Does Carpal Tunnel Syndrome Require Surgery?

When tingling, numbness, and pain settle in your hand and wrist, your mind goes to the worst-case scenario: surgery. But before you start mentally preparing for an operation (and a lengthy recovery), talk to Dr. David Wu and our team at CurePain. 

We’ll tell you that not all cases of carpal tunnel syndrome require surgery — at least not right away. In fact, many of our patients find relief with nonsurgical treatments, especially when we catch the condition in its earliest stages. 

There’s a time and place for surgery, but in this blog, we’re covering your “sans scalpel” path to a healthier hand and wrist. 

What is carpal tunnel syndrome?

Carpal tunnel syndrome happens when the median nerve, which runs from your forearm into your hand, gets compressed inside a narrow passage in your wrist called the carpal tunnel.

This nerve controls sensation and movement in your thumb and first three fingers, so when it’s irritated or compressed, you can experience:

• Tingling or numbness (especially at night)
• Pain that radiates up the arm
• Weakness or difficulty gripping objects
• A “pins and needles” sensation

Virtually anyone can get carpal tunnel syndrome, but several factors can increase your risk, including:

• Repetitive hand and wrist movements (typing, using tools, certain sports)
• Wrist injuries or fractures
• Medical conditions like diabetes, arthritis, or thyroid disorders
• Pregnancy (fluid retention can increase pressure on the nerve)

In most cases, it’s a mix of factors rather than one single cause.

I have carpal tunnel syndrome — do I need surgery?

Not necessarily. Many of our patients improve without surgery. The proper treatment depends on the severity of your symptoms, how long you’ve had them, and whether nerve damage is present.

If your symptoms are mild or moderate and your nerve isn’t significantly damaged, we start with exploring nonsurgical options. Here’s a closer look at what your treatment plan might include. 

Activity modification

Reducing or adjusting repetitive wrist movements can take pressure off the median nerve. Ergonomic changes at work can help too.

Wrist splints

Wearing a splint (especially at night) keeps your wrist in a neutral position, preventing nerve compression while you sleep.

Medications

Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce swelling and discomfort.

Corticosteroid injections

An injection into the carpal tunnel can quickly reduce inflammation and relieve pressure on the nerve. For many, this provides months of relief and can delay or avoid surgery.

Physical or occupational therapy

Specific stretches and exercises can help reduce symptoms and improve wrist mobility.

When surgery is the best option

We consider surgery for carpal tunnel — known as carpal tunnel release — when:

• Symptoms are severe or worsening
• Nonsurgical treatments haven’t helped after several months
• You’re experiencing significant muscle weakness or wasting
• Nerve testing shows damage to the median nerve

The goal of surgery is to relieve pressure by cutting the ligament that’s pressing on the nerve. It’s usually an outpatient procedure, and recovery times vary, but many people regain strength and function within a few weeks to a few months.

The bottom line for your hand and wrist health

Carpal tunnel syndrome can be frustrating, but surgery isn’t the automatic answer. For many patients, nonsurgical treatments can manage symptoms effectively, especially if started early.

The key is getting a proper diagnosis and working with our pain management specialist to create a plan that fits your lifestyle and needs.

If you’re noticing persistent tingling, numbness, or weakness in your hand, don’t wait — early treatment can make all the difference in avoiding long-term nerve damage.

Call our friendly staff or use our online booking tool to schedule a consultation today.