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Compression Neuropathies (Carpal, Ulnar Tunnel and Other Nerve Entrapment Syndromes)

What is it?

Compression neuropathies occur when a nerve is compressed or irritated as it passes through a narrow tunnel in the wrist, elbow, or other part of the arm. The most common types are Carpal Tunnel Syndrome (compression of the median nerve at the wrist) and Ulnar Tunnel Syndrome (compression of the ulnar nerve at the elbow or wrist). These conditions can cause numbness, tingling, pain, or weakness in the hand and fingers, often affecting everyday activities such as gripping, writing, or sleeping comfortably. At FormetricSurgery, we specialise in precise microsurgical nerve decompression procedures designed to relieve pressure, restore function, and prevent permanent nerve damage.

Nerve decompression surgery is typically performed under local or regional anaesthesia and takes about 30–60 minutes. The surgeon makes a small incision over the affected area, identifies the compressed nerve, and gently releases the tight structures (such as ligaments or fascia) causing the pressure. After decompression, the wound is closed with fine sutures, and a soft dressing is applied. Patients can return home the same day after procedure.

Benefits of Surgery
Benefits of Surgery
  • Relief from pain, tingling, and numbness
  • Improved hand and finger strength
  • Restored sensation and coordination
  • Prevention of permanent nerve damage
  • Quick recovery and lasting improvement
Who Is a Good Candidate?
Who Is a Good Candidate?

You may benefit from surgery if you experience:

  • Persistent numbness or tingling in your fingers or hand
  • Weakness or difficulty gripping objects
  • Nighttime symptoms that disturb your sleep
  • Lack of improvement with conservative treatments (splints, medication, physiotherapy)

Before recommending surgery, your doctor may perform nerve tests (such as EMG or nerve conduction studies) and a clinical evaluation to confirm the diagnosis.

Aftercare and Recovery
Aftercare and Recovery

After surgery, a soft dressing is used for protection. You may experience mild swelling or tenderness for several days. Early finger movement is encouraged to prevent stiffness and promote healing. Most patients can return to light activities within 1–2 weeks, with full recovery expected in 4–6 weeks, depending on the procedure type and your healing progress

Prices

Carpal tunnel syndrome (surgical release)700 €
Ulnar tunnel syndrome (surgical release)700 €

Frequently asked questions

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What causes nerve compression syndromes?

Causes include repetitive movements, prolonged pressure on the wrist or elbow, injuries, inflammatory conditions, diabetes, pregnancy, or anatomical narrowing of the nerve canal.

How are compression neuropathies diagnosed?

Diagnosis is based on medical history, physical examination, and nerve conduction studies (electromyography – EMG) that evaluate nerve function.

Can compression neuropathies be treated without surgery?

Yes. Early stages are often treated with rest, splints, anti-inflammatory medication, ergonomic adjustments, and physical therapy.

When is surgery recommended?

Surgery is recommended when conservative treatment does not relieve symptoms, when symptoms worsen, or when nerve compression causes muscle weakness or risk of permanent nerve damage.

What does nerve decompression surgery involve?

During the procedure, the surgeon releases the structures compressing the nerve, creating more space and restoring proper nerve function.

Are the surgical results permanent?

In most cases, surgical decompression provides long-term relief, especially if treatment is performed before permanent nerve damage develops.

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