Understanding Carpal Tunnel Syndrome
Carpal tunnel syndrome occurs when the median nerve—one of the main nerves in the hand—becomes compressed as it passes through the narrow carpal tunnel at the wrist. This pressure can cause tingling, numbness, or pain in the thumb, index, and middle fingers. Over time, it may lead to muscle weakness or difficulty with tasks that require grip strength.
If you're experiencing these symptoms, Dr. Iyengar provides expert diagnosis and surgical care to relieve nerve compression and help you regain function — all right here in Puyallup. Early symptoms often include discomfort at night or while using the hands for repetitive tasks. Left untreated, the condition can interfere with daily activities and lead to permanent nerve damage.
When should I consider treatment?
While some patients find relief through splinting, rest, or physical therapy, surgery may be recommended when symptoms persist or worsen. If you're experiencing frequent hand numbness, difficulty gripping objects, or pain that disrupts sleep or daily life, it may be time to explore surgical options. Dr. Iyengar will perform a thorough evaluation to determine the best course of treatment for your needs.
What are my treatment options?
Standard Carpal Tunnel Release
This traditional surgical method involves making a small incision in the palm to access the carpal ligament. The ligament is then carefully divided to relieve pressure on the median nerve. As the ligament heals, the tunnel becomes wider, reducing compression and allowing symptoms to improve.
This technique is highly effective and has been used for decades to restore comfort and hand function.
Endoscopic Carpal Tunnel Release
For eligible patients, a minimally invasive approach may be recommended. Endoscopic carpal tunnel release involves a smaller incision—typically at the wrist or palm—and uses an endoscope (a thin tube with a camera) to visualize the ligament. Dr. Iyengar then releases the ligament with precision, minimizing disruption to surrounding tissues.
This approach often results in less post-operative discomfort, a quicker return to normal activities, and smaller scars.
Why choose Dr. Iyengar for this procedure?
Dr. Iyengar completed a fellowship training in hand and upper extremity surgery, equipping him with highly specialized knowledge in diagnosing and treating nerve compression disorders like carpal tunnel syndrome. His experience allows him to offer both traditional and minimally invasive techniques tailored to each patient’s unique needs.
Whether you need relief from long-term discomfort or are looking to restore your hand function, you’ll be in the hands of a surgeon who’s trained specifically for these types of procedures.
What does recovery look like?
Most patients experience a noticeable improvement in symptoms shortly after surgery, especially with nighttime pain and numbness. Light activities can typically be resumed within a few days, with full recovery over several weeks. In some cases, physical therapy may be recommended to support hand strength and flexibility during healing.
Check out how our patients looked before and after.
Check out galleryWhat our patients have to say.
Lisa R.
I have lived my entire adult life self conscious of my neck sagging and double chin. Dr. Iyengar took such good care and gave me a tight neck and for once in my life I have a jawline! I had a neck and lower face lift with lipo in my chin.
Kara D.
I have had a wonderful experience with Dr. Iyengar and his team. I appreciate his transparency achieving realistic results that are natural and what is safe for my body. Dr. Iyengar is very attentive ensuring my recovery is going well and is very responsive to questions or concerns that I have had. I love my results, it is everything that I asked for and I feel more confident than ever. I am grateful and appreciative of Dr. Iyengar and his team.
Beth S.
Dr. Iyengar is an incredible doc, he truly listened to my story and provided a plan to address all of my medical needs. After surgery, he has been providing excellent care of me and is the most accessible surgeon I have ever encountered. Having a complex medical history, I was nervous about having this surgery, but Dr. Iyengar and his whole staff have been amazing and I highly recommend them!
Lisa S.
I had a procedure to ease back and neck pain. Dr.Rajiv Iyengar. Was so amazing. His staff was thoughtful. They helped coordinate insurance. Made sure I was well informed and the surgery and results have been beyond my expectations. I suggest you shop around and then STOP when you interview Dr Iyengar. The procedure went without a hitch. He had full control of all the Medical professionals and was very thorough through the day. He is helpful and old fashioned in his bedside manner. Very pleased with results and will recommend to anyone.
Liza C.
From my very first consultation, I was blown away by the level of care and professionalism at this practice. Every single team member, from the front desk to the medical coordinators and assistants, was friendly, attentive, and truly made me feel at ease. The customer service is top-notch!
Dr. Iyengar is exceptional. His experience, skill, and depth of knowledge shine through in every interaction. His bedside manner is warm and reassuring, and he takes the time to truly listen to your goals without ever being pushy. He’s incredibly responsive and makes you feel confident and cared for from day one. Honestly, his fresh perspective combined with his expertise is a major positive!
The aftercare has also been outstanding! Thorough, diligent, and consistently supportive. I’ve felt cared for every step of the way.
My entire experience has been nothing short of excellent. I’d highly recommend this practice to anyone looking for a team that’s professional, compassionate, and truly invested in your care. They set the bar high!
Michael W
Dr Iyengar did a repair on an old eyelid surgery. Him and his staff were a pleasure to work with and I could not be happier with the results!
Laurie A.
Dr. Raj Iyengar is awesome!!! I had 3 areas of botox today (glabella, crow's feet, and forehead). I had absolutely no pain and zero bruising. He was very informative throughout the procedure, and very kind. A great experience
Christina R.
I am 6 days post brow lift, blephraplasty, nanofat transfer, and neck lipo with Renuvion, and I already see a significant difference. I am SO excited already, and I’m still healing. Dr Iyengar has an incredible bed side manner, remembers little details about his patients, and has an impeccable résumé. I made the right choice trusting him with my face!
Ron L.
I’m glad to have this doctor and his staff on my side. When I heard the words skin cancer I went through a WIDE verity of feelings. I got worse case scenario and it scared me. After some reassurance I felt much better. I’m amazed at the complexity of the surgery and how well everything went. Just 6 weeks after surgery I’m feeling much better about the future look that everyone will see when they see my smiling face. Thanks Dr. Iyengar. I’ll share photos with anyone interested.
Jenny M.
I’m incredibly grateful that I was referred to Dr. Iyengar for my breast reconstruction surgery. From the very first consultation, he has been an absolute blessing throughout the entire process. His kindness, super friendliness (a rare trait), helpfulness, caring nature, and outstanding service are truly remarkable. Additionally, his extensive knowledge and confident responses to my questions, along with his ability to treat me with personable care, make him an exceptional surgeon.
Quality care in all realms of plastic and reconstructive surgery.
We see our patients as individuals, not just cases on the schedule. Dr. Iyengar makes every effort to get to know his patients personally and thoroughly understand their goals. This personalized approach ensures that every patient receives the highest quality care and achieves the results of their dreams! Dr. Iyengar executes every procedure with precision, integrity and utmost care.
Request a consultationGot questions about carpal tunnel treatment?
What’s the difference between open and endoscopic release?
How do I know if I have carpal tunnel syndrome?
Is surgery the only option?
How long is the recovery time?
Will the symptoms come back after surgery?
