Doctor insights on:
Post Operative Exercises For Carpal Tunnel Release
6 weeks ago I under went carpal tunnel release in both hands. I am curious about my post operative symptoms.
Carpal tunnel syndrome (cts) is treated by releasing the transverse carpal ligament (tcl), surgically with an open, mini-open or endoscopic technique. Tcl relieves the pressure on the median nerve. Open surgery requires complete exposure of the tcl and carpal tunnel (ct). Mini-open surgery only partially exposes these structures. Endoscopic surgery uses a camera and a small ...Read more
Ligament release: The transverse carpal ligament is the superior border of the carpal tunnel. The median nerve runs within the carpal tunnel and when compressed, causes the symptoms associated with carpal tunnel syndrome (cts). In order to relive the pressure on the median nerve, the transverse carpal ligament must be released. This is accomplished with either open or endoscopic techniques. ...Read more
Recovery: Certainly when you are off your pain medications. However, it does depend on the technique, your healing, and recovery. ...Read more
Days to weeks: An endoscopic carpal tunnel release (ctr) requires a very small incision on the wrist. It is common to have some soreness in the wrist and/or palm after surgery. Post-operative immobilization is brief and the hand can be used almost immediately after surgery. More rigorous activities may take 2-6 weeks of recovery time. Therapy is needed only for severe cases or significant pain/swelling post-op. ...Read more
Very effective: Carpal tunnel syndrome is a very effective treatment for people with carpal tunnel syndrome (cts). Failures are usually do to incorrect diagnosis, such as cervical radiculopathy or diabetes, or incomplete surgical release of the transverse carpal ligament. When the right surgery is done for the right reason, the results are excellent. Try the hand society web site assh. Org for more details. ...Read more
It all depends on how you define success.
It isnearly 100% succecful in taht usually the ligament is released and the nerve pressure goes down, ie the nerve gets decompressed. Is it successful in returning sensation and strength to normal. ..That s where expectations, and pre-op assessment and how severe it started from. ...Read more
Ask your surgeon!: When I perform carpal tunnel releases, wether open or endoscopic, I have the patients remove their bandages 2-3 days after surgery. There is no reason for prolonged immobilization after surgery and you can begin using the hand as soon as you feel comfortable. Follow your surgeon's instructions and call the office if you have questions or concerns. ...Read more
It depends!: If you are talking about the same hand for a second time then true recurrences tend to occur 10-20 years after the original surgery and are quite rare. Failure of the first op is commoner and may need revision surgery quite soon. If you are talking about the other hand then CTS is bilateral in at least 70% of patients and operations on the other side are very common ...Read more
Endoscopic CTR: Endoscopic carpal tunnel release uses an endoscope, an instrument attached to a video monitor to visualize the undersurface of the transverse carpal ligament. This avoids the need to make an incision in the palm. Instead the surgeon makes the incision in the wrist crease near the base of the palm. The surgeon esssentially releases the ligament from the inside out, avoiding many palm tissues. ...Read more
Depends on surgery: This can depend on the surgery (an open procedure or a minimally invasive endoscopic procedure). I perform a specific type of endoscopic procedure and patients can type as early as the same day but usually wait until the next day. I have had staff start work as early as 2 days after having bilateral carpal tunnel releases. With the open procedure you may have to wait several more days / wks. ...Read more
Narcotic meds.: Narcotic medications are often helpful during the first 24-48 hours to recover from the acute pain symptoms following carpal tunnel surgery. Afterwards, over-the-counter medications like tylenol (acetaminophen) or Ibuprofen are generally acceptable and sufficient for pain relief. ...Read more
How quickly does the median nerve repair itself after being damaged during carpal tunnel release?
Depends: Patients with intermittent symptoms before carpal tunnel surgery are usually better the same day. If the nerve has been significantly injured-usually the fingers are always numb-the sensation may return over months to years. If the muscle has been lost for over a year, it will never recover. ...Read more
After bilateral endoscopic carpal tunnel release, approximately how long will I have to wait to drive?
I had carpal tunnel release operation 8 weeks ago, but I am still in considerable pain. Is this normal?
No: Typically severe pain is limited to the first few days to weeks after a carpal tunnel release. After 8 weeks, I would expect your hand to feel quite good. If you are still having pain, you need to see your surgeon. Perhaps the nerve is damaged or irritated. You may have developed scar tissue around the nerve or had an incomplete release. There may also be a problem with the nerve near the neck. ...Read more
I had carpal tunnel release surgery yesterday and I felt everything during my operation. Is this normal?
Not usually: There are several different kinks of anesthesia's for this operation. Did you have just a local anesesthetic, bier block or general anesthesia? I am not sure how your doctor could have done the surgery if you felt everything. Possibly the block did not have time to fully set up. Does the dentist have a hard time numbing you up for drilling teeth? ...Read more
Yes: All healing results in a scar.Get a more detailed answer ›
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for more information regarding carpal tunnel release see here
http://www. Handctr. Com/endoscopic-carpal-tunnel-release-51.Html. ...Read more
Release the ligament: Carpal tunnel syndrome is a condition where there is increased pressure within the carpal tunnel and it compresses the median nerve. The surgical treatment involves cutting the transverse carpal ligament. This decreases the pressure within the tunnel and allows a return of function to the nerve, the surgery can be performed using an open or minimally invasive technique ...Read more
Ligament release: Carpal tunnel syndrome (cts) is treated by releasing the transverse carpal ligament (tcl), surgically with an open, mini-open or endoscopic technique. Tcl relieves the pressure on the median nerve. Open surgery requires complete exposure of the tcl and carpal tunnel (ct). Mini-open surgery only partially exposes these structures. Endoscopic surgery uses a camera and a small incision to release tcl. ...Read more
Not too bad: 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. Typical post-op pain is not too bad. ...Read more
Yes.: Rare but possible.Get a more detailed answer ›
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