A New Way to Treat Carpal Tunnel Syndrome for Faster Recovery

Now there’s a proven way to get rapid relief from carpal tunnel pain and return quickly to normal activities.

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Want to learn more about Micro-invasive Carpal Tunnel Release (CTR)? Fill out this form to schedule a consultation.

Florida Carpal Tunnel Specialists Form

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A New Way to Treat Carpal Tunnel Syndrome for Faster Recovery

Now there’s a proven way to get rapid relief from carpal tunnel pain and return quickly to normal activities.

Start Here

Want to learn more about Micro-invasive Carpal Tunnel Release (CTR)? Fill out this form to schedule a consultation.
The new standard in treating Carpal Tunnel Syndrome. Watch our latest webinar.
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The new standard in treating Carpal Tunnel Syndrome. Watch our latest webinar.

Watch Now

Micro-invasive Carpal Tunnel Release (CTR) with the SX-One MicroKnife®

The SX-One MicroKnife is a low-profile, safe, and effective instrument that allows your doctor to perform carpal tunnel release in a matter of minutes. When combined with ultrasound visualization, the procedure requires only a very small (4-5 mm) wrist incision.

Significant benefits of the SX-One MicroKnife

  • Performed in a procedure room or office setting
  • Can be performed using local anesthesia
  • Small wrist incision is typically closed without sutures
  • Reduces or eliminates the need for opioids
  • Postoperative therapy is typically not required—saving you time and money
  • Immediate motion in the hand for rapid recovery
  • Return to normal activity in a few days, not months
After the procedure, you’ll be able to resume activities as tolerated—most patients can return to work and the activities they love within 3-6 days. Learn more about long-term clinical outcomes in this study.

Micro-invasive CTR under Ultrasound Guidance*

  1. A 4-5 mm micro-incision is made in the wrist.
  2. Under ultrasound guidance, the SX-One MicroKnife is inserted through the micro-incision.
  3. Stealth MicroGuards™ are deployed to enhance the protection of nearby nerves, tendons, and other sensitive anatomy during the procedure.
  4. The TCL Blade™ is advanced and cuts the TCL in the wrist to reduce pressure in the carpal tunnel.
  5. The SX-One MicroKnife is removed and the micro-incision is closed with an adhesive bandage or strip; sutures or stitches are optional.
* Micro-invasive CTR can also be performed with a traditional mini-open incision. Ask your doctor for more information.

What is Carpal Tunnel Syndrome (CTS)?

Affecting more than 12 million people, CTS can cause pain, numbness and tingling in the hand and arm. It occurs when the median nerve, one of the major nerves in the hand, is compressed as it travels through the carpal tunnel in the wrist.

Traditional Carpal Tunnel Release Surgery

CTS may be treated surgically through a procedure called carpal tunnel release (CTR), which relieves pressure on the median nerve by cutting the transverse carpal ligament. Traditional CTR procedures can remedy the condition, but may result in large and sometimes painful scars, ongoing palmar pain, and a long road to recovery.

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Meet The Doctors

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James Leiber, DO
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ron-torrence-regenexx-tampa-bay
Ron Torrance II, DO
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ignatios-papas-regenexx-tampa-bay
Ignatios Papas, DO
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Patient Testimonial
★★★★★ 5/5

"I'm back fully to bike riding, indoor and outdoor. I did a 20-mile ride and a 14-mile ride. I did my spinning classes and I played golf this week."

Recovery in days, not months

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Recovery in days, not months

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SX-One MicroKnife is a trademark of Sonex Health, LLC. All other trademarks are the property of their respective owners.
©2024 Sonex Health, LLC and Florida Carpal Tunnel Specialists. All rights reserved.

References

1. Nakamichi K, Tachibana S, Yamamoto S, et al. Percutaneous carpal tunnel release compared with mini-open release using ultrasonographic guidance for both techniques. J Hand Surg Am. 2010 Mar;35(3):437-445.
2. Rojo-Manaute JM, Capa-Grasa A, Chana-Rodriguez F, et al. Ultra-minimally invasive sonographically guided carpal tunnel release: a randomized clinical trial. J Ultrasound Med. 2016 Jun;35(6):1149-1157.
3. Henning PT, Yang L, Awan T, et al. Minimally invasive ultrasound-guided carpal tunnel release: preliminary clinical results. J Ultrasound Med. 2018 Nov;37(11):2699-2706.

James Leiber, DO is founder and medical director of Regenexx Tampa Bay and Regenexx at Gold Coast Orthopedics in Florida. He is a former officer, physician, and educator in the Air Force for 11 years – including personal consulting physician to the vice president and president at the White House and former Assistant Clinic Professor at the Uniformed Services University of the Health Sciences. He is an Associate Professor at LECOM where he was full-time for 5 years and served as the co-creator of an innovative medical school course in Integrative Clinical Nutrition. He has completed fellowship training in research, teaching, and curriculum development at UNC-Chapel Hill and is triple board-certified in Neuromusculoskeletal Medicine, Pain Medicine, and Family Medicine – as well as Registered in Musculoskeletal Sonography. He is also formally trained in Functional Medicine. He has also completed The Leadership Academy program for physicians with the Florida Medical Association and University of Florida program. Dr. Leiber focuses on Interventional Orthobiologics and is honored to have been the first Regenexx Provider in Florida starting in 2012. As medical director of one of the longest-running Regenexx clinics and amongst the most experienced Regenexx affiliates, he is proud to be offering the nation’s most advanced non-surgical bone marrow concentrate and platelet treatments (PRP) for injuries and arthritis under image guidance utilizing ultrasound and fluoroscopy (X-ray).

He is the former program director and current senior instructor for the Not-For-Profit Interventional Orthopedic Foundation (IOF). He was the lead consultant to surgeons and interventionalists at a large Brazilian healthcare network as they began clinical trials in bone marrow concentrate and PRP treatments. He has authored various research and textbook publications and has been an invited speaker at medical conferences. Dr. Leiber was awarded the prestigious Emerging Leader Award by the American Osteopathic Foundation in 2005 and the Saunders Book Award for outstanding academic achievement in physiology and pharmacology in 1999. At Boston University, Dr. Leiber spent 2 years as an Aerospace Engineering major before switching to Pre-Med and graduating with a double major (B.A.) in Psychology and Economics.

He maintains medical licenses in FL and Grand Cayman. He also travels to Cayman regularly to treat patients with their own culture-expanded healing agents. Dr. Leiber believes that the key to treatment is a collaborative relationship between doctor and patient and an understanding that every person and situation is unique. He is originally from NYC (with strong family ties to Argentina) but has lived in all regions of the U.S. and enjoys spending time with his family. He resides on the SW coast of FL.

Dr. Leiber is licensed in Florida and Grand Cayman. – www.regenexxcayman.ky

He travels to Cayman regularly to treat patients with their own culture-expanded healing agents. Learn more: When to Think about Culture-Expanded Healing Agents

Dr. Leiber believes that the key to effective treatment is a collaborative relationship between doctor and patient and an understanding that every person and situation is unique.

Ronald Torrance II, DO, is a non-surgical orthopedic physician specializing in Sports Medicine at Regenexx Tampa Bay. He hails from Erie, Pennsylvania, but moved to Sarasota, Florida at a young age. Dr. Torrance has always had a propensity for sports, which explains his passion for Sports Medicine. His journey towards sports medicine began when he accepted a combined academic and athletic scholarship from Limestone College in Gaffney, South Carolina. While there, he played baseball and graduated with a double Bachelor of Science Degree in Biology and Chemistry with a minor in Mathematics.

Dr. Torrance later graduated from Lake Erie College of Osteopathic Medicine in Lakewood Ranch, Florida. He then completed his Family Medicine Residency in the Greater Philadelphia Area followed by a fellowship in Sports Medicine in Vineland, NJ with Inspira Health Network. He is licensed to practice medicine in the states of Florida, Pennsylvania and New Jersey.

Among his medical accomplishments, Dr. Torrance has published articles in peer-reviewed journals and is invited to speak at many medical conferences annually. In 2018, he co-authored a book, Exercise 2.0: Optimizing Functional Performance and Longevity, to help the layperson understand how to use movement in any phase and at any age. In 2020, during the COVID-19 crisis he helped an urgent care facility implement virtual office visits to screen for the COVID-19 virus and decrease the in-person patient volume in brick and mortar offices.

Additionally, Dr. Torrance has also been through formal continuing education in Functional Medicine through the California Center for Functional Medicine. He also was invited to work on the medical staff at the 2016 CrossFit Regionals and 2016 CrossFit Games. Dr. Torrance is currently the medical director for USA Volleyball, Florid Region, as well as for Volley Florida and Rockstar Promotions Professional Volleyball Tournaments. At these events he oversees COVID-19 screens and on-site treatment teams for athletic injuries.

Alongside his medical career, Dr. Torrance has continued his athletic pursuits. He has achieved a ranking as a semi-professional beach volleyball player, and trains as a competitive CrossFit athlete. His recent sports accomplishments include finishing 197th in the Mid-Atlantic Region as an individual athlete in the 2016 CrossFit Open, as well as qualifying a team for the 2016 Kill Cliff Granite Games.

 

Ignatios Papas, DO is a non-surgical orthopedic physician specializing in Physical Medicine and Rehabilitation at Regenexx Tampa Bay. Dr. Papas is a native Floridian and received his Bachelor of Science in Microbial & Molecular Biology from the University of Central Florida, his Master of Science degree in Neuroscience & Aging from the University of South Florida, Morsani College of Medicine, and his medical degree from the Lake Erie College of Osteopathic Medicine in Lakewood Ranch, Florida.

He completed his residency in Physical Medicine and Rehabilitation at Carolinas Medical Center in Charlotte, North Carolina where he served as Chief resident and founded the program’s Musculoskeletal Ultrasound Curriculum. During his academic chief tenure he was voted Medical Educator of the Year at Carolinas Rehabilitation. Dr. Papas has taught courses in musculoskeletal ultrasound to physicians, residents and medical students across multiple specialties. He obtained his Registered in Musculoskeletal Sonography (RMSK) certification in 2018. Dr. Papas has been a research collaborator with Columbia University Medical Center/Weill Cornell University and Stanford University on multiple projects. His research specializes in musculoskeletal ultrasound and he has spoken at numerous national conferences regarding the advancement of techniques in the field. He is a peer reviewer for PM&R, The Journal of Injury, Function and Rehabilitation.

Dr. Papas’ clinical practice focuses on Interventional Orthobiologics offering Regenexx procedures, which are highly specific, precise image-guided injection procedures that can promote the body’s healing ability and improve pain and function. He is a member of the American Medical Society for Sports Medicine, the American Academy of Physical Medicine and Rehabilitation, the American Academy of Orthopedics, the Spine Intervention Society, The Interventional Orthopedic Foundation, and the American Osteopathic College of Physical Medicine and Rehabilitation. Dr. Papas also performs micro-invasive Carpal Tunnel Release under ultrasound guidance, allowing patients to resolve carpal tunnel syndrome and return to normal activity in as little as 3-6 days. This procedure is performed in the office under local anesthesia and takes approximately 10-20 minutes.

When he isn’t practicing medicine he enjoys spending time with his wife and young children, playing soccer, practicing guitar or piano, and listening to historical podcasts.

Dr. Evan Musman, DO is a non-surgical orthopedic physician who completed his anesthesiology residency at the Albert Einstein College of Medicine in 1994. After training, he stayed at AECOM and served as an Attending in Anesthesiology instructing residents and focused on Pain Medicine. He then joined a private practice in Connecticut where he served as the Medical Director of the Johnson Ambulatory Surgical Center and treated complex pain patients. He continued his northward migration and opened Vermont Pain Management, the first, free-standing interventional pain management practice in the state. He was the President of the Vermont Society of Interventional Pain Physicians for over 15 years. After over 25 years of practice, his two daughters finished college, and finding himself an empty-nester, he and his wife relocated to sunny Florida. Dr. Musman’s clinical practice focuses on Interventional Orthopedics – offering minimally invasive solutions for the treatment of orthopedic conditions under image guidance using ultrasound and fluoroscopy (live X-ray). He is a distinguished clinician and physician leader dedicated to the treatment of patients with special emphasis on sports-related injuries, orthopedic and spinal regenerative therapies. Dr. Musman is uniquely qualified to treat arthritis, complex degenerative disc disease, sciatica and other nerve disorders without surgery. His clinical skills, empathy and compassion for his patients have resulted in an impeccable reputation among patients and referring Physicians.