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Suggest remedies for pain management after carpal tunnel surgery

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Posted on Sat, 23 Jul 2016
Question: I have carpal tunnel which has been ok with using the splints at night but that is not working as it was and I have had 2 nights in the last week with very little sleep because of it. I also have RLS which is what my carpal tunnel feels like at night. Is there any other way to get relief besides surgery? I do have an appt next week with a hand specialist.
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Answered by Dr. Praveen Tayal (1 hour later)
Brief Answer:
You need pain killers and methylcobalamin.

Detailed Answer:
Hello,
Thanks for posting your query.
First you need to wear a sprint at night for several weeks. If this does not work you might need to start wearing this during the day. Avoid sleeping on your wrist and use of hot and cold compresses maybe recommended.
Occupational changes such as too much use of keyboards and positioning should be changed.
You can use medications such as non-steroidal antiinflammatory to alleviate the symptoms or you use injectable steroidal antiinflammatory such as prednisolone in the dosage of 20mg daily for two weeks (low dose steroids). Others that could be used are hydrocortisone (low as 25mg), triamcinolone (30 mg daily) for two weeks. Medications like methylcobalamin will reduce discomfort. If pain is severe a neurotropic like pregabalin can be added, you can take them after consulting your treating doctor.

Carpal tunnel release is a surgical procedure that cuts into the ligament that is pressing on the nerve. Surgery is successful most of the time, but it depends on how long the nerve compression has been occurring and its severity.
Some exercises which can be done after pain has reduced include- wrist rotation, elbow movement, shoulder rotation, neck rotation, and fist open and close.
You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case.

I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 4874 Questions

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Suggest remedies for pain management after carpal tunnel surgery

Brief Answer: You need pain killers and methylcobalamin. Detailed Answer: Hello, Thanks for posting your query. First you need to wear a sprint at night for several weeks. If this does not work you might need to start wearing this during the day. Avoid sleeping on your wrist and use of hot and cold compresses maybe recommended. Occupational changes such as too much use of keyboards and positioning should be changed. You can use medications such as non-steroidal antiinflammatory to alleviate the symptoms or you use injectable steroidal antiinflammatory such as prednisolone in the dosage of 20mg daily for two weeks (low dose steroids). Others that could be used are hydrocortisone (low as 25mg), triamcinolone (30 mg daily) for two weeks. Medications like methylcobalamin will reduce discomfort. If pain is severe a neurotropic like pregabalin can be added, you can take them after consulting your treating doctor. Carpal tunnel release is a surgical procedure that cuts into the ligament that is pressing on the nerve. Surgery is successful most of the time, but it depends on how long the nerve compression has been occurring and its severity. Some exercises which can be done after pain has reduced include- wrist rotation, elbow movement, shoulder rotation, neck rotation, and fist open and close. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal