Anyone considering undergoing definitive carpal tunnel release surgery would be well advised to read the article: Touch Allodynia Following Endoscopic or Open Decompression for Carpal Tunnel Syndrome by Povlsen, Tegnell, Revell and Adolfsson published in The Journal of Hand Surgery, British 1997, volume 22B pp 325-327. They performed a prospective, scientific assessment of the amount of soreness present in direct relation to measured palmar pressure in patients undergoing open or endoscopic carpal tunnel release. This clear and concise study is usually overlooked by physicians when debating the optimal treatment. They showed significantly less sensitivity/ soreness in the patients treated endoscopically versus the open "filet of wrist" group of patients both early and late. At three months the endoscopic group was back to control level while the open release group was still significantly abnormal.

Dr. Dolf Ichtertz
Dr. Dolf Ichtertz is a board-certified orthopaedic surgeon and founder of the Nebraska Hand & Shoulder Institute. Practicing since 1987, he specializes in the diagnosis and treatment of hand, wrist, elbow, shoulder, and peripheral nerve conditions, including carpal tunnel syndrome. Dr. Ichtertz holds a Certificate of Added Qualifications in Surgery of the Hand and is known for his expertise in minimally invasive and endoscopic surgical techniques designed to help patients recover quickly and return to the activities they enjoy.



