Endoscopic Carpal Tunnel Release (ECTR)

Stitchless Endoscopic Carpal Tunnel Release (SECTR)

Stitchless Endoscopic Carpal Tunnel Release (SECTR) Procedure

1. Preparation: A small incision is created in the wrist.
2. Endoscope Inserted: An endoscope, which the surgeon uses to see inside the wrist and hand, is inserted underneath the transverse carpal ligament. The endoscope has a light and a small video camera that sends images to a TV monitor in the operating room.
3. Ligament Cut: Using the video images from the endoscope as a guide, the surgeon precisely cuts the constricting transvers carpal ligament, relieving pressure on the median nerve.
Note: Through a single, small incision, the ligament is released without having to cut through the skin and muscles of the palm resulting in less pilar pain and less scarring pain.

Stitchless 5-10 sutures
1/4 inch scar 3 inch scar
Little to no scar sensitivity Tender scar for months, possible permanent
Small dressing Splint for 3 weeks
May get dressing wet Must keep dry for 3 weeks
Usually no therapy 4-8 weeks of therapy
Light activities Immediately Light activities at 3 weeks
Return to strenous work at 1 month Return to strenous work at 3 months


Dr. Knight Performs SECTR Procedure


“A recent experience with the extreme pain of carpal tunnel syndrome sent me running to find help. Dr. Knight’s office really came to the rescue. They saw me within an hour of my call. A very competent and professional staff greeted me and escorted me to a room where a technician carefully arranged my hand for a series of x-rays. Within minutes Dr. Knight introduced himself and explained the problem and the surgical solution. An MRI was required for optimal information. Dr. Knight’s office set up that appointment and then scheduled the surgery. Dr. Knight’s thoughtful and pleasant manner should be a measure for all doctors. I am happy to report that, three weeks later, I have full use and strength in my hand. Throughout the healing process, the office was fully attentive to my needs and concerns. Dr. Knight and his staff could not have been more professional and caring. My thanks to Evelyn, Katie and, of course, the good doctor.”

Michael Durrell (Actor)

Dear Dr. Knight and staff,

My name is Suzanne Olah-Macek and I recently had carpal tunnel surgery (March 4th, 2013) on my right wrist at The Hand and Wrist Institute.

Carpal tunnel was a condition I had struggled with for many months, but since I work as an Occupational Therapist using my hands I was nervous about the procedure. Just scrolling the information on his website thehandandwristinstitute.com gave me all the information I needed to agree to an appointment (especially the videos of the actual procedure and recovery times). This was the first surgery I have ever had and the staff made my stay very relaxing and comfortable.

I would like to express my sincerest gratitude and appreciation for the professionalism and excellent care I received in Dr. Knight’s offices, during my examination, the actual surgery, and when I returned for aftercare. I never had problems reaching the staff when I had questions, and they were always prompt when returning my calls. Their reminder calls for appointments were especially helpful as was the ease of filling out the important information forms online.

The recovery time was faster than other recovery times I had heard of, and I was back to work within a week (with light duty of course). It has been two and a half months since my surgery and I feel great. My numbness, tingling, and pain has almost completely disappeared and I am working my regular employment duties. My life is much more manageable especially since the pain has disappeared.

I would highly recommend Dr. Knight and his staff for any hand, wrist, or upper extremity injuries you might be facing. Thank you once again for the wonderful service.

With Gratitude,
Suzanne Olah-Macek
Department of Developmental Services Fairview Developmental Center Physical Medicine and Rehabilitation
Occupational Therapy Department


Open Procedure vs. Endoscopic Procedure

Animated Videos

Carpal Tunnel Endoscopic Release Testimonial

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