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CARPAL TUNNEL SYNDROME Diagnosis & Treatment · Las Vegas, NV
Carpal tunnel syndrome doesn't always mean surgery
If your hand goes numb at night or falls asleep at your desk, you've probably already been told it's carpal tunnel syndrome and offered a brace or surgery.
Before you commit to either, you deserve to know what's actually compressing the nerve and what your real options are. That starts with an accurate diagnosis.
One hour with the doctor
Cash-pay
Leave with a diagnosis and treatment plan
You’re not imagining it
The people we see for hand numbness don't look alike: the desk worker whose hand falls asleep on the mouse, the new parent waking at night to shake it out, the tradesperson losing grip strength. What they share is being told "it's just carpal tunnel," handed a brace, and sent off, without anyone confirming the nerve at the wrist is actually the problem. That gap is what OASIS is here to fill.
Why "carpal tunnel" is often the wrong label
The same numbness and tingling can come from the median nerve at the wrist, but also from the neck, the shoulder, or higher up the arm. A brace or a surgery aimed at the wrist won't fix a nerve that's being pinched somewhere else. That’s why a label isn't a diagnosis. To actually treat the symptoms, we have to confirm where they're really coming from.
How we figure out what’s actually wrong
The foundation of any honest plan is a proper diagnosis, the part most people tell us was skipped. A consultation at OASIS looks like:
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A real medical interview — what's numb, when it started, what makes it better or worse, and what's going on in the rest of your body.
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A full physical examination — including the side that doesn't hurt, because comparison is part of the answer.
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Musculoskeletal ultrasound — where we can look directly at the nerve, watch it move, and often see exactly where it's being compressed or where it's lost the freedom to glide, something most clinics never do.
Once we know what's actually wrong, we can talk about how to fix it, and we'll tell you honestly whether that's something we treat or something better handled elsewhere.
How non-surgical options compare to a brace, cortisone, or surgery
Most carpal tunnel syndrome gets managed, not treated: a brace, a wait, maybe a blind cortisone shot placed without ever seeing the nerve, and surgery at the end of the line.
Surgery relieves pressure and is the right call for some people, but it leaves scar tissue that can occasionally tether the nerve worse than before.
A large part of carpal tunnel syndrome isn't pressure alone. It's a nerve that has lost its ability to glide, and a brace or a pill can't restore that. There is a precise, non-surgical option that works to restore that movement directly instead of masking the symptoms. Whether it fits your case depends entirely on the diagnosis, which is what the consultation is for.
What ultrasound-guided hydrodissection actually involves
If the nerve at the wrist is confirmed as the source of numbness during the consultation, you may be a candidate for a non-surgical option called hydrodissection.
Unlike carpal tunnel release surgery, hydrodissection can be performed in the office — no fasting or preparation needed — and the whole treatment takes only a few minutes.
You are semi-reclined with the wrist exposed, watching the live ultrasound on screen if you want to. A fine needle, guided by ultrasound so it stays exactly where it should, separates the median nerve from the tissue binding it, at the site of compression.
Afterward, you’ll get a small bandage and no restrictions. You drive yourself home and use your hand normally that day. That is the clearest difference from surgery: no incision, no wound to protect, no weeks of guarding the hand, and no time off work built into the plan.
Effects build over a few weeks rather than arriving at once. Our staff check in within days, and depending on your response, we can repeat the procedure up to two more times over the next few weeks or month. The longer your symptoms have been present, the longer it will take for sensation to return and pain to diminish.
Where this is unlikely to help: Nerve compression due to a mass like a ganglion cyst, or numbness that turns out to be coming from the neck rather than the wrist. Both are things the examination is built to find before anyone commits to anything.
Learn more about hydrodissection.
Our consultation isn't your typical doctor's appointment
One hour with Dr. Kiok. $500, credited toward your treatment plan if you decide to move forward. You leave with:
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A specific diagnosis, not a label.
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A treatment plan, not a referral or “let’s follow up in six weeks.”
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A clear answer on whether you’re a candidate for regenerative medicine.
Do you take insurance?
No. We don't take insurance because we don't believe a coverage desk should shape your care. Treatment plans are made in person, with you and Dr. Kiok, on a timeline that fits your goals. No delays, no denials.
Learn more about why regenerative medicine isn't covered by insurance.
Outcomes vary by patient, condition, and stage of disease. Whether regenerative medicine is right for you is determined during the consultation, based on the diagnosis and your individual goals.
Ready for an actual answer?
If you’re tired of not knowing what’s going on, you’re ready to do something about your hand and wrist discomfort, and you’re not ready to jump into surgery, book a consultation.
If you’re not sure whether you’d be a candidate, that’s exactly what the consultation is set up to figure out.