Doctor insights on:
Carpal Tunnel Surgery Aftercare
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. ...Read more
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. ...Read more
Yes: Endoscopic and "open" carpal tunnel release are both common. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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?
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. ...Read more
I had carpal tunnel surgery july 30th. Still lots of pain&running out of meds. How much longer wil this pain last? Scared to ask for more: (had 40 4xday
Very worrisome: You are very young to have carpal tunnel syndrome. Failure to get any relief is very worrisome. This could be for several reasons. These include an incomplete release of the tunnel, possible injury to the nerve, or maybe you don't have carpal tunnel. You might want to get a second opinion. ...Read more
By proper surgeon: Carpal tunnel syndrome, if appropriately diagnosed, shold be treated non-surgically if possible and then if surgery is needed, should be performed by a reputable surgeon trained and skilled in this surgery. An incision is made over the middle of the heels of the hand and wrist and down through a fibrous ligament to release pressure on the nerve. Ortho, neuro or plastic surgeons usually do this. ...Read more
Video carpal tunnel:
Ill do one better here is a link to page with diagrams and a video
<a href="http://www. Handctr. Com/carpal-tunnel-syndrome-q-a.html" rel="nofollow" target="_blank">http://www. Handctr. Com/carpal-tunnel-syndrome-q-a.html</a>. ...Read more
Small incision...: The most common way is to numb the area up (usually with a regional block to make the who arm numb). A small incision is made near the wrist, and the band of connective tissue (flexor retinaculum) that is squeezing on the median nerve is opened up to release the nerve. The wound is then sewed up...And you're done! ...Read more
Symptoms: In general he wanted to get to carpal tunnel syndrome before you have any permanent nerve damage. If the numbness and tingling is getting worse or if the numbness and tingling is constant this is a bad sign. If the symptoms are only intermittent you can try splinting or injections of cortisone with a reasonably good success rate. ...Read more
Easy: It is one of the simples surgeries in the world. Takes few minutes just to grab scissor and cut the band of fibrous tissue that is pressing the median nerve. Pts. Get a wound like 2-3 inches long from the palm of the hand down to the wrist. Stitches are placed on the skin to be removed few days later. Some sort of immobilization with a wrist brace is place to prevent movement of the wound. ...Read more
Usually relief: Typically results from carpal tunnel surgery are good. That is, symptoms resolve with relatively little down time. While surgeons differ in their protocol, in my practice the operation is done under local anesthesia with light sedation and the patient can use the hand for most activities right after surgery. Stitches come out at two weeks and the patient leaves with a band aid. That's usually it. ...Read more
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