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Contact

Phone - (03) 7023 7800
Fax - 03 4700 2729

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Clinic Locations

Melbourne
Wanagaratta

* Rojo-Manaute JM, Capa-Grasa A, Chana-Rodríguez F, et al. Ultra-Minimally Invasive Ultrasound-Guided Carpal Tunnel Release: A Randomized Clinical Trial. J Ultrasound Med. 2016 Jun;35(6):1149-57

How Common Is Carpal Syndrome?

Carpal Tunnel Syndrome is extremely common, north of 50,000 cases in Australia each year.

What Are The Main Symptoms?

The main symptoms of Carpal Tunnel Syndrome are tingling numbness and pain, particularly pain at night.

If Left Untreated , What Can Happen?

If the condition is severe and left untreated Carpal Tunnel Syndrome can lead to permanent damage to the nerve. This can lead to permanent numbness in the hand and also weakness in the hand. Particularly damage to the muscles in the thumb.

What if Non Surgical Treatments Fail?

If your efforts to get conservative treatments have failed, including splinting, and steroid injections and symptoms continue to persist, you should seek advice on surgical treatment to reduce your risk of ongoing damage to the nerve.

What Is Our Micro Invasive Procedure?

The micro-blade, an invention of local Specialist Anaesthetist A/Prof Peter Hebbard is a needle-based device with deployable scalpel and is produced in the The USA. It is used to cut the carpal ligament under ultrasound guidance in a revolutionary new procedure that will be the future of carpal tunnel release treatment. This treatment is currently only available through Dr Peter Hebbard. Same day consultation and procedure treatment is now available to help patients who need to travel to see Dr Hebbard.

Where is the i-Blade treatment available?

Micro invasive surgery is currently only available through Dr Peter Hebbard in Wangaratta & Port Melbourne. To make the treatment as widely accessible as possible we are now offering same day consultation and procedure using the revolutionary i-Blade Ultrasound-guided technique. More information at the bottom of this page.

Need Treatment?

Have you tried conservative measures to relieve your discomfort? Splints and Steroid injections failed?

We may be able to offer new patients a consultation and treatment performed in the same visit, making it easy to travel and get relief fast. Ask us how!

Find out how Dr Hebbard can help you get relief from your Carpal Tunnel discomfort today.

Get Started Today

Revolutionary New Technique

Ultrasound-Guided Procedure

Using a small needle sized instrument with a retractable blade, to get the same results as open surgery or endoscopic surgery but with significantly reduced recovery times.

Only ONE needle-sized hole
Guided by external ultrasound
Fast Recovery time
Option for both hands at once

1st

The MICROi-Blade is inserted through a needle-sized hole under the ligament.

2nd

Slowly cut the ligament using Ultrasound to guide the proceduralist.

3rd

Retract the blade and remove the MICROi-Blade through the needle-sized hole.

What is the Ultrasound Treatment Option?

The micro-iblade, an invention of local Specialist Anaesthetist A/Prof Peter Hebbard, is a needle based device with a deployable scalpel, and is produced in the USA. It is used to cut the carpal ligament under ultrasound guidance. Under general or local anaesthesia, the micro-iblade will be inserted to cut the
transverse carpal ligament using ultrasound to guide the procedure. The procedure will take up to 45 minutes to complete after which you will have a light dressing or band-aid on your wrist. You will go home the same day.

We can also offer a same day consult & procedure to help patients who need to travel to receive treatment.

What Are The Advantages of Ultrasound Treatment?

We cannot guarantee or promise that you will receive any benefits from either open surgery or micro-invasive surgery; however possible benefits from this micro-invasive treatment are likely to include:

• Faster recovery due to minimal
surgical site
• Less pain post-surgery
• No painful scarring or stitches

• The main nerve to the hand (the
median nerve) and major arteries
can be identified on ultrasound and
the tool directed to reduce the risk
of inadvertent damage.
• No incision in the skin required

What Risks are Associated With the Treatment?

Possible risks, side effects and
discomforts include:

The techniques of ultrasound
guided carpal tunnel release and
use of the micro-iblade are new.
Complications of any form of carpal
tunnel release, including open
surgery may include: bleeding,
infection and inadvertent damage
to other structures such as the
nerves to the hand or the thumb.
This damage can be permanent.
With any carpal tunnel release
there will be pain after the
operation which can be prolonged.
There may be an increased risk of
only having partial release of the
carpal ligament. This may require
another procedure to complete the
release on another day.

How to get treatment?

We Are Accepting New Patients In 2024

1 - Get a Referral From your Regular Doctor

Take a copy of our pdf information for referring doctors. Currently, Dr Hebbard is the only Doctor to offer this treatment in Australia although he is now teaching others. Referrals are needed for Medicare rebates and must be received by us before an appointment is made.

2- Complete our new patient form online

Call us or complete the new patient form below for more information about what is needed.

3- Options for SAME DAY, consult & treatment

If you are travelling a long way both your consult & treatment procedure may be able to be done together on the same day.

New Patient Enquiries

Please follow the form process below. If you are having difficulty please call us directly on (03) 7023 7800

Clinic Locations

Wangaratta

Northeast Health Wangaratta

Green St, Wangaratta, 3677

All initial consultations attract a fee.

The procedure can be done as a public or private patient at Northeast Health Wangaratta without gap fees however there is a waiting list and available times are in high demand.

Wangaratta

Wangaratta Specialist Centre

6 Green St, Wangaratta 3677

All initial consultations attract a fee.

I am now able to offer micro-invasive carpal tunnel release at the Wangaratta Specialist Centre, 6 Green Street Wangaratta, this can be scheduled much more flexibly and sooner than in Northeast Health.

Melbourne

The Micro-invasive Clinic

23/574 Plummer Street, Port Melbourne, VIC 3207

All initial consultations attract a fee.

We now offer consultations and procedures on limited days in Melbourne. Please enquire to schedule a consultation.

Travelling A Long Way?

We can offer the option of having your initial consultation and the procedure the same day, particularly for patients who want to travel to have this unique new treatment. For same day treatment, we need your referral beforehand outlining your request for same day treatment and have had confirmatory nerve conduction studies organised by your own doctor and sent to me. You should not plan to drive yourself home after the procedure or for several days.

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What is needed before your first appointment?

Carpal tunnel release is an invasive procedure and carries risks of complications, you need to be referred to see me by your own doctor. Referrals can be faxed on 03 4700 2729 (ensure area code is used) or emailed to microinvasive@gmail.com. You do not require nerve conduction studies or nerve ultrasound before seeing me however your own doctor will often organise these tests to help determine if your hand symptoms are caused by carpal tunnel compression.