Surgical Procedures

Carpal Tunnel Release

Carpal tunnel release surgery may be indicated when non-surgical treatments for carpal tunnel syndrome fail. It may also be performed when hand muscles lose strength or become smaller due to impingement of the median nerve, which runs through a small tunnel in the wrist. Swelling or other conditions can cause the nerve to become pinched, leading to pain and an inability to properly use part of the hand. Carpal tunnel release involves a hand incision to open a ligament pinching the median nerve. Doing this relieves the pain, numbness and tingling for many patients.

Ulnar Nerve Transposition

The ulnar nerve runs from the neck down to the ring and little fingers. It controls some of the motion in the hand and forearm. This nerve can become entrapped in an area called the cubital tunnel, found behind the inner elbow. The nerve can become compressed by fibrous bands of tissue near the bony bump inside the elbow, leading to pain, weakness in the hand, and numbness or tingling of the ring and little fingers. Surgical correction is sometimes needed to free the nerve and the surgeon may decide that ulnar nerve transposition will work best. During this procedure, the ulnar nerve is moved from its current location to a new place in front of the elbow, either on top of, within, or under the muscle. Physical therapy or occupational therapy may be helpful to help restore normal function.

Spinal Fusion and Reconstruction