Carpal Tunnel Release (CTR) with Ultrasound Guidance

If you have challenges with Carpal Tunnel, Dr. Aguila and the team will work with you to help develop a long-term solution including the use of Carpal Tunnel Release (CTR) with Ultrasound Guidance as a surgical remedy.

Carpal Tunnel Release (CTR) with Ultrasound Guidance

Dr. Demetrio Aguila is excited to be the first doctor in Nebraska to offer patients Carpal Tunnel Release (CTR) with ultrasound guidance. This innovative procedure can be done in the office, without general anesthesia and zero down time.

Traditional Carpal Tunnel Release Surgery

CTS may be treated surgically through a procedure called carpal tunnel release (CTR), which relieves pressure on the median nerve by cutting the transverse carpal ligament. Traditional CTR procedures can remedy the condition, but may result in large and sometimes painful scars, ongoing palm pain, and a long road to recover

Carpal Tunnel Release with Ultrasound Guidance Success Stories

Carpal Tunnel Release with Ultrasound Guidance – Not Once But Twice

Carpal Tunnel relief times two for Ashley after two Carpal Tunnel…
January 10, 2024/by chetan reddy

Dr. Aguila Publishes Study on Carpal Tunnel Release Using Ultrasound Guidance

Big Congratulations to Dr. Demetrio Aguila!
Dr. Aguila's Study on Carpal Tunnel Release Using Ultrasound Guidance was published in the Journal of Hand Surgery.

Purpose

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.

Methods

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.

Results

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.

Conclusions

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.

November 22, 2023/by chetan reddy

Historia exitosa de liberación del túnel carpiano

Theresa sufrió el síndrome del túnel carpiano durante años,…
July 28, 2023/by chetan reddy

How Dr. Aguila Eliminates Chronic Pain with Peripheral Nerve Surgery

Pain-focused peripheral nerve surgeon Dr. Demetrio Aguila explains…
June 6, 2023/by chetan reddy

Carpal Tunnel and Trigger Finger Release Success Story

Trigger Finger and Carpal Tunnel Syndrome caused pain and…
February 27, 2023/by DrAguila

Carpal Tunnel Release with Ultrasound Guidance after Traditional Carpal Tunnel Release Surgery

A rave review for Carpal Tunnel Release with Ultrasound Guidance.
"Don't…
December 13, 2022/by DrAguila

Carpal Tunnel Release with Ultrasound Guidance for Young Mother

Karla was busy raising her young kids and did not have time the…
November 18, 2022/by DrAguila

Carpal Tunnel Release with Ultrasound Guidance After COVID: Update on Dr. Jim Falyor

Dr. Jim Faylor's Carpal Tunnel got much worse when he was hospitalized…
November 7, 2022/by DrAguila

Ten Years of Carpal Tunnel Pain Gone After Carpal Tunnel Release with Ultrasound Guidance

Carrie suffered for a decade with Carpal Tunnel pain. She didn't…
June 25, 2022/by DrAguila

Carpal Tunnel Release with Ultrasound Guidance Done in Three Minutes!

Laura is a body builder who scoffed at the idea of 6 weeks of…
June 13, 2022/by DrAguila

Back to Sewing After Carpal Tunnel Release with Ultrasound Guidance

Shirley was suffering from Carpal Tunnel pain that was keeping…
May 4, 2022/by DrAguila

Carpal Tunnel Release with Ultrasound Guidance: Two More Success Stories

Carpal Tunnel Release with Ultrasound Guidance offers patients…
April 11, 2022/by DrAguila

The Aguila Team Can Help

Dr. Demetrio Aguila and his team at Healing Hands of Nebraska can help patients suffering from unexplained nerve pain or other chronic pain. We urge everyone to not ignore symptoms when solutions may be possible. Take the first step to feeling better, come and see us about solutions for chronic pain, allergies, and reconstructive surgery.

Call us at 1-402-370-9515 or fill out the form on this page to set up a consultation to determine your best options.

Contact Dr. Aguila

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