Endoscopic Carpal Tunnel Release Surgery: Advanced Minimally Invasive Treatment in Durango, Colorado
Dr. Brian Butzen MD has been helping patients overcome carpal tunnel syndrome in Durango, Colorado since 2013. As a board-certified, fellowship-trained orthopedic surgeon specializing in hand and wrist conditions, Dr. Butzen brings over a decade of experience to endoscopic carpal tunnel release surgery. His commitment to the Four Corners community extends throughout Durango, Farmington, New Mexico, Cortez, Colorado, and his satellite clinic in Pagosa Springs, Colorado. Patients consistently appreciate Dr. Butzen's skilled approach to minimally invasive carpal tunnel surgery and his clear explanations of treatment options.
Last week, a computer programmer from Pagosa Springs came to see Dr. Butzen after months of waking up with numb hands. "I kept shaking my hands to get the feeling back," she explained during her appointment. "My boss noticed I was making more typing mistakes, and I was getting scared about my job." After examining her hands and confirming carpal tunnel syndrome, Dr. Butzen discussed endoscopic carpal tunnel release surgery as her best treatment option. Her story reflects what many people in our tech-connected world experience when carpal tunnel syndrome affects their livelihood.
Understanding Carpal Tunnel Syndrome
Your carpal tunnel is like a narrow hallway in your wrist. Nine tendons and one nerve pass through this small space. Think of it as a busy tunnel with limited room. When tissues around the tunnel swell, they squeeze the nerve that controls feeling in your thumb, index finger, middle finger, and part of your ring finger.
Carpal tunnel syndrome develops when pressure builds up in this tunnel. The nerve gets compressed, causing hand numbness, tingling, and sometimes weakness. Many people first notice symptoms at night or when they wake up in the morning.
Dr. Butzen sees carpal tunnel syndrome regularly in his Durango practice. Office workers, mechanics, artists, and anyone who uses their hands repeatedly can develop this condition. The symptoms often start gradually but get worse over time if left untreated.
What Is Endoscopic Carpal Tunnel Release Surgery?
Endoscopic carpal tunnel release surgery uses a tiny camera and specialized instruments to cut the ligament that forms the roof of your carpal tunnel. The word "endoscopic" means the surgeon can see inside your wrist using a small camera inserted through a tiny incision.
During this procedure, Dr. Butzen makes one or two small incisions in your wrist and palm. He inserts a thin tube with a camera on the end, allowing him to see the compressed nerve and the ligament that needs to be cut. Using tiny instruments, he carefully cuts the ligament to create more room for the nerve.
This approach differs from traditional open surgery because it requires smaller incisions and uses the camera for guidance. The goal remains the same - relieving pressure on the nerve by cutting the ligament that forms the tunnel's roof.
Benefits of Endoscopic Carpal Tunnel Release Surgery
Endoscopic carpal tunnel release surgery offers several advantages that many patients appreciate. The smaller incisions mean less visible scarring on your palm and wrist. Most people end up with scars that are barely noticeable after healing.
Recovery from endoscopic surgery can be faster than traditional open surgery. Many patients return to light activities sooner, though Dr. Butzen emphasizes that healing times vary from person to person.
The minimally invasive nature of endoscopic surgery often results in less post-operative pain. While you'll still have some discomfort after surgery, many patients find it more manageable than with open techniques.
A accountant from Cortez recently had endoscopic carpal tunnel release surgery with Dr. Butzen. "I was back to doing my books within two weeks," she said during her follow-up appointment. "The scars are so small that most people don't even notice them."
The Endoscopic Surgery Process
Before endoscopic carpal tunnel release surgery, Dr. Butzen explains exactly what will happen during your procedure. Unlike his wide-awake mini-open technique, endoscopic surgery requires anesthesia to keep you comfortable while he works with the camera and instruments.
Most endoscopic carpal tunnel procedures take 15 to 30 minutes. Dr. Butzen makes one small incision, less than half an inch long. The endoscope - a thin tube with a camera and integrated knife- goes through the incision.
Using the camera image on a monitor, Dr. Butzen can see the compressed nerve and the transverse carpal ligament that needs to be cut. He carefully divides this ligament while avoiding damage to nearby structures like nerves, tendons and arteries.
After cutting the ligament, Dr. Butzen removes the instruments and closes the small incision with a single stitch. The procedure ends with applying a bandage to protect your wrist while healing begins.
Recovery from Endoscopic Surgery
Recovery from endoscopic carpal tunnel release surgery happens in stages. During the first three days, you'll wear the dressing to protect your wrist and keep swelling down. Most patients can use their fingers for light activities right away. After 3 days, the patient removes their dressing and begins stretching exercises, and uses a band-aid to cover the wound.
Dr. Butzen typically removes stitches about two weeks after surgery. Many people notice their hand numbness improving within days or weeks, though complete healing takes several months.
Physical therapy isn't always necessary after endoscopic carpal tunnel surgery, but Dr. Butzen may recommend it if you have stiffness or weakness. A hand (or physical) therapist can teach you exercises to improve strength and flexibility.
A ranch worker from Farmington was worried about getting back to work after his endoscopic carpal tunnel surgery. "Dr. Butzen told me I could do light work in a week and be back to full duty in 2-4 weeks," he explained. "That timeline worked perfectly for our busy season."
Comparing Endoscopic and Mini-Open Techniques
Dr. Butzen offers both endoscopic carpal tunnel release surgery and mini-open wide-awake carpal tunnel release. Both procedures effectively treat carpal tunnel syndrome, but they have different advantages.
Endoscopic surgery creates smaller scars and may allow faster return to some activities. However, it requires anesthesia and specialized equipment. The camera view helps Dr. Butzen see structures clearly, but the technique requires specific training and experience.
Mini-open wide-awake surgery uses local anesthetic only, so you stay awake during the procedure. Some patients prefer this because they avoid general anesthesia completely. The incision is slightly larger, but healing is also reliable and effective.
Dr. Butzen helps each patient choose the best technique based on their specific situation, preferences, and medical history. Both approaches have excellent success rates and are extremely safe.
Risks and Complications
Like any surgery, endoscopic carpal tunnel release surgery carries some risks. Most complications are rare when the procedure is performed by an experienced orthopedic surgeon like Dr. Butzen.
Infection can occur with any surgical procedure, though it's uncommon with carpal tunnel surgery. Dr. Butzen uses strict sterile techniques to minimize this risk.
Nerve damage is extremely rare but possible. The endoscopic camera helps Dr. Butzen see important structures clearly, reducing the chance of inadvertent injury.
Some patients experience temporary stiffness or weakness after surgery. These problems usually improve with time and gentle exercises.
Incomplete relief of symptoms can happen if scar tissue forms or if other conditions contribute to hand numbness. Dr. Butzen discusses these possibilities before surgery so patients understand realistic expectations.
Alternative Treatments Dr. Butzen Avoids
Some doctors offer steroid injections for carpal tunnel syndrome, but Dr. Butzen doesn't recommend this treatment. Carpal tunnel steroid injections carry significant risks that he believes outweigh potential benefits.
Injecting steroids directly into the carpal tunnel can damage the median nerve permanently. The needle required for these injections can also injure tendons or other structures in the tight carpal tunnel space.
While some patients may experience temporary improvement from steroid injections, the relief rarely lasts long. Many people need repeated injections, which increases the risk of complications.
Dr. Butzen prefers proven treatments like surgery or conservative measures such as splinting and activity modification. He believes patients deserve treatments with better safety profiles and more predictable results.
Who Benefits from Endoscopic Surgery?
Endoscopic carpal tunnel release surgery works well for many patients with carpal tunnel syndrome. People with classic symptoms like hand numbness, tingling, and nighttime awakening often get excellent relief.
Patients who want minimal scarring may prefer the endoscopic approach. The small incisions heal with barely visible marks, which matters to people whose hands are visible in their work.
Workers who need to return to manual labor may benefit from the potentially faster recovery with endoscopic surgery. However, Dr. Butzen emphasizes that both surgical techniques offer good outcomes.
A artist from Durango chose endoscopic surgery because she was concerned about hand scars affecting her flexibility and function in her art. "Dr. Butzen understood that my hands are part of my profession," she said. "The tiny scars healed beautifully."
When Surgery Becomes Necessary
Dr. Butzen recommends endoscopic carpal tunnel release surgery when conservative treatments don't provide adequate relief. If splinting, activity changes, and other non-surgical approaches fail to improve symptoms, surgery becomes the best option.
Severe or chronic carpal tunnel syndrome with muscle weakness requires prompt surgical treatment. Waiting too long can result in permanent nerve damage that doesn't recover even after successful surgery.
Numbness that interferes with work, sleep, or daily activities also indicates the need for surgical intervention. Many patients wait too long hoping symptoms will improve on their own.
Dr. Butzen helps patients understand when surgery offers the best chance of returning to normal hand function. He doesn't rush anyone into surgery but explains when delays might lead to worse outcomes.
Life After Endoscopic Carpal Tunnel Surgery
Most patients experience significant improvement in hand numbness and tingling after endoscopic carpal tunnel release surgery. The relief often begins within days or weeks as nerve pressure decreases.
Sleep quality frequently improves when nighttime hand numbness disappears. Many people don't realize how much their sleep suffered until the problem is fixed.
Work performance often gets better as hand function returns to normal. People can type, write, and perform manual tasks without the distraction of numb or tingling fingers.
A teacher from Pagosa Springs was amazed at how much better she felt after her endoscopic carpal tunnel surgery. "I could grade papers again without my hand going numb," she explained. "It felt like getting my life back."
Choosing Dr. Butzen for Endoscopic Surgery
Dr. Butzen's fellowship training specifically included advanced hand surgery techniques like endoscopic carpal tunnel release. This specialized education means he's performed hundreds of these procedures with excellent results.
His practice in Durango since 2013 has given him experience with the types of hand problems common in our area. He understands how carpal tunnel syndrome affects people who work with their hands and need reliable surgical outcomes.
Patients appreciate Dr. Butzen's honest approach to discussing surgical options. He explains the benefits and risks of different techniques, helping each person make informed decisions about their care.
Getting Started with Treatment
If you're experiencing hand numbness, tingling, or other symptoms of carpal tunnel syndrome, don't wait for the problem to get worse. Early evaluation and treatment often lead to better outcomes.
CLICK HERE TO CONTACT DR. BUTZEN
Dr. Butzen sees patients with carpal tunnel syndrome at his main office in Durango and at his satellite clinic in Pagosa Springs. His staff can help schedule an appointment that fits your schedule.
During your visit, Dr. Butzen will evaluate your symptoms and discuss treatment options including endoscopic carpal tunnel release surgery. He'll explain how this minimally invasive technique might help restore normal hand function and eliminate the hand numbness that's affecting your life.