
No general anesthesia; no stitches
30K+ procedures and counting
Virtually pain free


Have you been told to "just live with" your pain despite it affecting your daily life?
Do you feel frustrated as your grip strength declines and you struggle with simple tasks?
Are you craving a solution but worried about recovery time or whether you'll get relief?
If you're nodding along, you're not alone. Carpal tunnel syndrome affects millions who struggle with numbness, tingling and pain that disrupts their work, hobbies and quality of life.
You may feel anxious about getting surgery, worried about time away from work or skeptical you won't get lasting relief. These feelings are completely valid and they're exactly why specialized carpal tunnel care exists.
Our practice represents an innovative approach to carpal tunnel treatment called UltraGuide Carpal Tunnel Release, combining a minimally-invasive procedure with personalized care.
This isn't about rushing into surgery or a one-size-fits-all approach. It's about providing access to expert evaluation and proven treatment under the care of experts throughout your recovery.
To your healing and freedom from pain,
Dr. Orrin Franko
Board-Certified Orthopedic Surgeon
Owner of Bay Are Carpal Tunnel Center








Speed
15-minute procedure. Return to light activities almost immediately and full activities within days.
Comfort
Virtually pain-free. Use of local anesthesia means no grogginess from sedation.
Convenience
In-office procedure with no hospital stay required. Return home the same day as the procedure.
No Stiches
Only a tiny incision is made that doesn't require stitches to close, which reduces scarring.
Advanced Technology
Real-time ultrasound imaging allows for precise treatment, improving outcomes and safety.
Results
Better outcomes with fewer complications. More precise with less trauma to surrounding tissues.

Initial Consultation
Meet with Dr. Franko about your symptoms, medical history and treatment options. See if you're a candidate for the procedure.

Quick & Easy Procedure
Arrive at our office setting. Dr. Franko will use local anesthesia to numb the area and complete the procedure in 15 minutes with little to no discomfort.

Rapid Recovery
If you experience pain, it can typically be managed with over-the-counter medication. Return to activities within 3-5 days.
Ready to get started?

Dr. Orrin Franko, MD is a board-certified orthopedic surgeon with a specialty in complex hand and upper extremity surgery. His specialty focus in upper extremity includes the treatment of carpal tunnel syndrome, tendonitis, arthritis of the thumb/hand/wrist.
Dr. Franko completed his undergraduate education at the University of California, San Diego, graduating summa cum laude at the top of his class. He then completed his medical training at Harvard Medical School, graduating cum laude with honors. After graduating he completed his residency training in San Diego in Orthopedic Surgery.
Following residency, Dr. Franko completed a hand and upper extremity fellowship with the esteemed Dr. Peter Stern in Cincinnati, OH. Dr. Franko has published numerous articles in the field of hand surgery and is recognized as a leader in the field.
Carpal tunnel release is generally covered by commercial insurance and Medicare.* Patient payment responsibility will vary based upon your benefit plan established by your insurance carrier and the “site of service” of the procedure. Check with your insurance carrier and care provider – prior to any medical services – to verify your financial responsibility.
Most patients can return to work and normal activities within 3-6 days.
Carpal tunnel release with UltraGuideCTR and real-time ultrasound guidance is typically performed using only local anesthesia.
The small incision is typically closed with adhesive strips or a bandage instead of sutures.
Most patients only require ibuprofen or acetaminophen for pain management.
When clinically appropriate, a patient can get the procedure done on both wrists on the same day.
Postoperative therapy is typically not required.
Many patients can tolerate immediate motion of their hand. Please consult with your treating physician for post procedure instructions.
Reserve your spot for a 1:1 carpal tunnel consultation with Dr. Franko
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