Carpal tunnel syndrome is the most common compressive neuropathy of the upper extremity.

As a result of median nerve compression, the patient reports pain, weakness, and pins and needles in the hand and fingers. The diagnosis is based on the patient history and physical examination and is confirmed by nerve conduction testing.

Treatment methods range from observation and splinting, to cortisone injection and splinting, to surgical intervention. Both non-surgical and surgical management provide symptom relief in most patients.

Open decompression is generally undertaken under local anesthesia and has fairly good results.