-Surgical Treatments Aren’t Enough

In the early stages, conservative treatments like bracing, activity modification, and steroid injections often provide relief. If your symptoms persist despite these measures, it may be a sign that the median nerve—the nerve most affected in carpal tunnel syndrome—is under excessive pressure.

When numbness becomes constant, hand weakness develops, or you start dropping objects, these are strong indicators of nerve compression progression.

Our experts may recommend surgery once nerve damage begins to interfere with daily life or when nerve testing confirms severe compression.

What Carpal Tunnel Surgery Does

Carpal tunnel release surgery is an example of a highly effective, minimally invasive procedure that relieves pressure on the median nerve. In this procedure, your hand and wrist surgeon at Advanced Orthopaedics Associates, P.A. carefully cuts the ligament that forms the “roof” of the carpal tunnel.

This allows circulation and nerve function to return to normal. Most patients experience significant improvement in strength and sensation within weeks, and recovery is usually smooth with proper rehabilitation.

Our surgeons are all fellowship-trained and board-certified, each with their own unique area of expertise. This ensures that you get a hand and wrist surgeon with extensive training and high-level skill in restoring function and relieving symptoms in patients with carpal tunnel syndrome.

Potential Surgery Alternative: PRP

For some patients, platelet-rich plasma (PRP) injections support healing and pain relief. It uses growth factors from your own blood to promote tissue repair and reduce inflammation. Combined with physical therapy, it can enhance recovery after carpal tunnel surgery. In some cases, PRP may help resolve symptoms before surgery becomes necessary.

Get Expert Care for Wrist and Hand Pain in Wichita

If your hand pain or numbness is affecting your quality of life, it may be time to see a specialist. Call 316-631-1600 to schedule an appointment at Advanced Orthopaedic Associates, P.A. We’re the largest orthopaedics practice in the Wichita area, and our experienced team provides advanced care for patients in Wichita, Wellington, Winfield, and nearby communities like Andover, Derby, Maize, Goddard, and Park City.

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