Five Towns Plastic Surgery New York
Marcel Scheinman, M.D., F.A.C.S
Call us today!                (516) 239-1917

Carpal Tunnel Surgery

Carpal Tunnel Surgery under Local Anesthesia in Clinic


Yes! You read it right.

Carpal Tunnel Surgery performed in Doctor’s Office under Local Anesthesia.

100% Safe! No Downtime!

Call (516) 239-1917 to schedule your appointment with New York’s Famous Award Winning Expert Plastic Surgeon – Dr. Marcel Scheinman of Five Towns Plastic Surgery


Our Patients Love us. Don’t take our word for it. Hear it from them!

Benefits include:

  1. No dealing with Hospitals and long waiting time.
  2. No lengthy forms to fill up.
  3. No Hassle. No Fasting.
  4. Arrive just 15 minutes before procedure.
  5. Super Convenient!
  6. No IV (IntraVenous

Carpal Tunnel Syndrome

Carpal tunnel syndrome occurs when a combination of health conditions and activities puts pressure on the median nerve as it passes through the carpal tunnel in your wrist. This pressure leads to symptoms. Anything that decreases the amount of space in the carpal tunnel, increases the amount of tissue in the tunnel, or increases the sensitivity of the median nerve can lead to carpal tunnel syndrome.

Things that help cause carpal tunnel syndrome include:

  • Conditions or illnesses that can cause or contribute to arm pain or swelling in the joints and soft tissues in the arm, or to reduced blood flow to the hands. These include obesity, rheumatoid arthritis, gout, diabetes, lupus, and hypothyroidism.
  • Repeated hand and wrist movements. They can cause the membranes surrounding the tendons to swell (tenosynovitis).
  • Broken wrist bones, dislocated bones, new bone growth from healing bones, or bone spurs. These can take up space in the carpal tunnel and put more pressure on the median nerve.

Carpal tunnel syndrome is a common work-related condition. It can be caused by work that requires:

  • Forceful or repetitive hand movements.
  • Hand-arm vibration.
  • Working for long periods in the same or awkward positions.

Carpal tunnel syndrome is even more likely if you have these work-related issues along with other health conditions.

In some cases the cause of carpal tunnel syndrome cannot be found.

Carpal Tunnel Syndrome – Surgery

  • Most people with carpal tunnel syndrome are treated without surgery. Surgery is considered only when:
  • Symptoms haven’t improved after several weeks to months of nonsurgical treatment. This assumes that you are having ongoing symptoms but no sign of nerve damage. Nerve damage would make surgery more urgent.
  • There is damage to the median nerve (shown by nerve test results and loss of hand, thumb, or finger function) or a risk of damage to the nerve.
  • Severe symptoms restrict normal daily activities, such as when:
    • There is a persistent loss of feeling or coordination in the fingers or hand.
    • There is decreased strength in the thumb.
    • Sleep is severely disturbed by pain.

Carpal Tunnel Syndrome: Should I Have Surgery?

Surgery choices
The most common surgery for relieving carpal tunnel symptoms involves cutting the transverse carpal ligament camera.gif to relieve pressure on the median nerve in the wrist. Two approaches for this surgery are:

  • Open carpal tunnel release surgery. Open surgery requires a longer recovery period and leaves a larger scar than endoscopic surgery. But there may be less chance of other complications.
  • Endoscopic carpal tunnel release surgery. Recovery is quicker than with open surgery. The scars heal more quickly, are smaller, and tend to be less painful at 3 months after surgery. But there may be a slightly higher chance of needing another surgery later.

Some surgeons are now doing small- or mini-open release surgery. This requires a smaller incision than standard open carpal tunnel release surgery. It may reduce healing time and scarring. But it also allows the surgeon to view the ligament directly during the surgery to minimize danger to the nerve itself. This procedure may be promising. But there are few studies comparing it to the open carpal tunnel or endoscopic procedures at this time.

What to think about
Nerve tests (nerve conduction velocity test and electromyogram) are often completed before surgery is done. Surgery is more likely to be successful if the results from nerve testing point to carpal tunnel syndrome.

Your decision about whether to use open or endoscopic surgery depends on your doctor’s experience with the procedures. Endoscopic carpal tunnel surgery uses very technical equipment and is most successful when the doctor has done the procedure many times.

After surgery, it is important to avoid any activities that may have caused carpal tunnel syndrome. Or you can change the way you do them.

Contact Five Towns Plastic Surgery [ 516-239-1917 ] to schedule a consultation with Dr. Scheinman to explore all your options before you decide that surgery is your best option. The Carpal Tunnel Surgery is performed in our clinic which has numerous benefits:


  1. No dealing with Hospitals and long waiting time.
  2. No lengthy forms to fill up.
  3. No Hassle. No Fasting.
  4. Arrive just 15 minutes before procedure.
  5. Super Convenient!
  6. No IV (IntraVenous) drugs needed.
  7. No long prep times at the hospital.
  8. Carpal Tunnel Surgery procedures are done at our clinic under local anesthesia.