Thread Carpal Tunnel Release
The Mount Sinai Department of Neurosurgery is among the first in the nation to offer Thread carpal tunnel release, a next-generation, ultra-minimally invasive procedure for patients with carpal tunnel syndrome. Performed by a neurosurgeon using real-time ultrasound guidance, this innovative approach delivers effective symptom relief comparable to traditional open surgery, but without a surgical incision.
What is Thread Carpal Tunnel Release?
Thread carpal tunnel release is an incisionless procedure designed to relieve pressure on the median nerve while minimizing disruption to surrounding tissue. Unlike traditional open or endoscopic surgery, the procedure does not require a surgical incision or stitches, allowing for faster recovery and minimal downtime.
Using high-resolution ultrasound guidance, the anatomy of the wrist is precisely mapped in real time to ensure accuracy and safety. A neurosurgeon will evaluate each patient to determine whether this approach is appropriate based on symptoms, anatomy, and overall health.
How Does Thread Carpal Tunnel Release Work?
The entire procedure is typically completed in under 10 minutes.
- A thin needle is guided beneath the transverse carpal ligament through a tiny puncture in the palm of the hand.
- A smooth, flexible cutting thread is passed through the needle and looped around the ligament.
- The cutting thread is gently used to divide the ligament, relieving pressure on the median nerve.
- Once complete, the cutting thread is removed, and two small adhesive bandages are applied.·
How Does Thread Carpal Tunnel Release Benefit Patients?
Thread carpal tunnel release may be an option for patients with carpal tunnel syndrome who are seeking symptom relief with minimal disruption to daily life. The benefits of the procedure include:
- Performed in the office using local anesthetic, with no scalpel, stitches, or surgical incision.
- Typically completed in under 10 minutes, with only two small adhesive bandages required.
- Minimal pain and downtime, and physical therapy is usually not needed.
- Most patients return to work and normal activities within one to two days.
About Carpal Tunnel Syndrome
Carpal tunnel syndrome occurs when the median nerve becomes compressed as it passes through the carpal tunnel in the wrist. The condition is commonly associated with jobs or activities requiring repetitive hand movements and may also be linked to diabetes, arthritis, pregnancy, or prior wrist injuries. This compression can lead to:
- Numbness or tingling in the hand and fingers.
- Pain in the wrist or hand.
- Weakness, clumsiness, or difficulty with fine motor tasks.
Why Choose Mount Sinai for Thread Carpal Tunnel Release?
Thread Carpal Tunnel Release at Mount Sinai is performed by Stephen P. Miranda, MD, MS, Director of Peripheral Nerve for Neurosurgery in the Department of Neurosurgery. Dr. Miranda specializes in advanced surgical and non-surgical treatments for peripheral nerve conditions, including carpal tunnel syndrome. Dr. Miranda is recognized for bringing innovative, patient-centered techniques to Mount Sinai.