Carpal Tunnel Release Surgery - Post Surgery Care Advice

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NUH occupational therapist shares post carpal tunnel release surgery care advice, including wound care, exercises to help hand and wrist recover better and faster, scar massage to improve flexibility and reduce pain, tips to reduce swelling of hand and activities to avoid while the wound heals.

Wound care
During the first two weeks after the surgery, protect your wound from coming into contact with water or contaminants.

Exercises to help hand and wrist recover better and faster:
- Differential tendon gliding exercises
- Wrist movements
- Thumb movements
- Median nerve gliding exercise

Scar massage
It is important to massage the scar to help improve flexibility and reduce pain. Scar massage should start one to two days after your stitches are removed.

Tips to reduce swelling of hand:
- Try to elevate your hand above your heart level when walking around or sitting down
- When you are sleeping, elevate your hand above your heart level by resting it on a couple of pillows

Activities to avoid:

Actions that require forceful and tight gripping, such as:
- Wringing towels
- Carrying heavy items with your hands
- Use of power tools

00:00 - Introduction
00:21 - About the wound
00:39 - Management of swelling, discomfort & pain
01:09 - Protecting the wound
02:04 - Showering tips
02:22 - Type of light daily activities allowed
02:36 - Return to work
02:59 - Exercises for faster recovery
03:15 - Differential tendon gliding exercises
03:35 - Tendon gliding exercises (hook fist)
03:46 - Tendon gliding exercises (straight fist)
03:57 - Tendon gliding exercises (full fist)
04:05 - Wrist movement (forward & backward)
04:15 - Wrist movement (sideways)
04:25 - Thumb movement (fingertips)
04:44 - Median nerve gliding exercise
05:27 - Removal of stitches
05:50 - Stiff and sensitive scar
06:14 - Scar massage
06:55 - Activities to avoid while wound heals
07:30 - Reasons for numb fingers post-surgery

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About National University Hospital (NUH) (Singapore):
NUH is Singapore's major tertiary hospital and referral centre with over 50 medical, surgical and dental specialties. It is the only public hospital in Singapore to offer a comprehensive suite of specialist care for adults, women and children as well as paediatric kidney and liver transplant programme, in addition to kidney, liver and pancreas transplantations for adults.