Carpal Tunnel Syndrome: Non-Surgical Treatment in Palm Beach
Carpal tunnel syndrome (CTS) occurs when the median nerve, which runs through the carpal tunnel in the wrist, becomes compressed or irritated, causing numbness, tingling, and weakness in the hand and fingers. It is one of the most common nerve compression conditions, particularly affecting individuals with repetitive hand use or prolonged wrist positions.
At Palm Beach Regenerative, Dr. Ghattas offers Nerve Hydrodissection, an image-guided technique that uses precise injection to free the median nerve from surrounding adhesions and reduce compression, as a non-surgical alternative for appropriate CTS cases. Give us a call for more information.
What Is Carpal Tunnel Syndrome?
The carpal tunnel is a narrow passageway in the wrist formed by bones and ligaments. The median nerve passes through this tunnel, as do the tendons of the hand. When swelling, inflammation, or structural narrowing compresses the nerve within this space, the characteristic symptoms of carpal tunnel syndrome develop.
Signs and Symptoms
- Numbness and tingling in the thumb, index, middle, and half of the ring finger
- Symptoms typically worse at night or upon waking
- Weakness and difficulty gripping or pinching
- Sensation of the hand ‘falling asleep’
- Pain that may radiate up the forearm
- Dropping objects due to reduced grip strength
Common Causes and Risk Factors
- Repetitive hand or wrist movements
- Prolonged wrist flexion (typing, sleeping with wrists bent)
- Pregnancy-related fluid retention
- Thyroid or metabolic conditions affecting nerve health
- Inflammatory arthritis
- Obesity
How It Is Diagnosed
Electrodiagnostic testing (nerve conduction studies and EMG) provides objective confirmation of median nerve compression and helps grade severity. Ultrasound imaging allows direct visualization of the median nerve at the wrist, assessing nerve swelling and mobility within the carpal tunnel.
Dr. Ghattas uses diagnostic ultrasound to evaluate the nerve and plan the hydrodissection procedure.
Conventional Treatment Options
- Wrist splinting, especially at night, to maintain neutral wrist position
- Activity modification and ergonomic adjustments
- Anti-inflammatory medications
- Steroid injections: Temporary relief by reducing inflammation within the carpal tunnel
- Carpal tunnel release surgery: Cutting the carpal ligament to decompress the nerve, effective for moderate-to-severe cases
The Palm Beach Regenerative Approach
Nerve Hydrodissection is a specialized ultrasound-guided technique where precise injection of fluid, typically a platelet preparation, is used to separate the median nerve from surrounding scar tissue and adhesions within the carpal tunnel.
This technique reduces the mechanical compression on the nerve and may help support the nerve’s own healing response. It is performed under real-time ultrasound guidance to ensure the needle and injectate are precisely positioned adjacent to the nerve.
Nerve Hydrodissection may be an appropriate option for patients with mild-to-moderate CTS who wish to explore non-surgical alternatives before committing to surgery. Patients with severe nerve compression and significant muscle wasting (thenar atrophy) typically require surgical evaluation.
The BioMod Advantage: At Palm Beach Regenerative, treatment does not end with a single injection. Through our BioMod Lab, Dr. Ghattas may combine your orthobiologic procedure with MLS Robotic Laser Therapy to reduce inflammation and support tissue recovery, alongside customized Xymogen supplement protocols designed to optimize your body’s healing environment. This integrated, concierge approach is what sets Palm Beach Regenerative apart from a standard injection clinic.
Like all medical procedures, interventional orthobiologics have potential risks and benefits. Results vary by individual. Not all patients are candidates. Dr. Ghattas will discuss your specific situation, realistic expectations, and all treatment options, including when surgery or other interventions may be more appropriate.
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"Honestly one of the best experiences, I’ve had a really stiff neck for a couple weeks I tried seeing a chiropractor for and it helped marginally but the real jump in relief was coming to see Dr. Ghattas! He has been incredible, wonderful staff, and minimally invasive technique for my pain relief which was super important to me! Thank you Dr. Ghattas recommending to anyone with pain!"Monica A
"Ghattas was instrumental in helping my torn rotator cuff. I did Barbotage for the stone, and then PRP. Great experience. Been about a month or 2 since and I feel great."Ahmet B
"I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them."Roger L
"Over a year ago, both my daughter and I underwent PRP treatment with Dr. Ghattas—PRP for my left knee and PRP for my daughter’s L4-L5 and sacral region. We wanted to wait long enough to truly evaluate the results before sharing our experience. I am pleased to say that the outcomes have been outstanding. My daughter’s improvement has been remarkable, and the treatment has made a significant difference in her quality of life. I have also experienced excellent results with my knee. Dr. Ghattas is an exceptional physician who combines expertise, professionalism, and genuine care for his patients. We are incredibly grateful for the treatment we received and the positive impact it has had on our lives. Thank you, Dr. Ghattas. We are truly grateful for everything you have done. You are simply the best."Dr Jorge A
"Dr. Ghattas is very knowledgable and a sympathetic doctor. Hard to find in America. All questions answered, my procedure went very smoothly, very little pain. Follow up is excellent, I highly recommend his practice."Luciana D
“ I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them. ”Roger L
“Dr. Ghattas was terrific today. He spent a good amount of time examining me and explaining the regenerative process which I intend to have done next month. More to come after the procedure.”Louie R
“I found Dr Ghattas and his staff very welcoming and informative. The process was well explained and gave me encouragement about the potential for fully restoring my knee joint integrity.”Eric C
“I received two treatments from Dr. Ghattas With excellent results, he takes great care in his assessment and in his treatment you couldn’t be in better hands. I highly recommend his work.”Gisela S
“Apart from the exemplary personal service by the reception and the staff that makes us feel we're at home at the clinic, I have experienced remarkable healing in several episodes from shoulder issue to knee injuries and hip pain. The doctor is so thorough in the diagnosis phase that he administered exactly what was needed, no more no less! Thank you folks for a wonderful experience.”RG G
“Went to Dr. Ghattas for chronic knee and neck issue. I’ve already had multiple procedures done on my neck and multiple epidurals with minimal success. My knee I was told needed surgery to fix. I already had surgery in the past with minimal difference. I ended up getting stem cells in my knee and neck and could t be happier with the outcome. Anyone considering surgery I recommend checking out Regenex first. Next I’m doing the ganglion block and look forward to the results.”Logan H
“Dr. James Ghattas and his team are truly top-notch. His office is equipped with state-of-the-art technology and a staff that's exceptional in their fields. I've referred several clients to him, and they've all been incredibly satisfied. Dr. Ghattas is absolutely ahead of the curve, and I wholeheartedly endorse his work.”Ron H
“I am quite active and go to pilates 3-4 times per week. I was having left knee pain and which was treated with PRP. It took about 3 months for me to feel better but then the pain completely subsided. I now am able to exercise without the fear that I will tear a ligament and am pain free.”Ellipsis P
“Transparency, thoroughness, attention to detail, immediate, high quality, follow ups and follow through are just a few words that come to mind throughout my experiences with Palm Beach Regenerative Sport and Spine.”Milton L
