Doctor Charles Guertin – Plastic and aesthetic surgeon

Minimally Invasive Treatment Offered in a Private Clinic Setting

Carpal Tunnel Release

Dr Charles Guertin offers Carpal Tunnel Release at his clinic for patients seeking timely access to treatment for Carpal Tunnel Syndrome.

This procedure is performed using a minimally invasive technique, in a non-hospital setting, for eligible patients following a medical evaluation.

Understanding Carpal Tunnel Syndrome

Carpal Tunnel Syndrome is caused by compression of the median nerve at the wrist. Common symptoms may include:
Numbness or tingling in the fingers

Tingling and numbness may occur in the fingers or hand. Usually the thumb, index, middle and ring fingers are affected, but not the little finger. You might have a feeling like an electric shock in these fingers. These symptoms often occur while holding a steering wheel, phone or newspaper, or they may wake you from sleep.

Hand weakness or reduced dexterity

People with carpal tunnel syndrome may experience weakness in the hand and drop objects. This may be due to numbness or to weakness of the thumb's pinching muscles, which also are controlled by the median nerve.

dcg-carpal-tunnel-bed
Pain, often worse at night

Carpal tunnel pain is often worse at night due to fluid accumulation, decreased circulation, and, most commonly, sleeping with wrists bent, which increases pressure on the median nerve.

dcg-carpal-tunnel-keyboard
Difficulty with repetitive or fine hand movements

Difficulty with Fine Motor Tasks: Individuals may experience trouble with tasks requiring dexterity, such as buttoning shirts, writing, typing, or handling small objects. Weakness and Clumsiness: A loss of grip strength, leading to dropping objects, is common, particularly as the condition progresses.

What Is Carpal Tunnel Release?

Carpal Tunnel Release is a procedure designed to reduce pressure on the median nerve by releasing the ligament that causes compression.

At the clinic, the procedure is:

Recovery varies from patient to patient and will be discussed during consultation.

Public vs Private Care in Quebec — Understanding the Difference

In Quebec, Carpal Tunnel Release is also available through the public health system and is covered by RAMQ when performed in a hospital setting.

However, due to system capacity and prioritization, waiting times in the public system can be lengthy, depending on region and clinical urgency.

Some patients choose a private clinic option primarily to address access and timing, not because the procedure itself differs medically.

Consultation and Evaluation

Not all patients are candidates for this procedure.

A consultation includes:

  • Medical evaluation

  • Review of diagnostic findings

  • Discussion of treatment options

  • Explanation of benefits, risks, recovery, and fees

No treatment is performed without proper assessment and informed consent.

Public System (Hospital)

• Covered by RAMQ
• Hospital-based care
• Variable wait times

Private Clinic

• Procedure not covered by RAMQ
• Faster access for eligible patients
• Clinic-based setting
• Fees discussed transparently in advance

Choosing private care does not affect eligibility for public care.

Why Some Patients Consider a Private Option

Patients may consider a private clinic when:
• Symptoms significantly affect daily activities or work
• Conservative treatments have not provided relief
• They prefer not to wait extended periods for treatment
• Scheduling flexibility is important

The decision is personal and based on individual circumstances.

Consultation and Evaluation

Not all patients are candidates for this procedure.

A consultation includes:

  • Medical evaluation

  • Review of diagnostic findings

  • Discussion of treatment options

  • Explanation of benefits, risks, recovery, and fees

No treatment is performed without proper assessment and informed consent.