Post-Operative Instructions Following Carpal Tunnel Release

You have just had Carpal Tunnel surgery. Since this is an outpatient procedure and you will be recovering at home, it is very important that you follow your instructions carefully and use common sense regarding rest, activity and comfort measures.

Because you will be recovering from an operative procedure, we recommend that someone should be with you for a minimum of two days. You will require pain medication for your hand pain. Your normal activity will be restricted. Please read the following additional instructions before leaving the hospital and ask any questions you may have.

Positioning

Maintain your hand elevated above the level of your heart for the first five days. This will help to decrease swelling and pain. Use pillows when sitting or lying down and a sling when up and walking. although the first few days are the most important in combating swelling, you may find elevating your hand an effective comfort measure for 10-14 days.

Discomfort

Post-operative pain at the incision site is expected. Before you leave the hospital you will receive a prescription for pain medication. You should have it filled on the way home. If you have allergies to medication be sure to question your doctor about your prescription. Follow the instructions for the medication dosage and frequency as directed by your doctor. This medication is to be used to make you comfortable for several days after surgery. Pain control is an important part of your recovery. But narcotic pain medication can cause side effects such as drowsiness, nausea, constipation, and they are potentially addictive if taken for a prolonged period of time. We recommend you use over-the-counter medications such as Tylenol or ibuprofen as soon as possible.

The Bandage

The dressing or bandage placed around your hand after surgery should remain clean, dry, and undisturbed for two days after surgery. Place a glove over the hand operated on and use a rubber band to seal the glove when carrying out the daily hygiene. If the incision is dirty or wet the hand must be cleaned with alcohol and a clean dressing placed on the incision.

Stitches/Sutures

The stitches will remain in your hand for two to three weeks. Before you leave the hospital, after the surgery, you should be given an appointment or date to have them removed by your surgeon or occasionally by your family doctor.

Activity

You should not do any pulling, pushing, or lifting with your hand. Gentle finger wiggling and opening and closing your fingers will prevent your hand from becoming stiff. Avoid activities such as dish washing, using tools or driving your car. Your physician may give you specific exercises to do. If you are given such exercises, follow them carefully. You may return to work in two weeks.

When To Call The Doctor

Report any of the following problems to our office at 859-277-6143.

A large amount of bleeding through the dressing.
Paralysis of the hand or fingers. Increasing redness around the incision.
Continuing drainage from the incision.
A persistent fever unrelated to any other illness.
Any allergic reaction to medications prescribed by us.