AOCPMR 2024 Mid-Year Meeting-A New Frontier for PM&R: Thread Carpal Tunnel Release

A New Frontier for PM&R: Thread Carpal Tunnel Release - Andrew Woods, DO

Video Transcription

Video Summary

This presentation discusses "thread carpal tunnel release," a minimally invasive procedure introduced in 2015 as an alternative to traditional surgery for carpal tunnel syndrome. The technique uses a thread passed under ultrasound guidance through the carpal tunnel ligament via two needle punctures, enabling precise transection while sparing nerves and tissues. Studies show significant symptom relief within hours post-procedure, with return to work averaging 12 days versus 33 days for open surgery. The procedure, completed in 8–20 minutes in-office, involves fewer complications, smaller incisions, and less recovery time. Despite promising clinical outcomes, training is limited, mostly at Mayo Clinic, and professional turf wars and lack of billing codes have hindered widespread adoption. Physiatrists may benefit by offering this less invasive treatment to patients, potentially enhancing recovery and reducing costs. Ongoing research aims to improve thread design and long-term data, but currently, post-procedure therapy and follow-up remain similar to conventional approaches.

Keywords

thread carpal tunnel release

minimally invasive procedure

ultrasound-guided transection

carpal tunnel syndrome treatment

recovery time reduction