CARPAL TUNNEL RELEASE

Carpal tunnel release is a procedure performed to relieve pressure on one of the major nerves in the hand. When this nerve is compressed the patient may experience numbness and pain in the affected hand and forearm as well as occasionally the upper arm and shoulder. Characteristically the symptoms are prevalent at night, causing awakening with numbness of the hands.

Surgery is indicated when the symptoms can no longer be controlled with conservative treatment such as splints and anti-inflammatory medications or when tests performed on the nerve indicate that there is progressive damage to the nerve. At surgery the nerve is decompressed by opening a canal in the hand. This often will control symptoms and stop further damage to the nerve.

Instructions to follow after Carpal Tunnel Release Surgery:

1. Following surgery the hand is dressed with a gauze bandage. This dressing should be kept dry. It should be removed the day after surgery or if it becomes wet for any reason.

2. It is very important to keep the hand elevated for the first 3-4 days to prevent swelling. Movement of the fingers and wrist is encouraged to help prevent stiffness and also control swelling. Removal of the bandage the day after surgery will allow better motion of the hand.

3. The hand can be used for light activities such as eating and personal care within the first few days after surgery. Over the first several days more activities are tolerated but vigorous use such as opening car doors, jar lids, etc. should be avoided until after the first post operative visit in our office.

4.Pain medication may be used as needed. Often over the counter medications such as ibuprofen, acetamenophen, or naproxen sodium are adequate. Prescription medications may be necessary and may be provided at the time of surgery.

5. A follow-up appointment will be made at the time of surgery. At this appointment the sutures are usually removed and more vigorous exercises for strengthening the hand are prescribed. Return to more normal activity is possible over the next 2 weeks.

6.The time to return to work will vary according to the demands made on the hands in the workplace. Sometimes a light duty position is available to allow earlier return to work.

7. The wound will often become red around the sutures. If the redness is severe or if there is purulent drainage contact the office.

If there are questions concerning the post-operative surgical course you may call the office.