—Steven Niedermeier, MD, FAAOS
Back To Peer Perspectives
Dr. Niedermeier began his practice performing a balanced mix of open and endoscopic, wide-awake carpal tunnel surgery in both office and operating room settings. In May of 2023, he transitioned to ultrasound-guided carpal tunnel release, recognizing its ability to improve efficiency, patient experience, and recovery. Since adopting this approach, he has performed hundreds of UGCTR procedures, allowing him to diagnose severity and discuss treatment options in a single visit while helping patients return to daily life quicker. His commitment to innovation, education, and patient outcomes led to his designation as a Center of Excellence Physician in July of 2025.
Dr. Niedermeier began using ultrasound after his first year in practice and started to gain confidence in the clinic first by diagnosing carpal tunnel and cubital tunnel syndrome, along with educating patients on their conditions using ultrasound. Dr. Niedermeier attended a MSK Ultrasound Mini-Fellowship in May 2023 and now regularly teaches at these programs across the country. He also participates in the MSK Ultrasound Forum as a Guest Faculty member, and is known for his practical, experience-driven teaching style.
Dr. Niedermeier earned his medical degree from Ohio State University College of Medicine. He completed his residency at Ohio State University Wexner Medical Center and went on to complete his fellowship training at OrthoCarolina Hand Center. Dr Niedermeier is a board-certified and fellowship trained orthopedic surgeon at Texas Metroplex Institute for Sports Medicine & Orthopedics
In this patient story, Dr. Niedermeier shares how ultrasound-guided carpal tunnel release helped a medical assistant return to a full clinic schedule just four days after simultaneous bilateral procedures. Her quick recovery and symptom relief also helped inspire her orthopedic provider to begin offering the ultrasound-guided approach.
Dr. Niedermeier participated as an investigator in the ROBUST trial, a prospective, multicenter observational study evaluating the safety and effectiveness of office-based ultrasound guided carpal tunnel release (UGCTR). Office-based UGCTR. The study found that office-based CTR-US was well tolerated and associated with rapid recovery, sustained improvements in symptoms and function, and high patient satisfaction at six months. Participants experienced statistically significant and clinically meaningful improvements in symptom severity, functional status, hand function, pain, and quality of life measures. Outcomes were similar for both unilateral and simultaneous bilateral procedures.
Learn More About ROBUSTDr. Niedermeier served as an investigator in the MISSION Registry, one of the largest multicenter clinical studies in the United States focused on patients with carpal tunnel syndrome (CTS). The registry collected real-world, long-term data on patients treated with an ultrasound-guided carpal tunnel release (UGCTR) procedure using Sonex Health’s commercially available UltraGuideCTR™ device. The study was designed to evaluate patient outcomes and further expand the evidence supporting minimally invasive treatment options for CTS.
Learn More About MISSION
In this short case presentation from the 2024 MSK Ultrasound Forum, Dr. Niedermeier discusses identifying a transligamentous branch during ultrasound-guided evaluation. He highlights how real-time ultrasound guidance can support procedural planning by helping physicians recognize important anatomic variations.
