Pioneering Endoscopic Release for Carpal and Cubital Tunnel Syndromes

Dr. Bodavula is well known for pioneering endoscopic release for carpal and cubital tunnel syndromes.

For patients suffering from the debilitating symptoms of nerve compression in the hand and arm, modern medicine offers sophisticated, minimally invasive surgical solutions. Hand surgeon Dr. Venkata Bodavula, based in St. Peters, Missouri, has established a reputation for his expertise in endoscopic techniques for treating carpal and cubital tunnel syndromes. While traditional open procedures remain effective, the endoscopic approach is gaining favor among both surgeons and patients for its benefits in recovery and reduced scarring.

Endoscopic vs. open surgery: A comparison

Both carpal and cubital tunnel syndromes are caused by the compression of a major nerve—the median nerve at the wrist for carpal tunnel and the ulnar nerve at the elbow for cubital tunnel. The goal of surgery is to release the pressure on the affected nerve. Here is how the two approaches compare:

Feature	Endoscopic Release	Open Release
Incision size	One or two small incisions (typically less than a half-inch).	A larger incision, up to several inches, in the palm (carpal tunnel) or around the elbow (cubital tunnel).
Recovery	Faster recovery with less postoperative pain and scarring. Patients can often return to daily activities sooner.	Generally involves more post-operative discomfort, and the larger incision takes longer to heal.
Technique	The surgeon uses an endoscope—a thin tube with a camera—to view the compressed nerve and guide specialized instruments to make the release.	The surgeon makes a larger incision to visualize the compressed nerve directly and perform the release.
Post-operative pain	Less scar sensitivity and tenderness due to the smaller incision size.	Increased risk of persistent pain and scar tenderness in the area of the incision.
Patient satisfaction	Studies have shown improved patient satisfaction with the endoscopic approach, often linked to less post-operative pain and faster return to normal activities.	While still very effective, the longer recovery and larger incision can sometimes lead to lower patient satisfaction in the short term.

Endoscopic excellence with Dr. Bodavula

Dr. Bodavula has built a practice around using advanced, less invasive techniques to help patients quickly regain function. His extensive training, including fellowships in hand and microvascular surgery, has honed his skills in this specialized field. By offering endoscopic solutions for both carpal and cubital tunnel syndromes, Dr. Bodavula provides a modern, patient-centered approach to care.

For carpal tunnel release, Dr. Bodavula's technique involves making a small incision in the wrist crease, through which a camera and surgical instruments are inserted. This allows for the precise cutting of the carpal ligament, relieving pressure on the median nerve with minimal tissue disruption.

Similarly, for cubital tunnel release, Dr. Bodavula utilizes an endoscope through a small incision at the elbow to decompress the ulnar nerve. This approach can lead to less scarring and a quicker recovery compared to the larger incisions of open surgery.

Is endoscopic release right for you?

The choice between an endoscopic and open procedure depends on a patient's specific condition and overall health. Endoscopic release is often favored for patients with mild to moderate nerve compression who need a faster recovery and return to work. However, in more complex or severe cases, the open method may provide better visualization for the surgeon.

As an expert in this field, Dr. Bodavula is able to assess each patient's individual needs and recommend the most appropriate course of treatment. His practice emphasizes conservative treatments first, with surgery considered when other therapies are unsuccessful. For those considering nerve decompression surgery, consulting with a specialist like Dr. Bodavula is the best way to determine the optimal approach for a successful outcome.

This is for informational purposes only. For medical advice or diagnosis, consult a professional.