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Doctor insights on: Carpal Tunnel Surgery Aftercare

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What is carpal tunnel surgery like?

What is carpal tunnel surgery like?

CTR: A carpal tunnel release divides the transverse carpal ligament which forms the roof of the carpal tunnel. By dividing the TCL, the median nerve is decompressed and alleviates the symptoms of carpal tunnel syndrome. It is performed on an outpatient basis.

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Dr. Jeffrey Wint
963 Doctors shared insights

Carpal Tunnel Syndrome (Definition)

A medical condition due to compression of the median nerve as it travels through the wrist at the carpal tunnel. The main symptoms are pain, numbness, and tingling, in the thumb, index finger, middle finger, and the thumb side ...Read more


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What is endoscopic carpal tunnel surgery?

What is endoscopic carpal tunnel surgery?

CTS Surgery: The endoscopic surgery is performed by a orthopedic surgeon who makes very small incisions in the wrist area and then use them to decompress the median nerve which is involved in cts. The down time is substantially less with this surgery.

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What are the long term effects of carpal tunnel surgery?

What are the long term effects of carpal tunnel surgery?

Usually none: Carpal tunnel surgery is often a very effective and safe procedure especially when performed by highly experienced hand surgeons. There is always the risk of an incomplete release or recurrent symptoms due to scar tissue and other issues. These risks can be minimized by using certain precautions and techniques. Most patients resume their work activity without difficulty.

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How does carpal tunnel surgery affect the nervous system?

Relieves pressure: The goal of carpal tunnel surgery is to relieve pressure on the median nerve within the carpal tunnel. Thus should relieve pain, numbness, tingling and muscle atrophy due to compromise of the nerve.

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What are good exercises to prevent carpal tunnel surgery?

What are good exercises to prevent carpal tunnel surgery?

None: There are tendon and nerve gliding exercises that have been described. I have not found these very effective in treating carpal tunnel syndrome. You can try doing exercises for a period of one month to 6 weeks. If you're carpal tunnel symptoms are not resolved I would consider surgery.

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What to do if mild pain recurs after carpal tunnel surgery?

What to do if mild pain recurs after carpal tunnel surgery?

Time: You need time, up to 6 month to recover. Pain, unfortunately, is part of recovering from surgery. Contact your surgeon and ask for pain medications.

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Going to have endoscopic carpal tunnel surgery.. ...Any advice?

Going to have endoscopic carpal tunnel surgery.. ...Any advice?

Speak to surgeon: Understand the risks & benefits, make sure you understand the alternatives to surgery, get your questions even the ones you don't think are important answered before the surgery, make sure you provide a full medical history. Understand the post operative protocol http://jeffreywintmd. Blogspot. Com/2014/09/informed-patient-tutorial-carpal-tunnel. Html here is a good start but ask your surgeon.

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When will the swelling go down after open carpal tunnel surgery?

When will the swelling go down after open carpal tunnel surgery?

Ten days or so: Should be resolved by 10-14 days. Elevation of the operated hand above the heart will hasten the resolution of swelling.

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How can I tell if I have an indication for carpal tunnel surgery?

How can I tell if I have an indication for carpal tunnel surgery?

Constant symptoms: Once symptoms have been constant for 6 months, it's hard to resolve them with non-operative treatment. Loss of muscle bulk in the thumb or complete loss of sensation in the digits is an indication for operative treatment. Oral/injectable steroids, splints and or therapy are used to treat symptoms. If symptoms continue after these treatments, surgery is indicated.

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What to expect from carpal tunnel surgery under local anaesthetic?

What to expect from carpal tunnel surgery under local anaesthetic?

Just slow down: For most patients, they are able to gradually resume most normal activities around 6 weeks after surgery. Most do not require occupational therapy on the hand. However, ot can be helpful if the recovery is slow. Your hand will be sore and possibly swollen for the first few weeks. Fortunately, most patients have a very good outcome.

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Can X-Ray be helpful to see if Carpal Tunnel Surgery is done correctly?

Can X-Ray be helpful to see if Carpal Tunnel Surgery is done correctly?

No: Unfortunately xrays only define skeletal structures. Anerve conductioon study wiulddetermine if the conduction delay of the median nerve had. Been corrected. Alternatively an MRI moght dineate any complication such as scar tissue

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How many doctors will be in the operation room for a carpal tunnel surgery?

One or two or three: Usually surgery is performed by one surgeon without an assistant except in training programs where a resident or fellow may be present. Depending on the method of anesthesia a doctor to provide anesthesia may also be present as the surgery can be done with local anesthesia alone, with sedation administered by the surgeon or by an anesthesiologist or under general anesthesia by an anesthesiologist.

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What is the definition or description of: endoscopic carpal tunnel surgery?

Minimally invasive: Contrary to open surgery endoscopic carpal tunnel surgery utilizes very small incisions and endoscopes (cameras) to visualize the transverse carpal ligament that gets transacted. Advantages include earlier return to work and activities since the wounds heal quickly and the sensitive palmar fascia is traditionally not transected.

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Can you choose between several anaesthesia options for carpal tunnel surgery?

Usually: Carpal tunnel surgery can be performed successfully with general anesthesia, regional anesthesia, or local anesthesia. It's important the patient be pain free thru out the procedure. A discussion with your hand surgeon and the anasthesiologist should help you with the decision.

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With systmic inflamation, would carpal tunnel surgery help or would the condition likely return?

Depends: If the carpal tunnel syndrome is severe you may need surgery regardless in order to prevent n. Damage. If the problem is not severe the inflammation can be treated first while the carpal tunnel is treated. Options for carpal tunnel include splints, injections, surgery. None of these are a guaranteed permanent cure. It can recur due to inflammation, scar tissue after surgery, worsening arthriti.

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Worried about having a second carpal tunnel surgery, is there any more I can do in pt to prevent?

Worried about having a second carpal tunnel surgery, is there any more I can do in pt to prevent?

Depends on symptoms: Surgery for carpal tunnel syndrome (cts) should eliminate night pain, numbness and tingling associated with cts. These symptoms may not have improved since surgery, due to severe and/or long standing cts may take a long time to resolve. The transverse carpal ligament was incompletely incisied, the nerve was injured or has become scarred. Also consider diabetes or cervical nerve compression.

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I had carpal tunnel surgery 4wks ago and I've been getting periodical pain in it like someone is stabbing me is this normal?

I had carpal tunnel surgery 4wks ago and I've been getting periodical pain in it like someone is stabbing me is this normal?

Maybe, maybe not: Post operative pain after carpal tunnel surgery is common. However, you describe something that may be more than the usual pilar pain associated with scar. Injury to the nerve is a complication of carpal tunnel surgery (higher with endoscopic, although still a safe surgery) which can result in symptoms with shooting electrical pain. See your surgeon for a post-op evaluation.

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My husband is having carpal tunnel surgery this week. He wants to take a two hour road trip the day after surgery. Is that advisable?

Not unreasonable: He should not be driving if he is taking narcotic pain medicine but carpal tunnel surgery does not usually result in much pain. If he keeps that hand elevated and just keeps the fingers moving he should do fine in the car.

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My husband is having carpal tunnel surgery this week. He wants to take a two hour road trip the day after surgery. Is this advisable?

Not advisable: Although carpal tunnel surgery is an out-patient procedure, I would not advise traveling the next day for pleasure. I would suggest waiting a few weeks to ensure that there are no problems. I think this will allow you to have a more enjoyable trip.

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Dr. Kevin Vaught
222 Doctors shared insights

Carpal Tunnel Surgery (Definition)

Carpal tunnel is when the median nerve gets pinched at the level of the wrist. This "pinching" is done by the transverse carpal ligament which is longitudinally split during surgery. This can be ...Read more