A Guide for Recovery After Carpal Tunnel Release Surgery

Carpal tunnel release surgery is a widely performed procedure designed to relieve the symptoms of carpal tunnel syndrome. As with any surgical intervention, a well-managed recovery process is essential for achieving the best possible outcome. We spoke to Consultant Orthopaedic Surgeon, Mr Alistair Hunter, for advice to support you through your recovery and help restore full hand function. Mr Alistair Hunter specialises in hand, wrist and elbow surgery, and has developed advanced skills in the management of complex hand and upper limb injuries and common and complex conditions of the hand, wrist and elbow such as carpal tunnel release surgery.

What is Carpal Tunnel Release Surgery?

Carpal tunnel release surgery is a procedure designed to relieve pressure on the median nerve, which passes through a small space in the wrist called the carpal tunnel. The surgery involves cutting the ligament that forms the roof of the tunnel, creating more space for the nerves and tendons. This can help alleviate symptoms like pain, tingling, and numbness in the hand and fingers.

Symptoms of Carpal Tunnel Syndrome (CTS)

• Altered Sensation: Tingling or numbness in the thumb, index, middle, and ring fingers (the little finger is usually unaffected).
• Worsening at Night or Morning: Symptoms are often more noticeable at night or upon waking.
• Triggered by Gripping Activities: Holding objects like a mobile phone or newspaper, especially with the hand elevated, can provoke symptoms.
• Intermittent in Early Stages: Tingling occurs sporadically, with normal sensation returning between episodes.
• Progression to Continuous Symptoms: Advanced stages may result in constant numbness in the fingers and thumb and weakness of the muscles of the thumb.
• Muscle Weakness: Weakness or wasting of the muscles at the base of the thumb.
• Clumsiness: A feeling of awkwardness or difficulty holding objects, often leading to dropping items.
• Pain: Discomfort may also be felt in the wrist and forearm.

How Do I Know If I Need Surgery for Wrist Pain?

Surgery is often recommended for individuals who experience persistent symptoms of carpal tunnel syndrome that have not responded to non-surgical treatments such as wrist splints, corticosteroid injections, or physiotherapy. Common signs that surgery might be necessary include:

• Severe pain that interferes with daily activities or sleep
• Progressive weakness or loss of grip strength
• Symptoms continuing for a few months or longer despite conservative treatments

If you’re unsure whether surgery is the right option, consult with our carpal tunnel specialists in London to discuss your symptoms and explore all available treatments.

Tips to Follow After Carpal Tunnel Release Surgery

1. Follow Post-Operative Instructions
   Adhere to your surgeon’s guidelines regarding dressing changes, wound care, and medications. This helps reduce the risk of infection and promotes healing.
2. Manage Pain Effectively
   Mild discomfort is normal after surgery. Over-the-counter pain relief medications, as recommended by your doctor, can help ease the pain. Applying a cold compress to the wrist may also reduce swelling.
3. Gradually Resume Activities
   Avoid heavy lifting or repetitive wrist movements during the initial recovery phase. Start with light activities as directed by your healthcare provider, increasing intensity gradually over time.
4. Engage in Hand Exercises
   Hand and wrist exercises are often recommended to restore strength and mobility. Consult your surgeon or hand therapist for a tailored exercise plan to prevent stiffness and encourage healing.
5. Elevate Your Hand
   Keep your hand elevated, particularly in the first few days after surgery, to minimise swelling. Using a pillow to support your hand while resting can be helpful.
6. Monitor for Signs of Complications
   Watch for symptoms like excessive swelling, redness, or persistent pain, which could indicate complications. Contact your healthcare provider promptly if you have any concerns.

If you are considering or recovering from carpal tunnel release surgery, our dedicated team at St John & St Elizabeth Hospital is here to support you every step of the way.

With expert consultants and state-of-the-art facilities, we provide caring and personalised care to help you regain comfort and function. Contact us today to book an appointment or learn more about our comprehensive services.

Frequently Asked Questions About Carpal Tunnel Release Surgery

When can I start hand exercises?

Gentle finger exercises may begin in the days after surgery, under your hand and wrist surgeon or hand therapist’s guidance. More intensive exercises are usually introduced after the wound has healed.

When is it safe to drive?

You should avoid driving until you can comfortably grip the steering wheel without pain or limitations, typically around two weeks after surgery.

Is post-surgical pain normal?

Mild pain and discomfort are normal and should subside within a few weeks. If the pain persists or worsens, consult your surgeon.

How Long Is Recovery from Carpal Tunnel Release Surgery?

A good recovery typically takes 4–6 weeks for most patients, although some may need up to 3 months, depending on the severity of their condition and individual healing rates. Patients doing desk based work are able to type at a computer a few days after the surgery, but usually take a week or two off work.

What Hand Exercises After Useful Carpal Tunnel Release Surgery?

Gentle finger stretching, fist-making, and wrist-flexing exercises are often recommended. Always follow your hand therapists advice to ensure safe and effective rehabilitation.

Book an appointment

If you’re concerned about your wrist pain or would like to discuss Carpal Tunnel Release Surgery, book an appointment with Mr Alistair Hunter via his webpage or call 020 7806 4060.