A 1 cm mini-incision is made on the wrist to insert miniaturized devices to cut the ligament responsible for nerve compression. Unlike the traditional method, the skin and muscles of the hand are not affected. The pain is minimal and the relief of symptoms is immediate.

The operation lasts about ten minutes and is performed while the patient is completely awake. This method does not require postoperative care and the patient can quickly return to his or her activities. Both hands can be treated in a single session, significantly shortening the recovery period.

Although the effectiveness rate of both methods is comparable and both have very low complication and recurrence rates, endoscopic release offers significant comfort and productivity benefits.

Because of its less invasive nature, it provides rapid symptomatic relief, improved motor recovery and a much faster return to normal activities.*

• Minimally invasive technique.

• Low discomfort and low risk of complications.

• Immediate relief of numbness.

• Direct improvement of sleep quality.

• Minimal downtime – Most patients regain hand use within 24 to 48 hours.

• Allows both hands to be treated in one session.

Dr. Brutus is a pioneer in endoscopic hand surgery in Canada and has already successfully operated on several thousand patients.

*This information is provided for information purposes only. Results may vary from patient to patient.

A significant proportion of people with carpal tunnel syndrome also have Lacertus syndrome.

Lacertus syndrome is caused by compression of the median nerve at the elbow. Its symptoms are similar to those of CTS and typically manifest as numbness, loss of strength, decreased manual dexterity and pain in the forearm. The two conditions are frequently associated (called double compression), but they can exist on their own.

Because the symptoms of Lacertus syndrome are often confused with those of CTS, its diagnosis is often missed or made late. Unfortunately, many doctors fail to look for a secondary cause or have inadequate training in detecting the disease. These diagnostic errors are a very common cause of carpal tunnel surgery failure.

Until recently, surgical treatment of Lacertus syndrome required general or regional anaesthesia with a very long incision in the forearm. The results were random due to the aggressiveness of the surgical approach and its complications. Its treatment is now much less invasive, thanks to advances in surgical and anaesthesia techniques. The procedure is performed under local anaesthesia (WALANT, or Wide Awake Local Anesthesia No Tourniquet) on a fully awake patient, which confirms the immediate return of strength and verifies the decompression result.

The surgery requires an incision of two or three centimetres in the fold of the elbow. Return to office work is possible 24 to 48 hours later, while physical work is possible after ten to fourteen days.