High-Dose PRP for Carpal Tunnel Syndrome
PRP is created from a small sample of your own blood that is processed to concentrate platelets and healing growth factors. At our clinic we typically use high-dose PRP (double-spin PRP), which produces a higher concentration of platelets and growth factors compared to standard PRP systems.
Using ultrasound guidance, PRP is injected around the median nerve within the carpal tunnel, targeting the area of nerve compression.
High-dose PRP may help with:
• Carpal tunnel syndrome
• Numbness and tingling in the hand
• Hand weakness from nerve irritation
• Persistent symptoms not improving with splints or therapy
PRP works by reducing inflammation and supporting the health of the surrounding tissues, which may help relieve pressure on the median nerve.
Precise Ultrasound-Guided Treatment
The structures within the wrist are small and closely packed together, which is why ultrasound guidance is critical for safe and precise injections.
Using real-time ultrasound imaging allows the physician to:
• Clearly visualize the median nerve
• Precisely guide the injection into the carpal tunnel
• Avoid surrounding tendons and blood vessels
• Deliver PRP exactly where it is needed
This level of precision may help improve treatment effectiveness and safety.
Carpal Tunnel Treatment in Raleigh and Cary
Regenerative treatments such as high-dose PRP allow physicians to support healing and reduce nerve irritation without relying on repeated steroid injections.



TREATMENT OPTIONS FOR CARPAL TUNNEL SYNDROME IN RALEIGH, NC
As with most orthopedic conditions, patients will often begin with a combination of physical therapy, anti-inflammatories, ice and rest (and in some cases, steroid injections).
When these methods are no longer effective, Carolina Nonsurgical Orthopedics offers the latest in cutting-edge treatments to reduce pain and get you back to the activities you enjoy. Some of these innovative alternatives to surgery include Orthobiologics and Regenerative Medicine treatments, such as:
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Platelet-Rich Plasma (PRP) Injections: Use your own platelets to reduce inflammation and accelerate healing.
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Prolotherapy: Uses dextrose (sugar water) in place of steroid to reduce pain and promote healing.
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Ultrasound Guided Nerve Injections: A needle is inserted near the compressed nerve and a fluid is injected around the nerve to gently release it from the surrounding tissues or scar tissue.
See the full list of conditions and treatments offered at Carolina Nonsurgical Orthopedics.
READ MORE ABOUT CARPAL TUNNEL SYNDROME
Anatomy: The carpal tunnel is a narrow passageway in the wrist, surrounded by bones and ligaments, through which the median nerve and tendons pass. Causes: Repetitive Wrist Movements: Activities like typing, assembly line work, and repetitive hand motions. Injury: Trauma or fractures to the wrist can increase pressure within the carpal tunnel. Medical Conditions: Diabetes, rheumatoid arthritis, hypothyroidism, obesity, and pregnancy can increase risk due to swelling or inflammation. Anatomical Factors: A naturally smaller carpal tunnel or variations in wrist anatomy can predispose individuals to CTS. Symptoms: Numbness, tingling, or a "pins and needles" sensation, especially in the thumb, index, and middle fingers. Pain in the wrist, palm, and fingers, often worsening at night. Weakness in the hand, making it difficult to grip or perform fine motor tasks.


WHY CAROLINA
NONSURGICAL ORTHOPEDICS
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All Providers are BOARD CERTIFIED and Specially Trained in Nonsurgical Orthopedics
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Over 50,000+ and Counting Procedures Performed
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Procedures Performed with Ultrasound Guidance for Accuracy and Safety
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Local and Independent Practice That is NOT a Franchise
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Discounts for Service Members, Teachers, and Public Servants
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Serving Raleigh Since 2013
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