Chapel Hill, NC

Carpal Tunnel
Without Surgery

Waking up with numb hands? Dropping things? For nerve pain in individuals without severe compression, nerve hydrodissection may offer alternatives to surgery and can be done in a single office visit.

What is Carpal Tunnel Syndrome?

The carpal tunnel is a narrow passageway in your wrist formed by bones and ligaments. The median nerve-which provides sensation to your thumb, index, middle, and ring fingers-passes through this tunnel along with the tendons that bend your fingers.

When the tunnel narrows or the contents swell, the median nerve gets compressed, causing numbness, tingling, and eventually weakness in your hand.

Common Symptoms

  • Numbness or tingling in thumb, index, middle fingers
  • Waking up at night with numb hands
  • Shaking hands to relieve symptoms
  • Dropping objects or difficulty with fine motor tasks
  • Weakness in grip strength

Risk Factors

  • Repetitive hand/wrist movements
  • Computer and mouse use
  • Pregnancy and hormonal changes
  • Diabetes and thyroid conditions
  • Wrist fractures or arthritis

Nerve Hydrodissection: The Non-Surgical Solution

Using real-time ultrasound guidance, we can free the median nerve from surrounding tissues in a 15-minute office procedure-no incision, no stitches, no downtime.

How It Works

1

Visualize

Using high-resolution ultrasound, we identify exactly where your median nerve is compressed.

2

Release

We inject a solution around the nerve, using fluid pressure to separate it from adhesions and compressed tissue.

3

Heal

The freed nerve can now glide normally. Most patients notice improvement within days to weeks.

Advantages Over Surgery

  • No incision or stitches
  • Done in office in 15 minutes
  • No anesthesia or operating room
  • Return to activities same day
  • No risk of pillar pain
  • Can be repeated if needed

What to Expect

  • Mild discomfort during injection
  • Some tingling as nerve is freed
  • Soreness for 1-2 days
  • Gradual symptom improvement over 1-4 weeks
  • Some patients need 2-3 treatments

Frequently Asked Questions

Yes. Nerve hydrodissection can be an effective non-surgical treatment for mild-to-moderate carpal tunnel syndrome. Using ultrasound guidance, we inject fluid around the median nerve, release it from surrounding adhesions and compression, and, often provide significant pain relief.

The procedure itself takes about 15-20 minutes. You can drive yourself home and return to light activities the same day. Most patients notice improvement within 1-2 weeks.

Most patients describe mild discomfort during the procedure-similar to getting blood drawn. We use local anesthetic to numb the skin first. Some patients feel tingling in their fingers as the nerve is freed, which is actually a good sign.

Unlike surgery, hydrodissection can be safely repeated if needed. Many patients benefit from a series of 2-3 treatments. If conservative treatment isn't sufficient, surgical release remains an option-hydrodissection doesn't burn any bridges.

Since hydrodissection is often performed with prolotherapy soluition or PRP, it is typically not covered by insurance. Even without coverage, hydrodissection is typically much less expensive than surgery.

Get Relief from Carpal Tunnel

Stop waking up with numb hands. Find out if nerve hydrodissection can release your carpal tunnel without surgery.