Carpal Tunnel Release treatment
at Skin & Bones
Lancashire Clinic
0% APR pricing
Free consulatation
Est. 6 week timeframe
Carpal tunnel treatment at our Lancashire clinic
Carpal tunnel syndrome symptoms can be debilitating and significantly limit the function of the hand. Releasing the carpal tunnel can improve symptoms of pain and improve hand function. Traditionally this procedure is done with a surgical incision in theatre, which restricts the use of the hand for several weeks.
Revolutionary Carpal Tunnel treatment with Sono-surgery
Sono-surgery (ultrasound-guided percutaneous carpal tunnel release) is a minimally invasive alternative to traditional open or endoscopic surgery for carpal tunnel syndrome. Instead of a large incision on the palm, the surgeon uses real-time ultrasound imaging to visualise key structures - including the median nerve and transverse carpal ligament - and then releases the ligament through a tiny puncture.
Key Features of Sono Surgery:
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Ultrasound guidance: The surgeon sees the anatomy live, helping protect nerves and vessels.
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Local anaesthesia only: The procedure is done while the patient is awake, without general anaesthesia or sedation.
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No large incision: A micro-entry puncture is all that’s made - no stitches or scalpel incisions.
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Short procedure time: Most cases take only a few minutes in clinic or ambulatory settings.
Spirecut’s Sono-Instruments® are specially designed to enhance ultrasound visibility during the release and to perform the ligament division safely and effectively.
Performed by our two certified Doctors, Dr Joshua Lauder and Dr Onyibo Okafor
Our private Carpal Tunnel service is designed for those who value prompt, personalised healthcare. Whether you need a routine check-up, an urgent consultation, or ongoing health management, our dedicated team of doctors is here to help.
What happens at Carpal Tunnel treatment
At Skin and Bones Medical, we offer innovative incisionless carpal tunnel release. This minimally invasive approach uses a special needle under ultrasound guidance to release the carpal tunnel.
This has similar results to traditional surgery but allows you to use the hand for light duties almost immediately after the procedure. The procedure can also be done using only local anaesthetic in the comfort of a clinic. These factors make it an appealing choice for patients.
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Pre-op preparation:
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You’ll have your wrist scanned with high-frequency ultrasound to confirm anatomy and map out the transverse carpal ligament and median nerve.
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Local anaesthetic is injected around the surgical area.
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Ultrasound-guided release:
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Through a tiny skin puncture (often made with a small catheter), a slender Sono-Instrument is inserted.
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Under continuous ultrasound visualization, the surgeon carefully releases the transverse carpal ligament — the tissue compressing the median nerve.
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Completeness check:
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Ultrasound allows confirmation that the ligament has been fully released before the instrument is withdrawn.
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End of procedure:
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Typically just a small dressing is placed for a few hours — no stitches and no large wound.
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Initial consultation and investigations will be arranged. When you return for the carpal tunnel release procedure, it will take around 60 minutes
Recovery
Recovery after ultrasound-guided sono surgery is typically faster and more comfortable than traditional open or endoscopic carpal tunnel surgery. Because the procedure is performed through a tiny puncture rather than a larger incision, most patients experience minimal post-procedure pain and swelling.
A small dressing is usually worn for only a few hours, and many patients are able to use their hand for light daily activities the same day or the following day.
There are no stitches to remove, and the puncture site heals quickly with little to no visible scarring. Grip strength and hand function often improve within days, with many patients returning to desk work or light duties within one to two weeks.
Some temporary soreness or “pillar pain” at the base of the hand can occur, as with all carpal tunnel releases, but this typically resolves over time as healing continues. Overall, patients frequently report a smoother recovery and a quicker return to normal activities compared with more invasive surgical techniques.
Carpal tunnel treatment cost
Per proceedure:
£3,000
0% APR monthly payments:
From £150p/m, over 20 months