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Home » Procedures » Carpal tunnel

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quick return to work
enjoy good sleep again
no more sensory loss or finger weakness

Carpal tunnel surgery is a surgical procedure to correct ‘carpal tunnel syndrome’ which causes pain in the fingers and wrist, often severe, and can shoot up into the forearm. Accompanying symptoms include loss of sensitivity, tingling, morning swelling and stiffness of the fingers. These distressing sensations most often occur at night, interrupting sleep. If left untreated the fine motor skills of the hand can be seriously diminished along with the ability to grip objects. 

Carpal Tunnel

990 EUR
/ 850 GBP
Save 70% on your medical costs
Save 70% on your medical costs
Highest level of discretion – very short stay in Prague
One-day stay in Prague
Free airport pick up
Free airport pick up
Fluent English speaking doctors
Fluent English speaking doctors
Feel comfortable from day one – one assigned coordinator
Feel comfortable from day one – one assigned coordinator
Carpal Tunnel
990 EUR
/ 850 GBP

Amounts given in pounds sterling (£) are an approx. conversion of the euro amount and may vary.

 

Our price includes

airport pickup, fast and flexible assistance, endoscopic operation, local anaesthesia, compressive garment and post-operation care.

 

Our price does not include

accommodation in the hotel and flight ticket.

 

Duration of stay

1 day in Prague 

 

Available dates:

12/12/2021

8/1/2022

HIGHEST QUALITY

We cooperate with top-tier, board-certified surgeons and state-of-the-art clinics. Our clinics provide a friendly and safe environment and follow the European standards of care and operational procedures. 

How does it work

FREE EVALUATION OF YOUR QUESTIONNAIRE

After initial contact via phone or email, we will ask you to provide us with an electromyography (EMG) and fill in our short medical questionnaire, as we need to be confident that there are no existing medical conditions which could affect you undergoing the procedure. All information sent to us will be held in strict confidence. Of course you are under no obligation at this stage, and the evaluation is completely free of charge. 

 

DEPOSIT PAYMENT

Once an agreement has been made for the proposed dates, prices, and surgeon who will perform the procedure, the next step will be to pay the deposit to the clinic account. The deposit is a 100% booking guarantee of your date. If you do not show up for the surgery without providing us with a reason, we cannot return the deposit back. Of course in the event that you are ill or if an emergency prevents you from keeping your date and you are able to notify us in a timely manner, we are able to find new dates for you and use this deposit to secure a new date. The outstanding balance must be paid on the day of the surgery (we accept cash, cards, or a direct bank transfer into clinic account).

Specialist
Robert Tomáš

We place a special emphasis on the profile of every surgeon. Our company only endorses highly experienced doctors with international practice and positive references. All of our surgeons or their teams speak English fluently.

CARPAL TUNNEL PROCEDURE

Corrective surgery - or ‘carpal tunnel release’ - involves cutting through the ligament exerting pressure on the carpal tunnel in the wrist, making more room for the median nerves and tendons which pass through the tunnel to the fingers.

At the day of the surgery, the patient can eat and drink. If s/he is on regular medication, s/he takes it as usual except for drugs affecting blood clotting (Anopyrin, Godasal, Trombex,etc.). These medications have to be discontinued before the surgery (usually for one week) so that blood clotting is not affected during the operation; if necessary, they can be replaced by substitutes such as Fraxiparine that do not interfere with the surgery while still protecting the patient from thromboembolic complications.

The operation is usually an out-patient procedure carried out under local anaesthetic, allowing you to go home on the same day. A method known as ‘endoscopic carpal tunnel release’ is employed, in which the surgeon inserts a very thin flexible tube with a camera at the end through a tiny incision in the wrist. The camera guides the doctor as he uses equally tiny instruments (introduced through another small incision) to cut the transverse carpal ligament causing the problem. The small incisions are then stitched up and the wrist put in a splint or heavily bandaged to prevent wrist movement while healing proceeds. Surgery does not last more than 5 minutes.

ENDOSCOPIC METHOD

The aim of the endoscopic operation of a narrow carpal tunnel is to increase its size while traumatizing the tissues in the palm of the operated hand as little as possible. We use a MicroAir monoportal system that makes it possible to access the carpal ligament via a single small approach in the wrist fold. Initially, it is necessary to increase the size of the carpal tunnel using dilators. Then, the working channel is placed upon the nerve and the ligament is transected from the deepest to the most superficial layers. The monoportal technique is the least invasive one, the tissues upon the carpal ligament are being preserved and the patient is left with only one scar on the wrist.

POST PROCEDURE CARE

The advantage of endoscopic surgery generally is that it reduces postoperative pain. After the surgery, the hand is being covered by an elastic (compressive) bandage for several hours to avoid the development of a larger subcutaneous hematoma. This bandage is then removed by the patient during the evening following the surgery, before the patient goes to sleep, and the hand remains free ever since. It is only the small scar at the wrist that remains covered by a minor plaster.

The main principle of physiotherapy following an endoscopic surgery is not to immobilize the hand (no splints or massive bandages). On the contrary, the patients are encouraged to use the operated hand soon for common activities. Patients are typically able within 1 to 2 days to involve the hand in activities requiring fine finger movements (holding, handing something or typing). However, holding anything (a door knob, knife, any tool) may by painful and uncomfortable for many days to weeks, this time being very variable. Some patients do not report any such problems, some are experiencing them for several weeks.

Up to 85% of our patients do not need any physiotherapy, either out- or in-patient, after the stitch is removed. The operated hand is usually in a good shape from the 7th post-op day onwards and it can be used for most common activities and sometimes even at work. Patients are advised to perform pressure massages of the palm and the scar, to extend the flexor tendons and to strengthen their clasp by compressing a small ball.

Happy Customers


These customers have already used our services, and guess what. They are happy!

Happy Customers


These customers have already used our services, and guess what. They are happy!

Dr. Robert Tomáš performs a non-invasive endoscopic carpal tunnel release.

RETURN TO WORK

10 days on average (after the operation; ranging between 3 and 14 days) in non-manual professions.

24 days on average (after the operation; ranging between 10 and 30 days) in manual profession(plumbers, butchers, workers, etc.)

 

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