What Is Ultrasound-Guided Carpal Tunnel Release (US-CTR)?
Ultrasound-Guided Carpal Tunnel Release: A Modern Approach to Relief
Carpal Tunnel Syndrome (CTS) is the most common nerve compression disorders. It causes numbness, tingling, and weakness in the hand. For patients suffering from persistent or severe symptoms, surgery is the best long-term solution. Today, a cutting-edge technique called Ultrasound-Guided Carpal Tunnel Release (US-CTR) offers a minimally invasive alternative to traditional open surgery.
What Is US-CTR?
Ultrasound-Guided Carpal Tunnel Release is a procedure that uses real-time ultrasound imaging to guide a small surgical instrument to release the transverse carpal ligament — the structure compressing the median nerve.
Unlike traditional open surgery, which requires a larger incision and often more tissue dissection, US-CTR is performed through a very small incision (typically 4–5mm) under local anesthesia, without the need for sedation.
Key Advantages of US-CTR
✅ Minimally invasive: Small incision means less disruption to surrounding tissue.
✅ No stitches required
✅ Faster recovery: Most patients return to light activity within days.
✅ Lower pain levels: Less postoperative discomfort and reduced need for pain meds.
✅ Local anesthesia only: Avoids risks associated with general anesthesia.
Who Is a Good Candidate?
Patients with clinical and diagnostic confirmation of CTS (including nerve conduction studies) who have not responded to conservative treatments such as bracing or corticosteroid injections may be candidates. I evaluate patients individually to determine whether US-CTR is appropriate.
How Is the Procedure Performed?
The hand is numbed using local anesthetic.
Using ultrasound guidance, I identify he median nerve, the transverse carpal ligament, and other important structures.
A small incision is made at the base of the wrist.
A specially designed device (NewClip Kemis Knife) is inserted and used to safely release the ligament.
A small bandage is applied — no sutures necessary.
What Is Recovery Like?
Most patients return to daily activities within 1–3 days.
Full grip strength typically returns over a few weeks.
Postoperative pain is generally mild and manageable with over-the-counter medication.
Why Choose Dr. Chris English for US-CTR?
I am double board-certified orthopedic hand surgeon serving the Salt Lake City metro and northern Utah region. I specialize in minimally invasive techniques that offer faster recovery, less pain, and excellent long-term outcomes for patients with hand and upper extremity conditions.
Ready to find relief from carpal tunnel symptoms?
Book a consultation with Dr. English today to see if you’re a candidate for US-CTR.