Treatment of carpal tunnel syndrome (CTS) in Germany

Carpal tunnel syndrome (repetitive stress injury) occurs when the median nerve is compressed between the bones, tendons and ligaments of the wrist. It is manifested by pain, numbness and impaired movement of the fingers of the hand and often requires surgical intervention.. CTS occurs three times more often among women than men. Majority of cases are registered between 40-60 years of age. Incidence of this illness in different countries varies from 1,5% to 3%.


The Booking Health portal presents 54 German clinics specializing in carpal tunnel syndrome (CTS) treatment

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CTS – Diagnostics

Objective diagnostics of the CTS is aimed to define the severity of this anatomical formation narrowing, as well as the degree of median nerve fibers compression.

For this purpose doctor uses several diagnostic techniques, which include:

  • Radiography, computer tomography or magnetic resonance imaging for the visualization of tissues, ligaments and bone structures of the wrist area
  • Rheovasography, which is a functional study of the blood flow in the tissues of the wrist and hand, which allows revealing violations of the blood flow, resulting in a symptom similar to the CTS
  • Neuromyography, which is the definition of the functional state of nerve stems and muscles

The choice of diagnostic tactics is determined by the clinical course of the disease, as well as by the diagnostic capabilities of the hospital.


Best clinics for the CTS diagnostics in Germany:


University Hospital of Ludwig Maximilian University of Munich

University Hospital of Ludwig Maximilian University of Munich


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CTS – Treatment

CTS treatment is comprehensive and includes conservative measures as well as surgical intervention.

Conservative therapy is aimed at the removal of trigger factors, which cause the pathological process.

The following measures are used for achieving this goal:

  • Medicines
  • Physiotherapy
  • Exercise therapy
  • Lifestyle modification (change of the occupation)

Surgery is radical in this case. There are several operations done to restore the normal lumen of carpal canal and anatomic correlation of its structures:

  • Open surgery is performed through the skin incision in the wrist area to gain access to the carpal tunnel. Then a surgeon does plastic with suturing
  • Endoscopic dissection of carpal ligaments is a less traumatic surgery, which allows rapid functional restoration of the limb

Specialists in German hospitals give preference to the outpatient endoscopic dissection of the carpal ligament that doesn’t require long hospitalization.

Benefits of such approach are:

  • Small incisions and short rehabilitation period
  • Effectiveness is the same as with an open surgery
  • Reduced blood loss and risk of complications
  • Better aesthetic effect


Best clinics for the CTS treatment in Germany:


University Hospital of Ludwig Maximilian University of Munich

University Hospital of Ludwig Maximilian University of Munich

Surgery treatment of carpal tunnel syndrome


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Author: Dr. Nadezhda Ivanisova

Here you can find the cost of treatment for this disease at the German University Hospitals. Leave a request and we will provide a free consultation with a doctor and will start organizing the whole treatment process.

The program includes the following:

  • Issuing of an invitation for getting a visa for treatment as quick as possible
  • Fixing an appointment at a time convenient for you
  • Preliminary organization of a comprehensive examination and discussion of the forthcoming treatment plan
  • Arranging transfer from the airport to the hospital and back to the airport
  • Provision of interpreting services and services of a personal medical coordinator
  • If necessary, assistance in the organization of further surgical treatment
  • Provision of a medical insurance against treatment complications covering up to 200,000 euro
  • Preparation and translation of medical records and recommendations from the hospital
  • Assistance in the subsequent communication with your attending physician, including consultations on repeated X-ray images through the unique medical document management system E-doc

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