Carpal Tunnel Release Surgery in Thailand

Also known as Carpal Tunnel Decompression Surgery, the procedure is used for treating Carpal Runnel Syndrome. The condition is characterized by compression or increased pressure at the median nerve of the carpal tunnel which passes through the wrists. Carpal tunnel surgery is suggested in case of persistent pain the first three digits (thumb, index as well as middle finger) and ring finger (towards the thumb side). The pain is mostly accompanied by a feeling of numbness or loss of sensation, and tingling sensation. The surgery is very common with more than 500,000 surgeries being performed worldwide annually. On an average, the carpal tunnel surgery cost may vary from below $1000 to above $3979, as it depends on a number of factors. 

What is Carpal Tunnel Release?

The procedure is performed only if prolonged conventional treatments and physical therapies go ineffective. The approach of the procedure is to split up the transverse carpal ligaments from that of the volar antebrachial fascia (towards the distal end). The transverse ligament forms the canopy over the carpal tunnel and is primarily the reason for compression of nerve root. Hence, to decompress the area and relieve the candidate from further pain, the separation or release or distension of the ligament is imperative. 

Ideal Candidate for Carpal Tunnel Release

Carpal tunnel surgery is one of the most common procedures performed all across the world. However, one must decide on the candidacy to determine eligibility for the procedure. Thus, one can be an ideal candidate if:

  • The reported pain has been persistent for more than six to nine months. This is because, in most cases, the pain can be cured through prolonged treatment with conventional medicines. 
  • The pain has been effective even after usage of cast or suitable splint
  • The condition is affecting daily activities 

Factors Affecting the Cost of Carpal Tunnel Release

The factors that widely affect the carpal tunnel surgery cost are:

  • Extent of nerve damage incurred 
  • Approach of the procedure
  • Country where the procedure is being performed
  • Type of healthcare facilities availed.
Treatment and Cost

5

Total Days
In Country

2 No. Travelers

2 Day in Hospital

3 Days Outside Hospital

Treatment cost starts from

USD 5000

Hospitals

About the Carpal Tunnel Release

  • Carpal tunnel decompression, popularly referred to as carpal tunnel release, is a surgical procedure conducted to relieve symptoms of carpal tunnel syndrome.
  • A nerve called median nerve along with many tendons pass through a small tunnel called carpal tunnel from the forearm to the upper hand. This nerve controls the movement of your fingers except for the little finger.
  • Sometimes there is tremendous pressure on the nerve and it presses the nerve against the tunnel. This results in specific symptoms such as numbness, weakness, tingling sensation, or pain in the fingers. This is known as carpal tunnel syndrome.


Is carpal tunnel surgery compulsory?

The treatment for carpal tunnel syndrome depends on the severity of the condition and the duration of the symptoms. Generally, the physicians first recommend non-surgical interventions such as the use of corticosteroid injections and wrist splints to relieve the symptoms of carpal tunnel syndrome.

A carpal tunnel treatment surgery is recommended in case:

  • You experience loss of function in fingers or hand because of nerve damage confirmed in a median nerve test.
  • Your symptoms do not subside. Wait for two to seven weeks after starting non-surgical treatment.
  • You have difficulty in performing daily activities ranging from reduced strength in the thumb, loss of feeling, and loss of coordination.
  • You are not able to get sleep properly because of the pain.
  • The main cause of this situation is rheumatoid arthritis.

The carpal tunnel treatment surgery is an open technique. The surgeon may make a cut in the transverse carpal ligament that forms the roof of the tunnel. The carpal tunnel treatment allows more room for the median nerve and the tendons to pass through the tunnel. Thereby, the pressure on the nerve is reduced causing relief from the symptoms.

How is Carpal Tunnel Release performed?

Carpal tunnel surgery is a simple outpatient procedure. You can go to the hospital, get the surgery done, and walk back to home on the same day.

On the day of the surgery, the area to be operated is cleaned with an antiseptic solution to avoid the chances of contracting an infection. The anesthetist administers a local anesthetic injection to numb the wrist area. This is done so that you do not experience any pain during the procedure.

A small cut is made in the palm near to the wrist area. Once the transverse carpal ligament is visible, a small cut is made in the ligament. This relieves the pressure on the nerve. The skin is put back and stitched together in its original position. A bandage is placed on the palm.

 

Are there any other techniques?

The following are the two alternatives to the open carpal tunnel surgery:

Endoscopic carpal tunnel surgery: The surgical procedure is similar to that of open surgery but the entire surgery is performed by looking at the camera. A small incision is made and small instruments with a camera attached to them are placed inside. The incision is small and damage is minimal. It gives you a chance to recover faster than the open technique. The healing is better and minimal pain is felt.

Key hole surgery: In this procedure, a smaller incision than normal is made on the palm. A special instrument with a light at one end and microscope at the other end is placed. This gives the doctor a chance to see the carpal ligament and carefully guide the tools to cut the targeted area.

Recovery from Carpal Tunnel Release

The symptoms are usually relieved immediately after the surgery or in most cases, within a few months. You may feel numbness in the fingers for the next 15 to 16 hours.

  • Keep your hand in a raised position for two days so that there is no swelling.
  • The stitches and the bandage should be kept intact for 10 to 14 days. Make sure that you keep the area clean and dry.
  • The doctor will fix the next appointment after two weeks of bandage removal during which he or she will inspect the healing process.
  • You have to go through the rehabilitative physical therapy that includes mild exercises to prevent stiffness.

The time you take to recover from carpal tunnel surgery depends on the severity of symptoms you had before the treatment.

  • If you had moderate symptoms, on the non-dominant hand, or your daily activities are limited, you can recover in one or two days.
  • If you had moderate to severe symptoms, on the dominant hand, or your daily activities are intensive, you may have to wait for 6 to 12 weeks to recover completely.

Does it come back?

  • In very rare cases, symptoms such as pain and numbness may come back
  • You may not get back complete strength in the thumb if the muscles have been severely damaged

Patient Stories

Frequently Asked Questions

What is the health care infrastructure of Thailand / Why should opt for Thailand as a destination for your medical treatment
Hospitals in Thailand have seen an increase in number in the past few years. One of the many reasons for such surprise growth in the healthcare division can be the development of the public health sector which comprises 9,765 health locations along with 1,002 hospitals. As the Public Hospitals in Thailand are operated by the MOPH (Ministry of Public Health), the Private Hospitals in Thailand are regulated under the Medical Registration Division. The treatments in Thailand are also keeping up with that of other major countries all across the globe. As of 2002, the Thai Government has provided a countrywide general healthcare system that covers 99.5% of the Thai population and ensures high-quality treatments in Thailand and affordable primary medical amenities to each and every citizen of Thailand. In the year 2009, the total national expenditure on healthcare was 4.3% of the GDP of Thailand. Due to such medical advancements in Thailand, the country has become the most preferred medical destination in the world providing wide-ranging medical treatments at highly-reasonable rates at good hospitals in Thailand.
What are the conditions of the hospitals in Thailand? Are they JCI certified? What is the quality of the support staff in the hospitals?
The Joint Commission International (JCI) is a global leader in health care accreditation. JCI accreditation is considered a gold standard in worldwide health care. It provides the most skilled and experienced healthcare professionals in the medical industry, as evaluators of the rigorous international standards in healthcare quality and patient safety. Here are a few JCI certified hospitals in Thailand :
  • Yanhee Hospital
  • Bumrungrad Hospital
  • Bangkok Hospital
  • Chaophya Hospital
  • BNH Hospital
  • Ramkhamhaeng Hospital
  • Vejthani Hospital
  • Bangkok Hospital Phuket
  • Samitivej Sukhumvit Hospital
  • Praram 9 Hospital
  • Chiangmai Ram Hospital
  • Sikarin Hospital
  • Synphaet Hospital
  • Bangkok Hospital Samui
  • Nonthavej Hospital
  • Bangkok Hospital Pattaya
  • Samitivej Srinakarin Hospital
  • Samitivej Sriracha Hospital
Are the doctors/surgeons in Thailand of the best quality?
Thailand is gaining recognition for the quality of its healthcare services after the US magazine CEOWORLD placed Thailand 6th in its 2019 list of countries with the best healthcare systems. Thai doctors gain a lot of skills during their course and this helps them practice effectively. Many doctors and surgeons also visit other countries for training and certification courses to enhance their skills and knowledge. Most doctors are exposed to a public and private healthcare system in order to be able to work in any condition. It is a collective effort from all the professionals to maintain the standard of health and Thailand is doing just that.
What is the process for obtaining a medical visa in Thailand?
Currently, medical tourists To Thailand are allowed in from 34 countries. All visitors must have proof of travel health insurance that covers a minimum of US$100,000 of medical costs incurred in Thailand, including medical costs in the event that they contract COVID-19. Under the CCSA regulations, medical tourists have to arrive by air to ensure effective disease control, not via land border checkpoints. All must have an appointment letter from a doctor in Thailand and entry certificates issued by Thai embassies across the globe. People wanting to visit Thailand for medical procedures need to contact the Thai Embassy in their country to organize the visa and paperwork. Thailand’s major hospitals will provide potential candidates with an appointment letter. Permission for medical tourists to be accompanied by up to three attending persons is intended to allow such patients to have spouses, parents, or assistants in attendance during their treatment in Thailand. However, such persons will have to conform to all the same entry requirements as the medical tourists themselves, including visas and health status.
What support services does MediGence provide in Thailand?
MediGence enables you to plan and manage your medical decisions better. These are some of our services offered:
  • Expert Opinion
    We help you seek an Expert Opinion on your diagnosis and treatment from an experienced team of doctors at MediGence and specialists from a reputable hospital.
  • Hospital Recommendation
    We recommend a hospital or a healthcare institution that is best suited for you, based on your ailment and its criticality.
  • 360-degree Hospital Review
    We give you a transparent and holistic view of the hospital and its infrastructure, accreditation, facilities, and expertise to give you confidence.
  • Doctor Validation and Communication
    We share a comprehensive profile of the treating doctor and also arrange a call to clear queries regarding treatment if needed.
  • Options to Choose From
    Based on your choice of destination and other preferences, we provide you multiple options with respect to hospitals and doctors to choose from.
  • 24X7 Patient Care Support
    A dedicated patient case manager stays in constant touch with you to help you at every step of the decision-making process and resolve queries that you may have.
  • Transparent Treatment Cost and Other Expenses
    We give a clear and accurate indication of the total cost of treatment including treatment, stay, meals, and other expenses.
  • Visa Assistance
    We provide and help prepare documentation for visa approval and coordinate with the embassy to expedite the visa process.
  • Accommodation Arrangements
    We propose to you a choice of accommodation based on your preference such as long stay, short stay, or luxury properties.
Which are the best cities in Thailand for medical treatment?
Bangkok is the capital of Thailand and the most sought - after destination for healthcare. It has more than 10 of the major hospitals in Thailand. The cost of treatment in Thailand is reasonable here. People tend to spend their recovery time in Bangkok as well as it is a beautiful city to visit as a tourist.

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