Tip! A mattress that has outlived its usefulness forces you to sleep in positions that cause or exacerbate lower back pain and neck pain. When the patient’s disorder in the hand is already heavily damaged, it is important to undergo surgery. Carpal tunnel procedure is a major operation that is known as “release.” Procedure is of two kinds namely, carpal tunnel open release and carpal tunnel endoscopic release. Carpal tunnel open release is the traditional method used to correct carpal tunnel syndrome. It consists of making an incision up to two inches in the wrist and then cutting the carpal ligament to enlarge the carpal tunnel. This type of carpal tunnel procedure is generally done under local anesthesia on an outpatient basis, unless there are unusual medical considerations. Tip! The right treatment for that back pain depends on several factors including the cause of the pain, the severity of the pain, and the health and fitness level of the sufferer. On the other hand, carpal tunnel endoscopic release may present faster functional recovery and less postoperative discomfort. The surgeon makes two incisions (about ½" each) in the wrist and palm, inserts a camera attached to a tube, observes the tissue on a screen and cuts the carpal ligament. This kind of carpal tunnel procedure is effective and minimizes scarring even scar tenderness. Until now, the decision whether to have either of the carpal tunnel procedures to right the syndrome has been puzzling to most of the of patients. Electro-diagnostic tests for nerve conduction, ultrasound examination and magnetic resonance imaging scans are used to find out severity. However, there are no tests that can fully determine which patients will benefit most from which of the carpal tunnel procedure. Tip! To the contrary studies have shown, back surgery may actually cause more pain, complications, and even damage that requires more follow up surgery. Candidates as below that are less likely to respond to conservative therapy and might end up benefiting more from the carpal tunnel procedure are: Older than 50 years. Symptoms have lasted 10 months or longer. Continual numbness. The muscles in the base of the palm have begun to atrophy (shrink). Symptoms occur within 30 seconds during a Phalen's test. A study stated that if one of those factors mentioned above are present, then conservative therapy, such as wearing wrist splints and taking anti- inflammatory agents, are effective in about two- thirds of the candidates when the traditional approach was proven not effective in some of 60 patients.