Carpal Tunnel Syndrome (CTS)

Carpal Tunnel Syndrome is one of the most common orthopedic conditions that causes tingling, numbness, and pain in the hand(s). This is because the median nerve (one of the major nerves in the hand) becomes compressed at the wrist. Since the median nerve runs down the arm and passes through the carpal tunnel at the wrist into the hand, it controls the feeling and movement of the thumb and first 1-3 fingers. Some other common symptoms of Carpal Tunnel Syndrome are weakness in the hand, tingling and/or pain that may go up the forearm and sometimes into the shoulder and electric shock-like sensations in every finger except the pinky.

Traditional Treatments

Patients suffering from mild CTS can be treated with wrist splints, cessation of repetitive activities that acerbate the condition, over-the-counter medications to relieve inflammation and corticosteroid injections in to the wrist.  Patients with severe CTS often have to go the surgical route which consists of hospitalization, undergoing anesthesia and cutting the TCL (transverse carpal ligament) to relieve the pressure on the median nerve.  The TCL may grow back together giving more space in the carpal tunnel; however it can result in further chronic pain in the patient’s palm.  The greatest difficulty with surgical recovery in the large scar in the palm that can be painful as well the reasons for an extended recovery.

Micro-invasive CTR with the SX-One Microknife®

The SX-One Microknife® from Sonex Health was developed by doctors at the Mayo Clinic to not only effectively relieve the symptoms of Carpal Tunnel Syndrome by a minimally invasive procedure, but to also speeds recovery time without undergoing traditional surgery with the large incision/scar in the wrist/palm.  With the SX-One Microknife®, Carpal Tunnel Release can be performed in office with only a local anesthetic and with an incision that is small enough to be covered by a band-aid.  This results in the patient experiencing faster pain relief, recovery and a return to previous activities with little downtime.

On December 21st, Gerard Malanga, MD became the first physician in New Jersey to perform ultrasound guided carpal tunnel release using the SX-One Microknife® from Sonex Health. Dr. Malanga with his team performed this procedure on three patients under the supervision of Dr. Jay Smith from the Mayo Clinic who is also one of the inventors of this device. Thus far, all patients are doing well. To date 23 different physicians have used the SX-One MicroKnife® to perform over 350 carpal tunnel release procedures in 12 different states. The physicians include: sports medicine specialists, radiologists and hand surgeons.