The Hand Center of the Carolinas - Belmont

WALANT Technique Procedures

At the Hand Center of the Carolinas - Belmont, our providers are able to perform in-office procedures under local anesthesia without sedation. Using the wide awake, local anesthesia, no tourniquet (WALANT) technique, procedures such as nerve and tendon releases (for carpal tunnel syndrome, trigger finger, and tendinitis/tenosynovitis), soft tissue mass excision, and foreign body removal can be safely accomplished in the office setting in select patients. In-office procedures offer several advantages to patients who prefer to eat and drink prior to their procedure and wish to drive themselves to and from their appointment. For most patients, in-office procedures are cheaper, easier, and more time efficient.


  • No pre-procedural COVID test required
  • Conveniently takes place in our office (no facility costs)
  • No general anesthesia or sedation
    • No pre-procedural bloodwork or fasting
    • No side effects of general anesthesia or sedation
    • No IV
    • No need to stop medications
    • No sluggish recovery
    • No anesthesia costs
  • Less time needed for the procedure
  • Able to communicate with surgeon before, during, and after the procedure
  • Able to drive yourself to and from the procedure
  • Makes hand surgery accessible to patients who may not be able to undergo general anesthesia or sedation

To learn more about the WALANT technique, please call our office at 980.834.7500.