Carpal Tunnel Express

Carpal Tunnel Express Minimally invasive carpal tunnel release surgery at its finest.

In response to patient demand for a less invasive, office-based procedure, Lakeland orthopedic surgeon Dr. Brian Jurbala developed a unique Carpal Tunnel Release system called the TunnelTome procedure. The whole procedure is done through a 1/4 to 1/2 inch incision, and there are no painful stitches to remove later. It can be done in the office in 10 minutes the day of your first visit, in cases where you have previously been diagnosed with Carpal Tunnel Syndrome and undergone other conservative treatments. There is no restrictive splint that must be worn, no expensive formal therapy, and you can return to light activities – including driving – the same day and most heavy activity including golf, weight lifting and tennis in 1 to 3 weeks.

09/10/2026

Your X-ray is important—but it doesn’t get the final vote on your future. Discover practical ways to test what you can change, measure what actually helps, and start to make more informed decisions about living with arthritis.

09/09/2026

Carpal tunnel and arthritis often come together.

Sometimes the numbness and tingling are coming from nerve compression… while aching, stiffness, or thumb and hand pain may have an arthritic component.

That’s why I’m a big believer in looking at the whole hand, not just one diagnosis.

And if arthritis is part of your story, there may be more you can do than simply accept what you see on an X-ray.

📘 Check out my book, Your X-Ray Is Not Your Destiny: Eating for Arthritis.

Your X-ray is information. It doesn’t have to be your destiny.

Brian M. Jurbala, MD, FAAOS
For educational purposes only. This post is not intended to provide individual medical advice or diagnosis.

Carpal tunnel and arthritis often come together.Sometimes the numbness and tingling are coming from nerve compression… w...
09/09/2026

Carpal tunnel and arthritis often come together.

Sometimes the numbness and tingling are coming from nerve compression… while aching, stiffness, or thumb and hand pain may have an arthritic component.

That’s why I’m a big believer in looking at the whole hand, not just one diagnosis.

And if arthritis is part of your story, there may be more you can do than simply accept what you see on an X-ray.

Dig deeper, ask better questions and adjust the easy things you can today to improve your symptoms.

To Learn More:

📘 Check out my book, Your X-Ray Is Not Your Destiny: Eating for Arthritis.

https://a.co/d/0br5atbQ

Your X-ray is information. It doesn’t have to be your destiny.

Brian M. Jurbala, MD, FAAOS
For educational purposes only. This post is not intended to provide individual medical advice or diagnosis.

5 Things I Look at When Someone Says Their Hands Go Numb at Night1. Which fingers?2. Does it wake you up?3. Do you shake...
09/03/2026

5 Things I Look at When Someone Says Their Hands Go Numb at Night

1. Which fingers?
2. Does it wake you up?
3. Do you shake your hands?
4. Has your grip changed?
5. Is the thumb muscle losing its fullness?

Those clues can help distinguish carpal tunnel from other causes of numbness.

Brian Jurbala, MD
General health information only—not individualized medical advice.

09/01/2026

MOST PEOPLE WITH CARPAL TUNNEL HAVE NEVER HAD THIS MEASURED. 👀

Before treatment, we measure more than pain or tingling.

Strength. Pinch. Sensation. Individual muscles. And the nerve itself with high-resolution ultrasound.

Why?

Because months later, I don’t just want to ask:

“Do you think it’s better?”

I want to be able to ask:

“What actually changed?”

That starts with knowing where you began.

Test. Track. Don’t Guess.

— Brian Jurbala, MD
Carpal Tunnel Express

09/01/2026

MOST PEOPLE WITH CARPAL TUNNEL HAVE NEVER HAD THIS MEASURED. 👀

Before treatment, we measure more than pain or tingling.

Strength. Pinch. Sensation. Individual muscles. And the nerve itself with high-resolution ultrasound.

Why?

Because months later, I don’t just want to ask:

“Do you think it’s better?”

I want to be able to ask:

“What actually changed?”

That starts with knowing where you began.

Test. Track. Don’t Guess.

— Brian Jurbala, MD
Carpal Tunnel Express


Carpal Tunnel Express

08/22/2026

WHAT DO CARPAL TUNNEL AND ARTHRITIS HAVE IN COMMON?

Maybe more than you think.

Most people think of carpal tunnel syndrome as a problem in the wrist.

And arthritis as a problem in the joints.

Different problems. Different body parts.

But here's where it gets interesting…

Both are associated with higher body weight/BMI and metabolic health factors.

And that raises a much more interesting question:

What if some of the things affecting your hands and joints aren't happening only in your hands and joints?

Extra weight certainly increases the mechanical load on weight-bearing joints.

But your body also has a metabolic and inflammatory environment—influenced by things like body composition, blood sugar regulation, activity, sleep, and the foods you routinely eat.

So losing weight may sometimes be about more than simply taking pounds off a painful knee.

And improving what you eat may be about more than the number on the scale.

That's where the question gets really interesting:

How much of your overall symptom burden might be modifiable?

That's one of the reasons I wrote Your X-Ray Is Not Your Destiny — Eating for Arthritis.

It's not about miracle foods or promising that changing your diet will cure arthritis—or carpal tunnel syndrome.

It's about becoming the detective of your own health: understanding the variables you can influence, making sensible changes, tracking what happens, and learning what actually seems to make a difference for you.

Your wrist may need treatment.

Your arthritic joint may need treatment.

But neither necessarily tells the whole story.

📚 If you'd like to explore the rest of the story, Your X-Ray Is Not Your Destiny — Eating for Arthritis is available now.

Your X-ray isn't your destiny. And your current health doesn't have to be your future health.

📚 If you’d like to explore the rest of the story, I wrote Your X-Ray Is Not Your Destiny — Eating for Arthritis.
I’ll put the link in the comments. 👇

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3317 U.S. Highway 98 S. Suite 9
Lakeland, FL
33803

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