Doctor insights on:
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. ...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
Severity: It depends on the severity of your symptoms and functional abilities. If atrophy has set it or you are not capable of completing daily activities without simple modifications it may be time to seek relief. ...Read more
Depends: This is a common problem. It may improve with time. ...Read more
I had keyhole carpal tunnel surgery july 30th and am having a lot of pain still. I'm running out of meds. How much longer will this pain last : (?
Talk to your surgeon:
A lot depends upo n what "the problems are
hand pain due to something else
not normal sensation
failure to understand limits in recovery
poor communication regarding time to "heal"
most don't need pain meds a few days later and it is ok to transition away from them for most. ...Read more
return to work: Postop recovery from carpal tunnel syndrome varies depending on the type of procedure performed. Studies demonstrate endoscopic carpal tall leads to quicker return to work. However each surgeon will set the postop protocols for their patient. Speak to your specific surgeon about their recommendations. At most it can be six weeks to as little as 1 to 2 weeks. ...Read more
I tend to stage the surgery 2 weeks apart and typically recommend that the dominant hand go first unless there is a severe difference in the non dominant hand. This gives enough time to allow full function in most adl activity
when people ask whether they can have surgery on both hands together I typically remind them about the bathroom! ...Read more
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. ...Read more
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. ...Read more
A couple of weeks: It takes about 2 weeks for the wound to heal. Once it does, the soreness should be minimal. It's not uncommon to have some palm and wrist pain after surgery. Most work activities will be tolerable by 3 weeks. Heavy lifting or other activities may take up to 6 weeks to perform. ...Read more
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. ...Read more
The Costs can hurt.: Well let's see. There is the surgeon's fee, operating room fee, recovery room fee, anesthesiologist's fee, pre-operative testing costs, miscellaneous intra-operative supply fees, post-operative medication fee and possible rehab costs. Your insurance company may have already negotiated a lot of the costs already. Without insurance, you will have to ask around for the best price. Minimal pain. ...Read more
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. ...Read more
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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
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