Carpal Tunnel Release Surgery in Tunisia

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 2000

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 Tunisia / Why should opt for Tunisia as a destination for your medical treatment?
Hospitals in Tunisia are developing and trying to meet the international standards of healthcare. Although there is a basic set up in most of the hospitals for treatment in Tunisia, one can still expect scope for improvement. The Ministry of Health, along with the Government of Tunisia is making effective changes for the healthcare sector. The private hospitals in Tunisia are also undergoing a robust change to provide effective healthcare and treatment in Tunisia.

Like most other countries, hospitals in Tunisia have a private and public healthcare system. Hospitals in Tunisia include three levels of care: primary, with a network of 81 clinics and 2091 basic health centers; secondary, with 109 district hospitals; and tertiary, with 33 regional hospitals and 24 modern CHUs, according to MoS figures.
What are the conditions of the hospitals in Tunisia? 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.
In Tunisia, there are no JCI accredited hospitals but 4 private hospitals are certified ISO and OHSAS (Occupational Health and Safety Assessment Series).
Are the doctors/surgeons in Tunisia of the best quality?
The hospitals in Tunisia have seen a constant change in terms of development and technology. Most doctors that are trained in the country understand the needs and requirements of people and are able to diagnose and treat them well. There are various surgeons that fly in from other countries as well to treat patients. This was brought about due to the economic reforms and various expats residing there. The varying levels of health organizations provide reasonable means of treatment for any patient. There are also trained paramedical and emergency service staff in this country.
What is the process for obtaining a medical visa in Tunisia?
Patients who wish to visit Tunisia for medical purposes must contact the Embassy of Tunisia in their home country. One is required to have a valid passport. Those applicants must submit their visa application forms in person together with the following documents:
  1. A duly completed application form with one picture (within a white background).
  2. Original biometric passport and one copy. Passports should have a validity of at least one year from the date of your visa application submission.
  3. Medical certificate stating the type of illness and the treatment to be carried out. This document has to be in English or Spanish language.
  4. Letter from the hospital in Tunisia stating the appointment date and whether the treatment expenses have been already paid in full.
  5. Proof of financial means which enable the applicant to meet life needs while in Tunisia (salary certificate if working, bank statement for the last six months, property deeds, commercial license, other sorts of income).
  6. Travel insurance.
  7. Proof of accommodation (hotel reservation, etc)
  8. Applicants are advised that ALL PASSPORTS HAVE TO REMAIN at the Embassy premises while the visa application is under process (between 10 and 15 days), and therefore cannot be retrieved unless very special and urgent circumstances might arise.
  9. The Embassy has the right to require from the applicant any document that it may deem relevant in order to resolve the visa file.
What support services does MediGence provide in Tunisia?
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 Tunisia for medical treatment?
Tunis is the largest country and capital of Tunisia. This country is located in the northern region of Africa and is the best city for treatment in Tunisia.

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