Doctor insights on:
Nerve Pain After Carpal Tunnel Surgery
Post carpal tunnel surgery, can a follow-up nerve conduction study (ncs) have adverse effects or make the hand worse. Can ncs lead to complex regional pain syndrome?
Not really ; Ditto: Although I am not sure why a follow-up nerve conduction study would be necessary there is little chance that could cause any type of harm or worsening of symptoms. I am unaware of any literature that supports the notion of complex regional pain syndrome as a result of a nerve conduction study.See 3 more doctor answers
The brain and spinal cord communicates with what is occurring in the internal organs and limbs by nerve fibers where are like electrical wires with insulation (myelin) and the "copper" (axon). Within brain and spinal cord these nerves connect to other nerves via synapses on both axons and dendrites. A nerve can carry information regarding sensations, and ...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.See 3 more doctor answers
Keep fingers moving: Immediately after surgery it's important to keep your fingers moving with your wrist in a neutral position (not bent backward or foreward). Try doing this several times an hour while awake for the first 24 hours. Movements should be slow and full - fully extend the fingers straight and fully flex them into the palm, but without gripping tightly.See 1 more doctor answer
CTR recovery: In my practice the patient has a soft dressing for 1 week and they start mobilizing in the second week. Recovery from the carpal tunnel surgery can be as quick as two weeks but the nerve recovery may take 6 months if the nerve compression was severe. Scar matures over 6-9 months. Your hand surgeon is the best person to give you detailed information about recovery specific to your condition.See 5 more doctor answers
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.See 2 more doctor answers
Yes: Recent research just published within the last few months does show an increased risk of developing trigger finger after carpal tunnel surgery. The biomechanics of the tendons going through the carpal tunnel are altered slightly after the surgery which can in fact increase the risk of developing trigger finger.See 1 more doctor answer
Yes: There has been new research demonstrating an increased risk of trigger finger after carpal tunnel surgery. The release of the thick ligament which is causing compression on the nerve does alter the biomechanics of the tendons slightly which can increase the chances of developing trigger finger. This article was just published within the last few months.See 1 more doctor answer
Will carpel tunnel force me into a new career? I'm a barber and developed carpal tunnel after fifteen years. Is there any chance I can go back to being a barber after carpal tunnel surgery or is it time to find a new profession?
Yes: Give it time to heal. This can improve with time.See 2 more doctor answers
It may be that: The amoujnt of nerve compression was evere and that it takes time for the nerve to feel better. It may be that the nerve was irritated by the surgical process and that the nerve is a bit more sleepy. In severe cases often it takes longer (far longer than it does for the incision to recover) to exhibit improvement and at times full improvement may not be possible. Talk to your surgeon about this.See 1 more doctor answer
6 weeks: 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. The type of work being done influences when someone can return. The more strenuous the work the more time it takes. Your surgeon can help you make a plan as to when you can return.See 3 more doctor answers
I: I always tell patients that the time to healing is variable in that no two patients are exactly the same. However typically you can go back to light activites within a few days to a few weeks and heavy activity in 4-6 weeks. Of course this is job and activity dependent. If you are a sedentary office worker its a lot different than a plumber or machinist. General health also affects return to function. If you have diabetes, are a smoker or have fibromyalgia or an inflammatory condition you may have an extended time period. Healing means different things to people. Some take it to imply return to activity others return of normal sensation. I take time to clarify these two questions before surgery. Will my sensation come back or be normal after surgery? While the goal of carpal tunnel surgery is to relieve the pressure on the nerve not everyone will respond the same to surgery some patients will have immediate return of sensation while some will take longer. Some will notice an improvement right away but still feel tingling and will describe this as "numb" the return of sensation is dependent on many factors including age, general health, duration of symptoms, circulation and the actual mechanical severity of compression. In very severe cases while decompressing the nerve stops the carpal tunnel syndrome from getting worse, full recovery of sensation may not be possible. Often this is seen in patients who have muscle wasting noted prior to surgery and in those with longstanding complete numbness and elevated two-point discrimination. Of course there are many in these categories that improve despite having very severe cases. Having a severe case where you are not sure if you'd have full recovery is not a reason to put off surgery, as progression is likely if nothing is done. How about my strength? This is a very difficult question as there are many reasons why a hand with carpal tunnel may not feel as strong. It may be that the decreased sensation in the fingers prevents someone from knowing how tight to hold and object and that object is dropped more easily. With return of sensation or even a slight improvement in sensation, dropping objects becomes less of a problem. Some severe cases of carpal tunnel can be associated with atrophy in the muscles of the hand. In some severe cases, this muscle will never fully recover. However despite loss of muscle, function can still be preserved. In very severe cases a suregon may recommend a tendon or muscle transfer to improve function. So the short answer is its variabole, the long answer above. The best thing is to ask your surgeon what to expect. This answer is for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor or (in the United States) 911 immediately. Always seek the advice of your doctor before starting or changing treatment.
It depends...: In my practice, I allow patients to return to routine activities of daily living the same day of surgery. I encourage typing and light gripping immediately. The bandage is removed after a week, at which time the incision could be washed normally and dressed with a bandaid (avoiding submersion for total of 3 weeks). Load bearing and heavy gripping (manual labor) is resumed usually after 4 weeks.See 4 more doctor answers
No: Time to get that checked out. Hard to say what is wrong without an exam. It may not be related to the cts.See 2 more doctor answers
I'm experiencing acute pain 13 days after carpal tunnel surgery in my left hand. I'm wondering if I should go get it checked? Appearance is normal.
Pain hand: Acute pain, yes there can be an infection or another issue, call your doctor. Other things such as arthritis at th base of the thumb, or irritation from prolonged dependency on splints may be suspect as well. By speaking to your surgeon directly they can determine if anything else needs to be done. Often this can simply be a phone call but you must call to start the evaluation processSee 1 more doctor answer
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