February 2023


Will My Carpal Tunnel Come Back After Carpal Tunnel Release?


Will my carpal tunnel come back after carpal tunnel release? A quick online search of carpal tunnel and carpal tunnel release may leave you with more questions than answers.

Many of the top listings on major search engines, usually sponsored advertisements to online businesses trying to sell carpal tunnel splints, provide very misleading and false information for those suffering from carpal tunnel syndrome.  Rather than encouraging patients to seek treatment from highly trained specialists, these websites use anxiety and fear to sell expensive splints that have very low success rates.

For example, one website called mycarpaltunnel.com quotes only 50 to 60% success rate for carpal tunnel release, with 85% of patients having their symptoms come back after surgery.  Unfortunately, this website does not provide any source of information on where these numbers come from.

Most likely, they are pulling these numbers out of thin air and making them up so that you will buy their $185 splinting product.

These sites say things like “…most patients report permanent tenderness over the point of incision for years after surgery. Patients also report a permanent loss of grip strength for years.” Again, this is nothing more than gossip and does not reflect the reality of undergoing carpal tunnel release or healing after a carpal tunnel release procedure.

On the other hand, the real peer-reviewed scientific data on carpal tunnel syndrome and carpal tunnel release tells a different story.

The most quoted value for recurrence of carpal tunnel syndrome has been since the 90s between 5% to 20%.  However as time goes and more high-quality studies are performed, many are questioning if there is truly such a problem as “recurrent carpal tunnel syndrome.”  As in most fields of medicine and surgery, there are many factors that go into the success rate of a surgery.  For example, how long was the carpal tunnel present prior to surgery?  How damaged was the nerve from years living with carpal tunnel syndrome?  What medical problems does the patient have?  Does the patient have diabetes and thyroid disease?  In properly conducted studies where these factors are accounted for, carpal tunnel syndrome does not seem to recur at all.

While recurrent carpal tunnel syndrome does exist and is a risk, if you have carpal tunnel symptoms, and you decide to have a carpal tunnel release, as a general rule you should not expect your symptoms to come back, ever.


Kilinc F, Behmanesh B, Seifert V, Marquardt G. Does Recurrence of Carpal Tunnel Syndrome (CTS) after Complete Division of the Transverse Ligament Really Exist? J Clin Med. 2021 Sep 17;10(18):4208. doi: 10.3390/jcm10184208. PMID: 34575319; PMCID: PMC8470114.

Botte MJ, von Schroeder HP, Abrams RA, Gellman H. Recurrent carpal tunnel syndrome. Hand Clin. 1996 Nov;12(4):731-43. PMID: 8953292.

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Why Did My Rotator Cuff Tear?

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A Rotator Cuff Tear on MRI

You may have had a visit with a doctor, physical therapist, chiropractor, or orthopedic surgeon recently and learned that you have rotator cuff tear.  Or perhaps you had an MRI or ultrasound exam that found a rotator cuff tear.

In addition to wondering what to do next, you probably also want to know how it happened.

Rotator cuff tears are usually divided into 2 separate groups.  The first group, which is certainly the most common and largest group, is called “degenerative” or simply “wear and tear.”  As you see with other parts of your body as you age, including your skin and your spine, muscles and tendons go through wear and tear changes over the years.  Some of this may include activity related changes, such as overuse and repetitive motions, some of these are more genetic and “hereditary” changes much like male pattern hair loss.  These changes add up over time and lead to fraying and minor tearing, which over the years may add up to more advanced tearing of the rotator cuff.

Scientists have looked at larger populations of patients and found that first and second-degree relatives of patients with rotator cuff tears are much more likely to have rotator cuff tears themselves.

We do know from scientific studies that the older you are, the more likely you are to have a rotator cuff tear.  One study showed that 25% of patients aged 60 or older have rotator cuff tears, while over 50% of patients over age 80 have rotator cuff tears.  Of course, these include probably many tears that did not cause pain or symptoms, but you get the point.

The second group, which is smaller and less common, is called “traumatic” or more sudden onset, injury related rotator cuff tears.  These are easier to understand from a medical and scientific standpoint.  Simply put, the muscle and tendon of the rotator cuff are torn from the arm bone by a sudden injury at a specific point in time that is usually felt by the patient.  Perhaps the patient had a bad car or motorcycle accident, or was lifting something very heavy and felt a “pop” followed by weakness and pain.

The final point to keep in mind is that many rotator cuff tears may be partially degenerative and age-related and partially traumatic or injury-related.  There is certainly overlap, and multiple factors can work together to create a rotator cuff tear.

Regardless of why or how it happened, it is important that shoulder specialist be involved in your decision-making regarding how to treat your rotator cuff tear.  Whether it includes physical therapy, chiropractic care, home exercise program, injections, oral anti-inflammatory medications, or repairing the rotator cuff with arthroscopic surgery, Dr. Johnny T. Nelson, Raleigh Upper Ex, and The Bone & Joint Surgery Clinic are here for you.

Visit our Rotator Cuff Tear information page for more information.



Hsu J, Keener JD. Natural History of Rotator Cuff Disease and Implications on Management. Oper Tech Orthop. 2015 Mar 1;25(1):2-9. doi: 10.1053/j.oto.2014.11.006. PMID: 26726288; PMCID: PMC4695395.

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