Mild symptoms of CTS can be treated with directed home care, which may include specific exercises, avoiding activities that cause symptoms, or wearing a wrist splint.

To relieve pain and reduce inflammation, medications may also be prescribed. In some cases, your physician may recommend corticosteroid injections.

Unfortunately, in many cases non-surgical treatments only provide temporary results, with symptoms eventually returning.

Traditional Carpal Tunnel Release Surgery

More severe cases of CTS may be treated surgically through a procedure called carpal tunnel release (CTR). This relieves pressure on the median nerve by transecting the transverse carpal ligament (TCL) which forms the roof of the “carpal tunnel.” Transecting the TCL creates more space for the nerve and tendons.

CTR may be completed endoscopically, with one to two small incisions, or through traditional open surgery using a single larger incision in the palm.

The recovery time for endoscopic surgery may span several weeks and traditional CTR surgery several months, during which time patients usually experience pain, restricted movement abilities, and are often unable to work or engage in normal activities.

in-office Carpal Tunnel Release With Ultrasound Guidance

Fortunately, with new specialized equipment and the use of an ultrasound machine, the same carpal tunnel release can be done in the doctor’s office within a matter of minutes. You can get the relief from your carpal tunnel pain without incurring the expense of a hospital, surgery center or anesthesia bill. Patients do not need to take the entire day off work for the procedure; you can drive to the procedure and home from the procedure without the need of a caregiver. After the procedure, you’ll be able to resume activities as tolerated. And most patients can return to work and the activities they love within 3-6 days.

SIGNIFICANT BENEFITS INCLUDE

• Performed in a procedure room or office setting

• Typically performed using local anesthesia

• Small wrist incision usually closed without sutures

• Reduce or eliminate need for opioids

• Postoperative therapy typically not required—saving time and money

• Immediate motion in the hand for rapid recovery

• Return to normal activity in days not months

What To Expect

Most patients are pleasantly surprised at how simple carpal tunnel release with ultrasound guidance is. You will have minimal preparation requirements and your visit to the clinic should be less than 1 hour. The procedure is done under a local anesthetic, so no need to fast prior to the procedure. A small 4-5mm incision is made at the wrist, with the guidance of ultrasound, the device is advanced to the transverse carpal ligament (TCL) which forms the roof of the “carpal tunnel”. Once all proper positioning is confirmed, the TCL is transected, releasing the trapped nerve. The device is then removed and a bandaid is applied. Your physician will provide you with post-procedure care information, and then you’re on your way.

For those seeking advanced diagnosis and treatment, possibly including carpal tunnel surgery, contacting Hands-On Orthopedics & Injury Center or scheduling an appointment online is recommended.

New patients, call us at 727-645-0925 or 813-945-2663

Existing patients can click here to find an appointment time that works for you.