Carpal Tunnel Syndrome

What is Carpal Tunnel Syndrome (CTS)?

Carpal Tunnel Syndrome (CTS) is a common condition that affects an estimated 13 million Americans1 that causes pain, numbness, and tingling in the hand and arm. The condition occurs when one of the major nerves in the hand—the median nerve—is compressed as it travels through the wrist. The median nerve controls movement in the thumb and feeling in the thumb and first three fingers. It runs down the arm and forearm, passes through the carpal tunnel at the wrist, and goes into the hand.

Traditional Carpal Tunnel Release Surgery

More severe cases of CTS may be treated surgically through carpal tunnel release (CTR), which involves cutting the transverse carpal ligament to relieve pressure on the median nerve. Traditional CTR techniques can remedy the condition, but may result in large and sometimes painful scars, ongoing palmar pain, and a long road to recovery.

A New Way to Treat Carpal Tunnel Syndrome for Faster Recovery

Now there is an alternative surgical option—Carpal Tunnel Release with UltraGuideCTRTM and real-time ultrasound guidance.

Get out of pain, back to work, and back to life!

CTR using ultrasound guidance relieves the symptoms of carpal tunnel syndrome while minimizing recovery time. Most patients can return to work and the activities they love in 3-5 days.

Performing CTR with ultrasound guidance allows most patients to enjoy immediate motion so they can focus on getting back to their lives and the activities they love. If you have carpal tunnel syndrome and are considering a surgical procedure, carpal tunnel release with UltraGuideCTR and real-time ultrasound guidance may be right for you.

Significant benefits:

  • Most patients can return to work and the activities they love within 3-5 days
  • Performed in a procedure room or office setting
  • Typically performed using local anesthesia
  • Small incision typically closed without sutures
  • Aspirin or Ibuprofen typically used for pain management
  • Postoperative therapy typically not required
  • Immediate motion of the hand for rapid recovery

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REFERENCES

  1. Papanicolaou GD, et al. The prevalence and characteristics of nerve compression syndromes in the general population. J Hand Surg 2001;26A:460-6.
  2. Kim PT, et al. Current approaches for carpal tunnel syndrome. Clin Orthop Surg 2014;6:253-7.
  3. Vasiliadis HS, et al. Endoscopic and open release are similarly safe for the treatment of carpal tunnel syndrome: a systematic review and meta-analysis. PLoS One 2015;10:e0143683.
  4. Murthy PG, et al. Mini-open versus extended open release for severe carpal tunnel syndrome. HAND 2015;10:34-9.
  5. Rojo-Manaute JM, et al. Ultra-minimally invasive ultrasound-guided carpal tunnel release: a randomized clinical trial. J Ultrasound Med 2016;35:1149-57.
  6. Fowler JR, Chung KC, Miller LE. Multicenter pragmatic study of carpal tunnel release with ultrasound guidance. Expert Rev Med Devices. 2022 Mar 3. doi: 10.1080/17434440.2022.2048816. Online ahead of print. PMID: 35236202.
  7. Eberlin KR, Dy CJ, Fischer MD, Gluck JL, Kaplan FTD, McDonald TJ, Miller LE, Palmer A, Walker ME, Watt JF. Trial of ultrasound guided carpal tunnel release versus traditional open release (TUTOR). Medicine (Baltimore). 2022 Oct 14;101(41):e30775. doi: 10.1097/MD.0000000000030775. PMID: 36254038; PMCID: PMC9575820.
  8. Pistorio AL, Marwin VM, Paterson PD, Alexander RD, Nelson JT, Miller LE, Office-based carpal tunnel release with ultrasound guidance: 6-month outcomes from the multicenter ROBUST trial. J Hand Surg Glob Online 2024.DOI: https://doi.org/10.1016/j.jhsg.2023.12.005.
  9. Paterson PD, Kirsch MJ, Miller LE, Aguila DJ 3rd. Early return to work after carpal tunnel release with ultrasound guidance. Plast Reconstr Surg Glob Open. 2024 Feb 27;12(2):e5647. doi: 10.1097/GOX.0000000000005647. PMID: 38415102; PMCID: PMC10898665.
  10. Aguila D, Kirsch M, Kindle B, Paterson P. Long-Term clinical results of carpal tunnel release using ultrasound guidance: a multicenter pragmatic study. J Hand Surg Glob Online. 2023 Nov 22;6(1):79-84. doi: 10.1016/j.jhsg.2023.10.001. PMID: 38313613; PMCID: PMC10837292.
  11. Cano L, Leiby BM, Shum LC, Ward MG, Joseph AE. Clinical results of carpal tunnel release using ultrasound guidance in over 100 patients at two to six years. J Hand Surg Glob Online 2024.DOI:https://doi.org/10.1016/j.jhsg.2024.02.004.

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