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There were significant post operative improvements in both the median (7.7 vs 4.4 mm, p less then 0.001) and ulnar (5.7 vs 4.1 mm, p less then 0.001) nerve territories. Smoking status, sex, age and diabetes did not significantly affect two-point discrimination outcomes. In conclusion the endoscopic release of the transverse carpal ligament decompresses the carpal tunnel and Guyon's canal, demonstrating improvement in two-point discrimination in both the ulnar and median nerve distributions.Adherence to prescribed treatment in chronic d