Doctor insights on:
When Will The Swelling Go Down After Open Carpal Tunnel Surgery
Swelling is the enlargement of organs, skin, or other body parts. It is caused by a buildup of fluid in the tissues. The extra fluid can lead to a rapid increase in weight over a short period of time (days to weeks). Swelling can occur all over the body (generalized) or only in one part ...Read more
I had open carpal tunnel surgery october 21st and stitches removed on november 5th the top lay of skin is open. No leakage no redness so is this okay?
Often the top layer: Of skin cracks peels and breaks a bit. Especially the thick palm skin. Ask your surgeon if they object to using cream or lotion. ...Read more
Had open carpal tunnel surgery on my left wrist in 09/2014. As of late I have been having inner elbow pain and middle finger only pain. Any ideas?
Hand surgeon: These symptoms could be due to a recurrence of some carpal tunnel problem. Your hand surgeon is best qualified to evaluate and advise you. ...Read more
No: Time to get that checked out. Hard to say what is wrong without an exam. It may not be related to the cts. ...Read more
What could be cause of jolts of pain down fingers when hand gets cold. Have recently had carpal tunnel surgery.?
Nerves waking up: It could be several things, but its not unusual to have a flare up of pain after cts as sensation returns. It can also be caused by scar, post-operative inflammation, and over use. Try ice and anti-inflammatories like Aleve (naproxen) or advil. If it persists, a short course of supervised therapy may help, including de-sensitization exercises like working your handa dn fingers in a pot of dried beans. ...Read more
Yes: Hand swelling is common after a carpal tunnel release. Take it easy on the hand for a few weeks and the swelling should resolve. I tell my patients to give the hand a chance to heal. ...Read more
I had carpal tunnel surgery with removal of ganglion cyst 1 month still having a great deal of pain, heat and swelling in my hand. Normal?
No not normal: There are four main signs of inflammation: pain, heat, redness, and swelling. Those are signs that the immune system is activated. After a surgery there can be inflammation and it's normal for a few days. If it is present a month later it is concerning that there is either infection, or some kind of immune activation. It's worth getting it checked out right away by your surgeon. ...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
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. ...Read more
Persistent symptoms: If you have persistent symptoms of numbness, weakness or pain with a diagnosis of CTS despite trying some conservative management including a splint, anti inflammatories, or steroids then you really should consider surgery. the success rate is very good at over 90%. Surgery will delay any further injury to the nerve which can even lead to permanent nerve damage if not managed appropriately. ...Read more
I had Carpal Tunnel surgery in 2012 but now symptoms return. What is going on? Should I be concerned?
Recurrent carpal tun: All problems can recur if one resumes the activity which created the problem in the first place. You should be seen by an upper extremity specialist. Many times the diagnosis needs to be accurate. I.e. One may have compression of the nerves from the neck and or brachial plexus, which may also need to be treated. Be sure that conservative treatment is initiated first. Perhaps a second opinion. ...Read more
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
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
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