Hand Surgeon Questions Carpal Tunnel Surgery

Hand pain after carpal tunnel surgery

I had carpal nerve release done several years ago. I am still getting pain in my hands and arms. Is there another nerve that could be causing a problem? Do I just have to live with the discomfort?

16 Answers

This problem is due to a swelling of the nerves. It is better to address the swelling than to make surgery the only option.
Hello, I'm sorry to hear about your pain. White Willow bark in combination with Devil's Claw would make quite a difference for your pain. Be sure to grind these dried plants together and consume the material that collects at the bottom of this steeped tea. That part is very important!

Both of them have a mild bitter taste with Devil's Claw being moreso bitter.

Consume as much as you can tolerate, but not if pregnant or breastfeeding.




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Unfortunately carpal nerve entrapment can occur again even after surgery. I treated a patient who had three carpal tunnel surgeries in the past. There are some very effective acupuncture approaches to treating carpal tunnel. And yes there are also ulnar nerve entrapment issues causing symptoms more on the pinky side of the hand.
It could be another nerve. I suggest a new nerve study and physical exam
to evaluate your symptoms.
Yes, it is possible that another nerve could be causing the problem. Though you might have had the release at the carpal area, it is possible you may be experiencing thoracic outlet syndrome based on the brief description you are giving here. With nerve support, specific exercises to release muscle tension and supplementation can all help w/relieving the discomfort. I would recommend either seeing an osteopathic physician or naturopathic physician in your area that specializes in physical medicine.
There are a few possibilities for your persistent pain. Often, the neck is a source of arm pain. When people don't get great relief from carpal tunnel release surgery, the neck is typically at fault. Also, you may have other forms of tendonitis or even arthritis causing your hand pain. You would need to be seen by a hand surgeon to figure this out.
Sí hay varios nervios que pueden estar comprometidos en esta situación pero hay que hacer una buena valoración primero, una resonancia sería de mucha ayuda y también exámenes clínicos pero en cuestión de nutrición para ayudar a tratar el dolor, hay varias opciones excelentes , el complejo B es uno de ellos, también los aceites omega por si la mielina está afectada , la lisina nos puede ayudar mucho también en fin casi todos los aminoácidos y también la Vitamina A y D
Yes, there are several other nerves that could be causing pain. The ulnar nerve, radial nerve or median nerve at the guyons canal which is not the same location as the median nerve at the carpal canal. It would be a good idea to have these things evaluated. You should not have to live with discomfort. I hope this is helpful.
Surgery can only release tendon entrapment, not change the local
environment for the nerves to heal and rebuild. Take alpha lipoic acid at
3-400 mg with every meal and massage hand and wrist with castor oil every
night for a couple weeks and see how it goes. (wear cotton gloves to bed
to keep bedding clean).

Good luck.

Dr. Thomas Lee
Medical Director,
NaturoDoc, LLC.
Without a detailed health history, physical exam and knowing more about the particulars of the surgery, it is hard to comment on your individual situation. I would talk with a hand surgeon for a second opinion to make sure the pain you are having is not due to a condition that needs more surgical intervention or getting feedback to why you are still experiencing discomfort. Something to discuss with your doctor is physical therapy for your hand would could have a possible positive effect on the discomfort you are feeling by strengthening surround musculature that could reduce discomfort and possible acupuncture treatment which might calm nerves down. Nerve pain that is characterized by sharp, tingling, numbness feeling can last years after surgery and calming nerves down takes time, even years. Acupuncture might expedite this process. Talk with a hand specialist about these options to determine your best next step. Good luck!
The question is difficult to answer based on the information given. It depends on whether pain was present preOperatively and whether numbness and tingling was present. Also, if n/t was present, did it resolve? An examination and possibly repeat nerve conduction studies may be necessary to determine the answer, but the answer isn't automatically, you have to live with it.
Hello thank you for contacting me. I hope today finds you well.

To answer your question, some individuals have pain along their incision, the area may stay sensitive after the surgery and there is a possibility of excessive scar tissue building up causing issues. If too much scar tissue forms, the nearby soft tissues can well become bound together. The incision may appear raised and the nearby skin can feel tight. It may feel as if there is a bump beneath the incision area and your wrist and hand movements may feel some restrictions. The scar tissue can bind the flexor tendons and median nerve preventing the smooth glide through the carpal tunnel and pain and loss of range of motion can occur. However, within some severe cases, surgery may be needed to remove the extra scar tissue and you may need to see your surgeon to examine the area.

I hope this helps. Have a wonderful day.
Certainly another nerve can be a problem, there are three nerves that supply sensation to the hand as well as all nerves come from the cervical spine and a herniated disc in the lower cervical spine in your neck can give referred pain. Other common causes of hand pain that may not concurrent with carpal tunnel or evolve at a separtate site or location are trigger fingers, arthritis of the base of the thumb, wrist tendonitis and many others. Speak to your surgeon regarding your concerns, sometimes the carpal tunnel overwhelms your attention and the symptoms caused by other coexistent or subsequent issues arise and it is confusing even to experienced health care providers
You first need to be evaluated by a Hand Surgeon to diagnose the cause of your pain
Hello,
I don't have enough information to answer your question but if the pain is in your arm as well as the hand it sounds like there could be a different cause. You can follow up with your doctor to rule out another cause.
We get asked this question very often. Many times carpal tunnel surgeries do not address the root cause of pain. After a thorough physical exam, we can determine where your pain is coming from and discuss treatment options specifically custom to your needs. We do not believe in living in pain forever. Treating the root cause will solve the problem. Please give us a call at 480.361.4005 to get started with a free consultation.