Definitive Surgical Relief for Median Nerve Compression in Carpal Tunnel Syndrome
Carpal Tunnel Syndrome (CTS) is the most frequent peripheral nerve entrapment disorder, caused by increased pressure within the rigid osteofibrous carpal tunnel at the wrist. This pressure compresses the vital median nerve, leading to painful nighttime tingling, numbness in the thumb, index, middle, and ring fingers, and eventually irreversible atrophy of the thenar muscles that power thumb pinch and grip strength.
The WALANT Mini-Incision Surgical Technique
Dr. Vishal Purohit utilizes modern WALANT (Wide Awake Local Anesthesia No Tourniquet) technology for carpal tunnel decompression:
- No General Anesthesia or Tourniquet Pain: The procedure is performed under pure local anesthesia with buffered lidocaine and epinephrine, completely eliminating tourniquet arm pain and anesthesia risks.
- Mini-Incision Precision: A tiny 1.5 to 2 cm incision placed strictly within the palm crease minimizes postoperative pillar pain while allowing complete direct visualization of the transverse carpal ligament.
- Complete Decompression & Neurolysis: Complete division of the distal edge of the antebrachial fascia, the entire transverse carpal ligament, and safe release of any epineural scarring around the median nerve and its recurrent motor branch.
Instant Nocturnal Relief and Rapid Hand Recovery
Most patients experience immediate resolution of night waking pain on the very night of surgery, resuming gentle computer and light household hand use within 48 to 72 hours.





