TREATMENT AND PROGNOSIS :
It is a gradual process, for most people carpal tunnel syndrome, it will get worsen over time without some form of treatment.
If it is diagnosed early then no surgical intervention of treatment is needed and it can be cured early.
Wearing a splint or brace reduces pressure on the median nerve by keeping your wrist straight.
Nonsurgical treatments may include:
Bracing or splinting during night times reduces the pressure on the median nerve which is present in the carpal tunnel.
Non steroidal inflammatory drugs such as ibuprofen and naproxen might provide better benefits and reduces the pain.
Maintain the wrist in the neutral positions.
A steroid such as corticosteroid injection into the carpal tunnel can relieve symptoms for a period of time.
Nerve gliding exercises can help to move the wrist freely without causing much damage to the tissues.
If non surgical treatment does not provide any relief then surgical treatment can be considered.
The surgical procedure performed for carpal tunnel syndrome is called a "carpal tunnel release." There are two different surgical techniques for doing this, but the goal of both is to relieve pressure on your median nerve by cutting the ligament that forms the roof of the tunnel. This increases the size of the tunnel and decreases pressure on the median nerve.
In most cases, carpal tunnel surgery is done on an outpatient basis. The surgery can be done under general anesthesia, which puts you to sleep, or under local anesthesia, which numbs just your hand and arm. In some cases, you will also be given a light sedative through an intravenous (IV) line inserted into a vein in your arm.
Open carpal tunnel release. In open surgery, your doctor makes a small incision in the palm of your hand and views the inside of your hand and wrist through this incision. During the procedure, the physician will divide the transverse carpal ligament (the roof of the carpal tunnel). This increases the size of the tunnel and decreases pressure on the median nerve.
Endoscopic carpal tunnel release. In endoscopic surgery, your doctor makes one or two smaller skin incisions—called portals—and uses a miniature camera—an endoscope—to see inside your hand and wrist. A special knife is used to divide the transverse carpal ligament, similar to the open carpal tunnel release procedure.