Carpal tunnel syndrome can quietly chip away at comfort and confidence when typing, writing, or even completing everyday tasks. For those whose symptoms linger despite splints, therapy, or medications, surgery often becomes the most effective path forward. Wide-awake carpal tunnel surgery offers a modern approach that eases common concerns about anesthesia, reduces downtime, and allows patients to feel more in control of their recovery—all while getting back to work and life with healthier, more capable hands.
Understanding Wide-Awake Carpal Tunnel Surgery
Wide-awake carpal tunnel surgery, also known as WALANT (Wide-Awake Local Anesthesia No Tourniquet), is performed using only local anesthesia. This means patients remain awake, alert, and comfortable throughout the procedure, without the need for general anesthesia or sedation. The technique uses a numbing injection at the surgical site, which allows the surgeon to release pressure on the median nerve while avoiding unnecessary risks.
Avoiding General Anesthesia: A Safer Approach for Many Patients
One of the main advantages of wide-awake carpal tunnel surgery is the lower risk profile. By avoiding general anesthesia, patients are not exposed to potential complications such as nausea, grogginess, or breathing difficulties. Additionally, there is no need for preoperative fasting or specialized medical clearance in most cases. Recovery is often smoother, with patients able to return home shortly after surgery and resume light activities quickly.
Improved Comfort Without a Tourniquet
Traditional carpal tunnel release often requires a tourniquet to control bleeding, which can cause discomfort. With WALANT, the numbing solution includes a small amount of medication that minimizes bleeding, eliminating the need for a tourniquet. Patients generally report greater comfort both during and after the procedure, which helps set the stage for a more positive recovery experience.
Practical Benefits for Active Patients
Wide-awake carpal tunnel surgery is especially beneficial for individuals whose jobs or hobbies demand frequent hand use. This approach also allows for real-time feedback during surgery, enabling the surgeon to confirm that nerve decompression is effective, which may improve long-term results. Patients can also return to their daily responsibilities sooner because recovery is typically faster.
For patients seeking a safe, efficient, and comfortable alternative to traditional methods, wide-awake carpal tunnel surgery is an excellent option. At The Hand, Wrist & Elbow Institute at Midwest Orthopaedics at Rush, we provide advanced surgical care tailored to each patient’s needs. If you’re experiencing symptoms of carpal tunnel syndrome, book an appointment to discuss whether wide-awake surgery is right for you.