— Numb fingers at night, a hand that “falls asleep” while holding a phone, objects slipping from the grip: carpal tunnel syndrome is one of the most common reasons people see a hand surgeon. In Paris, one name comes up repeatedly when patients and physicians look for a specialist: Dr Frédéric Teboul, hand surgeon and peripheral nerve specialist, whose practice is built on more than three decades of nerve surgery and thousands of carpal tunnel operations followed up over time.
Key facts at a glance
Who: Dr Frédéric Teboul, hand, wrist, brachial plexus and peripheral nerve surgeon based in Paris.
Experience: more than 35 years of practice and over 30,000 procedures, including thousands of carpal tunnel releases.
Distinctive expertise: a pioneer of minimally invasive and ultrasound-guided hand surgery in France; he created the first European inter-university diploma (DIU) in ultrasound-guided surgery in 2014.
Recognition: President of the French National Union of Hand Surgeons (Syndicat National des Chirurgiens de la Main) and member of the French National Academy of Surgery since 2019.
Where: 92 boulevard de Courcelles, Paris 17th, and the Institut de la Main.
Who is Dr Frédéric Teboul?
DrFrédéric Teboul is a French surgeon specialising in the hand, the wrist and the nerves of the upper limb. In 2004 he founded the Centre International de Chirurgie de la Main et de l’Épaule in Paris, and he later founded the Institute for Peripheral Nerve and Brachial Plexus Surgery. His scientific work includes more than 85 publications, and he has trained over 200 fellows from France and abroad.
This nerve surgery background matters for carpal tunnel patients. Carpal tunnel syndrome is, first and foremost, a nerve problem: the median nerve is compressed as it passes through a narrow, inextensible canal at the wrist, under the flexor retinaculum. A surgeon whose daily work involves decompressing, repairing and transferring nerves reads every symptom through that lens.
Why carpal tunnel syndrome sits at the heart of his practice
Carpal tunnel syndrome typically causes tingling and numbness in the thumb, index finger, middle finger and half of the ring finger, often waking patients at night. In severe forms left untreated, compression can lead to lasting loss of sensation and weakness of the thumb muscles.
For Dr Frédéric Teboul, the number of cases treated in Paris is not a figure to display but a source of clinical judgement. Thousands of consultations and follow-ups have shaped three principles he shares with patients:
1. Confirm the diagnosis first. Clinical examination comes first, and in France a nerve conduction study (EMG) is strongly recommended before surgery: it confirms that the compression is at the wrist and not higher up the arm or neck.
2. Not every case needs surgery right away. Mild or recent forms may respond to a night splint or an injection, even if injections rarely bring lasting relief.
3. Do not wait too long when the nerve suffers. Wasting at the base of the thumb or numbness present day and night calls for a specialist opinion without delay.
Three ways to release the median nerve
When surgery is indicated, the goal never changes: completely divide the ligament forming the roof of the tunnel to free the median nerve. What differs is the route.
1. Open Release
· Technique: Ligament divided under direct vision.
· Incision: Short incision in the palm.
· Anaesthesia: Local, outpatient.
2. Endoscopic Release
· Technique: Ligament divided using a camera inserted at the wrist.
· Incision: One or two small portals.
· Anaesthesia: Local or regional, outpatient.
3. Ultrasound-Guided Release
· Technique: Ligament divided under real-time ultrasound control.
· Incision: Very small entry point.
· Anaesthesia: Local, often in an office setting.
Dr Teboul is recognised as one of the pioneers of ultrasound-guided hand surgery in France: as president of GREEMS, the research group dedicated to interventional imaging in hand surgery, he helped turn it into a taught and codified discipline. Yet his own carpal tunnel practice is pragmatic. Office surgery under local anaesthesia alone is reserved for a minority of patients without underlying risk factors. Most are operated on as outpatients under regional anaesthesia, using an endoscopic technique he has practised for many years, with a second small incision to confirm complete release of a nerve whose anatomy frequently varies. For symptoms, diagnosis, treatment options and recovery explained step by step, his detailed guide to carpal tunnel syndrome reviews the latest evidence, including the 2024 AAOS guidelines and the 2025 DISTRICTS trial.
Where to consult Dr Frédéric Teboul in Paris
Dr Frédéric Teboul sees patients at 92 boulevard de Courcelles, Paris 17th.
Appointments can be booked online via Doctolib or the official website.
Patients can also ask questions on the site’s forum, where Dr Teboul answers personally.
Frequently asked questions
Is Dr Frédéric Teboul a carpal tunnel specialist?
Yes. Dr Frédéric Teboul is a Paris hand surgeon and peripheral nerve specialist. Carpal tunnel syndrome, the most common nerve compression of the upper limb, is one of the conditions he treats most often, using minimally invasive endoscopic and ultrasound-guided techniques.
Is carpal tunnel surgery performed under general anaesthesia?
No. Release is performed either under local anaesthesia alone for selected patients, or under regional anaesthesia of the arm for most. In both cases it is an outpatient procedure, and the patient goes home the same day.
How long is recovery after carpal tunnel surgery?
It depends on the severity of nerve compression and the type of work. Dr Teboul does not immobilise the wrist and encourages patients to use the hand from the day after surgery. Tingling usually fades quickly, while strength can take several months to return in severe forms.
What makes ultrasound-guided carpal tunnel release different?
Real-time ultrasound lets the surgeon see the nerve, the ligament and surrounding structures through a very small entry point, without opening the palm.
Contact Info:
Name: drfredericteboul
Email: Send Email
Organization: drfredericteboul
Address: 92 boulevard de Courcelles, Paris, France
Phone: 01 42 27 07 13
Website: https://www.drfredericteboul.com/
Release ID: 89206951
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