Faster and longer-term relief from carpal tunnel can be achieved by using ultrasound-guided release. This treatment makes carpal tunnel release surgery safer and less-invasive than conventional open or endoscopic surgeries. Improvements in hand function and comfortability are also possible with ultrasound-guided carpal tunnel release (UGCTR.)

Researchers from Thomas Jefferson University Hospital investigated the long-term implications of UGCTR. They found patients had sustained improvements due to the smaller incisions and faster recovery up to one-year post-surgery.

Sarah I. Kamel, M.D., Assistant Professor of Radiology, said, “Our study demonstrates that ultrasound-guided carpal tunnel release can be performed safely, with high patient satisfaction and significant long-term relief. The rapid post-operative recovery and longstanding relief of symptoms suggest that ultrasound-guided carpal tunnel release may be advantageous to traditional surgical methods of transverse carpal ligament transection.”

Patients were required to fill out three questionnaires designed to assess their hand’s pain and function levels. Researchers used this data as a tool to measure and judge the outcomes. The patients provided answers pre-procedure, two-weeks post-procedure, and 1.7 years later. 

While two patients required follow-up surgery within eight to ten days following the first procedure, no patients experienced immediate complications. The team made two adjustments to avoid these outcomes in the future. They now include more extensive pre-procedural cleaning that extends around the forearm prior to draping. They perform two passes of the ligament transection to potentially decrease the risk of remnant tissue that may contribute to incomplete release.

These results point to the UGCTR procedure’s efficacy, but future investigations into follow-up and cost analysis are necessary. “Ultrasound-guided carpal tunnel release quickly improves hand function and reduces hand discomfort, with persistent improvement at one year. Ultrasound-guided carpal tunnel release may be a safe, effective, and less-invasive alternative to traditional open or endoscopic surgery, particularly in patients for whom traditional surgery may be high-risk or contraindicated,” said the team.

For more information on ultrasound guidance following carpal tunnel surgery, read the full journal report by the American Journal of Roentgenology. For carpal tunnel guidance, contact the professionals at Michigan Hand & Wrist today.

Michigan Hand & Wrist was founded in 2001 with the mission to provide the highest-quality care for patients seeking surgical or non-surgical hand or upper extremity relief. Our goal is to exhaust all non-operative measures before discussing or moving on to surgical interventions. We offer on-site physical therapy from therapists committed to improving your quality of life. Our individualized treatments are modern, progressive, and exceptional. Contact us today at or call 248-596-0412.

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