Carpal Tunnel Release with Ultrasound Guidance – Not Once But Twice

Carpal Tunnel relief times two for Ashley after two Carpal Tunnel Release with Ultrasound Guidance procedures with Dr. Aguila.

Both times she experienced immediate relief with no down time.

Postherpetic Neuralgia Gone

Tricia suffered from severe pain from Postherpetic Neuralgia.

For nine years, she tried every treatment, but nothing helped. Then she found a PHN support group on Facebook that led her to Dr. Demetrio Aguila, a pain focused peripheral nerve surgeon.

She calls Dr. Aguila her rockstar. Watch how he gave her a second chance at living a joyful life.

Failed Back Surgery Causes and Solutions

Many patients deal with failed back surgery, leaving them in pain after the surgery. In this video, Dr. Aguila explains that in many cases patients have a spine problem and a peripheral nerve problem. He examines what the root cause of the nerve pain is and how it can be eliminated through pain-focused peripheral nerve surgery.


Occipital Neuralgia Pain Relief

Occipital Neuralgia Pain left Jason with horrible, shooting pain in his head. He rated his pain at 10 every day. The pain affected his family as they became isolated because of his condition. For six years, he tried dozens of different treatments, but nothing worked. Then he found Dr. Demetrio Aguila, a pain-focused, peripheral nerve surgeon. Watch this interview filmed only a few days after surgery. Thanks to Dr. Aguila, Jason is optimistic for a better future.

Postherpetic Neuralgia Pain Gone

Dolores developed Postherpetic Neuralgia pain after a bad case of Shingles. She tried a variety of medications that eased the pain a little but had horrible side effects. She was at her lowest point when she found Dr. Demetrio Aguila, a pain-focused, peripheral nerve surgeon. Watch how Dr. Aguila helped Dolores overcome Postherpetic Neuralgia. Now she is looking forward to living her life to the fullest.


Dr. Aguila's Study on Carpal Tunnel Release Using Ultrasound Guidance

Big Congratulations to Dr. Demetrio Aguila!


The purpose of this study was to report the 1-year clinical outcomes of carpal tunnel release using ultrasound guidance (CTR-US) performed in a large, real-world population of patients enrolled in a multicenter registry.


All patients who participated in a postmarket registry study of CTR-US outcomes and provided both preoperative and 1-year postoperative data were included. Main outcomes were the Quick Disabilities of the Arm, Shoulder, and Hand Questionnaire (QDASH), Boston Carpal Tunnel Questionnaire Symptom Severity Scale (BCTQ-SSS), and Boston Carpal Tunnel Functional Status Scale (BCTQ-FSS) scores at 1 year. Subgroup analysis was performed to assess the effect of patient and procedural factors on 1-year outcomes.


A total of 300 patients (341 hands) were treated by 25 different physicians, including 41 (13.7%) treated with simultaneous bilateral procedures. Mean patient age was 54.2 years, 63% were women, 24% had ≥2 comorbidities, and 54% had symptoms for >2 years. Mean QDASH scores decreased from 40.6 ± 20.6 to 12.2 ± 18.3 at 1 year, BCTQ-SSS scores decreased from 3.0 ± 0.7 to 1.5 ± 0.7 at 1 year, and BCTQ-FSS scores decreased from 2.4 ± 0.8 to 1.4 ± 0.6 at 1 year. Women improved more than men at 1 year for QDASH, BCTQ-SSS, and BCTQ-FSS. Patients treated with simultaneous bilateral procedures had similar 1-year outcomes to those treated with unilateral procedures. Multiple other factors including high body mass index, diabetes status, current tobacco use, rheumatoid/inflammatory arthritis, operation in the dominant hand, higher comorbidity burden, and concurrent ipsilateral procedures did not significantly affect 1-year outcomes. Two patients had revision surgeries in addition to one patient with an infection, and one with a suspected small finger tendon injury.


Patients treated with CTR-US in real-world conditions report significant and clinically meaningful improvements in symptoms and function that are maintained at 1 year. The results are consistent across broad patient demographics and are not affected by performing simultaneous bilateral procedures.

Why Dr. Demetrio Aguila Became a Surgeon

Dr. Demetrio Aguila is a pain-focused peripheral nerve surgeon. He is one of only a few in the world trained to help patients overcome chronic pain conditions previously considered untreatable. In this video he explains why surgery is his life’s calling.


Superior Cluneal Nerve Pain Gone

John had low back pain for years that kept him from participating in his favorite hobbies of golf and bowling. The pain impacted all aspects of his life, all day long. He tried for years to find help, but no one could diagnose or effectively treat his pain. Then he went online and found Dr. Demetrio Aguila, a pain-focused peripheral nerve surgeon. Dr. Aguila diagnosed John with superior cluneal nerve entrapment and performed the surgery that gave him his life back.

Postherpetic Neuralgia Pain Relief

Tricia had pain and severe itching for almost a decade from Postherpetic Neuralgia (PHN). She searched for relief for years but nothing could ease the intense itching. Through a Facebook group she found pain-focused peripheral nerve surgeon Demetrio Aguila MD. Her husband Jeff shares her remarkable journey back to health.


Notalgia Paresthetica Relief

Marcia suffered for years with pain and itching from Notalgia Paresthetica. She saw neurosurgeons, acupuncturists. and many other specialists, but none of them could help her. Then she found Dr. Demetrio Aguila, a pain- focused peripheral nerve surgeon. She didn’t hesitate to fly across the country for a surgery that changed her life. Watch her story and learn more about relief from Notalgia Paresthetica.