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Confirmed diagnosis of CTS involves both physical signs and symptoms as well as positive diagnostic testing.
It appears you have both the pain and inflammation as well as positive EMG/NCV results.
Further confirmation would involve wasting of the median N. innervated muscles, primarily,but not limited to the thenar eminence. To appreciate this, on the effected hand(s), bring your thumb and pinkie together, you may see a crease in the muscle at the base of your thumb.
Also, waking at night to "shake out" your hands to relieve symptoms is a subjective sign of CTS.
If you decide on surgical intervention, you will need to change change the habits that brought this on initially. Change of work habits and/activities of daily living that brought this on or exacerbated it is essentiall so that it doesn't return.
Noah930 is an orthopaedic surgeon who does a lot of hand surgeries.
Hopefully he will chime in and provide information on the "release" surgery and the post surgical protocol.
Best of luck,
Matt
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