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Thread Carpal Tunnel Release

Minimally Invasive Relief for Carpal Tunnel Syndrome 

Thread carpal tunnel release (TCTR), also known as the Guo Technique, is a groundbreaking, incisionless procedure developed by BayCare Clinic physicians Dr. Danqing Guo and Dr. Danzhu Guo. It offers fast, effective relief from carpal tunnel syndrome, without the need for traditional surgery. 

What Is Carpal Tunnel Syndrome? 

Carpal tunnel syndrome occurs when the median nerve is compressed in the wrist’s carpal tunnel. This can cause: 

  • Numbness and tingling in the hand
  • Pain in the wrist and fingers
  • Weakness or restricted movement 

It’s common among people who perform repetitive hand motions, and risk factors include diabetes, arthritis, and previous wrist injuries. 

How TCTR Works 

Using ultrasound guidance, a smooth thread is looped around the transverse carpal ligament via two tiny needle punctures. The thread is gently moved back and forth to release the ligament and relieve pressure on the median nerve. 

Procedure Highlights: 

  • No scalpel, no surgical incision
  • Performed in-office under local anesthetic
  • Typically completed in under 10 minutes
  • Two small adhesive bandages cover the entry points 

Benefits of TCTR 

  • Minimally invasive with no stitches
  • Minimal pain and downtime
  • No physical therapy required
  • Most patients return to work within 1–2 days* 

Providers

Danqing Guo, MD, RMSK

Danqing Guo, MD, RMSK

Pain & Rehab Medicine
Danzhu Guo, MD, FAAPMR

Danzhu Guo, MD, FAAPMR

Pain & Rehab Medicine

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