UltraGuideCTR™

For Carpal Tunnel Syndrome

We specialize in the diagnosis and treatment
of carpal tunnel syndrome.

Contact us to learn more or to schedule a consultation

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UltraGuideCTR™

For Carpal Tunnel Syndrome

We specialize in the diagnosis and treatment of carpal tunnel syndrome.

Carpal tunnel release with ultrasound guidance.

Carpal tunnel release
with ultrasound guidance.

Fortunately, there is a proven way to get rapid relief from carpal tunnel pain and return quickly to normal activities. Thanks to a low profile, safe, and effective instrument called UltraGuideCTR™—and real-time ultrasound guidance—a physician can perform CTR in a matter of minutes.

  • Most patients can return to work and the activities they love within 3-6 days.

  • You do not need to be unconscious. Typically performed using local anesthesia.

  • Performed in a procedure room or office setting.

  • Small incision typically closed without sutures.

  • Aspirin or Ibuprofen typically used for pain management.

  • Immediate motion of the hand for rapid recovery. Post-operative therapy typically not required.

Contact us to learn more or to schedule a consultation

Please fill out the form below and we will get back to you shortly.

Recovery in days, not weeks.

Recovery in days, not weeks.

With the Power of Diagnostic Ultrasound.

With the Power of
Diagnostic Ultrasound.

ctr-machine-TOSM

Tyrance Orthopedics uses the latest ultrasound technology from Fujitsu to diagnose conditions and visualize procedures in real-time as they’re performed. Unparalleled accuracy and precision.

Carpal tunnel release with ultrasound guidance can relieve the symptoms of CTS while reducing recovery time. Most patients can return to work and the activities they love in 3-6 days.

If you have CTS and are looking for relief, carpal tunnel release with UltraGuideCTR and real-time ultrasound guidance may be right for you.

Anesthesia Approach

WALANT Anesthesia · Wide-Awake, No Tourniquet

At TOSM, carpal tunnel release is performed using WALANT (Wide-Awake Local Anesthesia, No Tourniquet) combined with real-time ultrasound guidance through the UltraGuideCTR system. That means no general anesthesia, no IV sedation and no painful arm tourniquet — just a small dose of local anesthetic with epinephrine at the wrist.

You stay awake and comfortable during the entire 5–10 minute procedure, can talk with Dr. Tyrance, and walk out of the office the same day. Most patients return to light work in 3 to 6 days instead of the 2 to 4 weeks typically required after traditional open release.

Wide-Awake

Local anesthetic at the wrist only. No general anesthesia, IV sedation, or breathing tube.

No Tourniquet

Epinephrine controls bleeding naturally. No painful arm tourniquet during or after the procedure.

5–10 Min Procedure

Outpatient. Walk in and walk out the same day with a small bandage on the wrist.

3–6 Day Recovery

Return to light desk work in days rather than weeks. Less pain, no occupational therapy needed for most patients.

Detailed Comparison of Carpal Tunnel Release Methods:

Factor Ultrasound-Assisted Open Carpal Tunnel Release Endoscopic Carpal Tunnel Release
Return to Activities of Daily Living Significantly Shorter Longer Shorter than Open
Return to Work Quicker (Days to Weeks) Weeks to Months Weeks
Pain Minimal to Moderate Moderate to Severe Moderate
Need for Occupational Therapy Less Likely Required Often Required Sometimes Required
Costs – Anesthesia Lower Higher Moderate
Costs – Facility Lower Higher Moderate
Costs – Surgery Competitive, Often Lower Higher Higher than Ultrasound
Global Cost Generally Lower Higher Moderate
Carpal Tunnel Syndrome — TOSM Delray Beach

Take the First Step Towards Relief

Take the First Step Towards Relief

Complete the Carpal Tunnel Questionnaire to see if you are a candidate for this treatment

Complete the Carpal Tunnel Questionnaire to see if you are a candidate for this treatment

Patient Outcomes

What Our Patients Say

★★★★★ 4.9 out of 5 · 197 Google Reviews

Frequently Asked Questions

Carpal Tunnel Syndrome (CTS) is a condition that causes pain, numbness, and tingling in the hand and arm. It occurs when the median nerve, which controls movement and sensation in the thumb and first three fingers, is compressed as it travels through the carpal tunnel in the wrist. The compression of this nerve can lead to discomfort and affect the function of the hand.

The typical symptoms of CTS include numbness, tingling, burning, and pain in the thumb, index, middle, and ring fingers. Some people experience shock-like sensations that radiate to the fingers, as well as pain or tingling that travels up the forearm toward the shoulder. Weakness in the hand is also common.

Non-surgical treatments for mild CTS include exercises, stretching, and wearing a wrist splint to relieve pressure on the median nerve. Medications or corticosteroid injections may provide temporary relief. In more severe cases, surgical options like carpal tunnel release (CTR) can reduce pressure on the nerve, providing more permanent relief. Minimally invasive carpal tunnel release with ultrasound guidance is also an option, offering quicker recovery times.

After minimally invasive carpal tunnel release with ultrasound guidance, most patients can resume activities within 3-6 days. The procedure allows for immediate motion in the hand, so patients can quickly return to work and their daily lives.

Most patients find carpal tunnel release with UltraGuideCTR™ and ultrasound guidance to be a simple and minimally painful procedure. Performed under local anesthesia, the procedure involves a small incision, and patients typically report low pain levels. On a scale from 0 to 10, the average pain rating is 1.52 out of 10.

Carpal tunnel release is generally covered by commercial insurance and Medicare. However, the out-of-pocket cost for patients depends on their insurance plan and the location of the procedure. It’s important to verify coverage with your insurance carrier before undergoing treatment.

“We have the ability to reclaim and maintain the mental and physical vitality we had in our youth. Your health is wealth!”

– Patrick H. Tyrance Jr. MD

Get treatment today with one of South Florida’s top Orthopedic Surgeons.

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