Advanced ultrasound-guided and endoscopic techniques designed to treat common hand conditions with smaller incisions, less tissue disruption, and faster return to daily function.

For appropriate patients, office-based and minimally invasive treatment options may help reduce downtime while keeping care focused on comfort, recovery, and results.

Minimally Invasive Hand Procedures

Ultrasound-guided trigger finger and carpal tunnel, Office-based procedures in hand surgery
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An informational graphic about office-based, ultrasound-guided minimally invasive procedures for hand treatment. It includes images of a hand with a marked minimal scar, a close-up of a medical procedure with ultrasound guidance, and a precision instrument called Kemis Knife. The graphic highlights features such as no stitches, faster recovery, local anesthesia, immediate motion, and minimal scarring.

A minimally invasive, office-based option designed to relieve painful catching, locking, and stiffness while helping patients return to motion quickly.

Using real-time ultrasound guidance, Dr. Gibson can release the tightened tendon pulley through a tiny skin opening using local anesthesia in appropriate patients.

Ultrasound-Guided Trigger Finger Release

Medical infographic illustrating office-based, ultrasound-guided, minimally invasive carpal tunnel release procedure. Shows a hand with a small scar and a real-time ultrasound guide targeting the carpal tunnel ligament, with icons and text highlighting procedure benefits and candidate information.

A minimally invasive, office-based option for numbness, tingling, pain, and hand weakness caused by carpal tunnel syndrome.

Using real-time ultrasound guidance, Dr. Gibson can release the transverse carpal ligament through a tiny skin opening. The procedure is performed in the office under local anesthesia.

Ultrasound-Guided Carpal Tunnel Release

Traveling for specialized hand care?

Dr. Gibson offers ultrasound-guided carpal tunnel and trigger finger release in Flagstaff for appropriately selected patients from Phoenix, Scottsdale, Northern Arizona, southern Utah, and communities throughout the Southwest. Contact the office to discuss scheduling, prior testing, treatment options, and whether an initial in-person or telemedicine consultation may be available.

An infographic about the Segway System for carpal tunnel release, showing a small incision on a hand with a close-up view of the scar, and a diagram of the endoscopic procedure. It includes information about the procedure's benefits and candidate criteria.

Endoscopic carpal tunnel release is a minimally invasive procedure for carpal tunnel syndrome performed in the operating room through a small wrist incision. The transverse carpal ligament is released using a specialized endoscopic system, helping relieve pressure on the median nerve while limiting tissue disruption.

Endoscopic Carpal Tunnel Surgery

Some hand and wrist conditions can be treated safely in the office using local anesthesia, small skin openings, and less disruption to your schedule. Dr. Gibson offers select minimally invasive, office-based procedures for carpal tunnel syndrome, trigger finger, De Quervain’s tenosynovitis, and certain tendon, joint, and nerve conditions. When appropriate, ultrasound guidance can be used to visualize nerves, tendons, blood vessels, and the treatment area in real time.

Advanced Hand Care Without the Operating Room

An informational poster titled 'In-Office Hand Procedures' displays five procedures for hand treatment, including ultrasound-guided carpal tunnel release, trigger finger release, de Quervain's release, PRP/biologic injections, and ultrasound-guided injections. The poster features the logo and contact information of Dr. Peter Gibson, an orthopedic hand surgeon, and sections explaining why to choose in-office procedures, what to expect, and guidance on whether an office procedure is right for the patient.

Office-based treatment can help avoid general anesthesia, reduce time away from work or family, and make care more convenient. For the right condition, small skin openings and local anesthesia can allow effective treatment with less disruption to your schedule.

You may be a candidate if you have carpal tunnel syndrome, trigger finger, De Quervain’s pain, or another hand condition that has not improved with nonsurgical care. Dr. Gibson will review your symptoms, exam, and goals to decide whether an office procedure or operating room treatment is the safest option.