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Recent Carpal Tunnel Surgery, still have weakness, pain, and a grinding feeling

by Betty Raynor Davis
(Camden, SC USA)

After over six years of pain, numbness, tingling and a weak ability to hold onto things with my right hand I had surgery in June 2009. My wrist was in a plaster cast for two weeks after surgery.

During that time I felt pain not only in the area of the surgical wound but also in my right thumb and wrist just below the thumb. The cast is now gone, stitches removed and the wound nearly healed.

However, I continue to have the pain in the meaty part of the lower thumb and wrist just below that point. It feels sometimes like a grinding or rubbing against a coarse area inside this part of the lower hand/wrist junction at the thumb.

I have even more weakness right now following surgery. When I do attempt to grip items it hurts and I can feel a tightness and pulling that is uncomfortable.

My surgery was very recent and for some reason my physical therapy authorization has not yet been authorized but I have tried some simple excerises on my own.

Let me add that I have diabetes although I control it well.

I wonder if this is affecting, possibly slowing somewhat, my healing. The after surgery pain at the wound site was not all that bad after the first three to four days.

However, I do continue to have problems with weakness and the coarse grinding sensation. One area under the wound site is very sensitive and when pressed against is painful.

I apply cetaphil cream and rub it in and around the scar site several times a day. I'll post another followup report after some more healing time has passed.

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Joshua Comments:

Hi Betty. Thank you so much for sharing.

Please do update us as time goes by.

And, I'm a big believer in helping yourself heal better and faster from Carpal Tunnel Surgery, or any Tendonitis suryger, for that matter.

I highly suggest that you start Ice Dipping, as described on the How To Reduce Inflammation page.

You have a lot of inflammation process happening in there.

As far as the grinding, I don't know the exact situation of your hand, but I also suggest that you start massaging the muscles of your thumb pad.

Just 30 seconds here and there throughout the day, squeezing and eventually digging a little bit at the tight bands of muscle that you will feel in there.

If the muscles are super tight, they will pull the bones of the joint together, compressing the joint such that the bones don't glide over their articulating surfaces but instead grind.

Weakness can be caused by a couple factors, I wouldn't worry about it at this point. But do know that if the body feels pain or perceives that movement is dangerous (like your does right now), it will not allow the muscles their full strength potential.

As far as the diabetes, that can play a role, but if you have it under control and don't have any other downsides from it, your description of you post carpal tunnel surgery experience sounds like a very familiar and usual story.

Tenodnitis and Carpal Tunnel dynamics usually don't just go away without a fight (or at least, a nice talking to).

Keep us updated!



Joshua Tucker, B.A., C.M.T.
The Tendonitis Expert
www.TendonitisExpert.com














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Comments for
Recent Carpal Tunnel Surgery, still have weakness, pain, and a grinding feeling

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Jun 16, 2010
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Still waiting for the pain to be gone - Recent Carpal Tunnel Surgery, still have weakness, pain, and a grinding feeling
by: Anonymous

I had surgery on April 27, 2010. My incision has healed except for one horn like area on the wrist end incision. I have daily pain and burning and cannot make a fist or grasp objects without shooting pains thru my wrist.

I am still unable to work as my job requires continuous hand usage. The pain is worse now than before surgery, it wakes me up and in the morning I cannot close my hand at all.

I was given the twilight drug for the surgery and awoke during my surgery screaming how badly it hurt and was clutching my hand to my chest. I still feel the same pain in the same spot now.

And my incision is over 2 inches long. I will ask for therapy at my next appt but fear it will never be the same.

The weakness concerns me.


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Joshua Comments:

A 2 inch long incision? Wow, that's old school.

Here's my short term suggestions:

1. Ice Dip like crazy, as described on the How To Reduce Inflammation.

2. Supplement with B6, because Inflammation Causes Vitamin B6 Deficiency, which causes pain and other Carpal Tunnel Symptoms. (Read that symptoms page for an explanation of why you're having those symptoms, like weakness.)

3. Read why Magnesium is important for getting out of pain, and follow the link at the bottom of that page to Kerri's Magnesium Dosage page.


You can get yourself out of pain, but it's going to take some time/effort.




May 23, 2010
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Carpal tunnel surgery, now numbness tingling and shocking pain
by: Scott

CTR surgery on 05/05/2010. Today is 05/23/2010.

Middle finger feels like it a bad sprain. pain where bottom of middle and ring fingers meet the palm. Numbness and tingleing in all fingers EXCEPT inside of ring and pinkie fingers. Electrical shocks in palm of hand.

What the heck is goin on???


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Josua Comments:

Hi Scott.

Well, I mean, you had surgery, meaning a sharp object cut into your tissue, cut your connective tissue, was VERY close to your nerve (and hopefully didn't touch it), and told your nervous system that trauma was happening.

At the very least, your nervous system has kicked in even more of a protective mechanism than was already in place for the Carpal Tunnel symptoms.

The numbness and tingling and shocks could just be from your freaked outnervous system.

And/or, as the tissue tries to figure out how it's supposed to move and support it's surrounding tissue, it needs some time to figure it out.

Potentially the surgeon nicked the nerve, or the tissue around it is so 'buzzing' from the surgery that it is effecting the irritated nerve.

The 'bad sprain' feel is likely due to the trauma that was caused internally from the surgery, possibly due to trauma to the tendon that controls that tendon, or the tissue surrounding it.



Mar 31, 2010
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Still have numbness, left hand surgery Jan 2010
by: Anonymous

I had surgery on my left hand late January 2010.

While in surgery I had a Bier Block and was awake. During the surgery I felt a ZING through my 3 middle fingers.

My thumb, wrist and pinky fingers are all fine. My index and ring finger are numb on the inside half and my middle finger has no feeling whatsoever.

My Dr has been following up and is sorry this is happening to me. However, if no feeling returns I will be having a nerve test the end of May.

Could the ZING during surgery have done something. I have full movement but not yet a tight grip which I expected.

Thank you.

Debra


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Joshua Comments:

I'm sure your surgeon is sorry about this....

So I'm curious, what exactly is a nerve conduction test going to tell you/your doctor? And what are they going to do if it turns out that you have 'nerve damage'? Another surgery?


I doubt the zing itself did anything. I'm curious as to what casued the zing.

There are some options:

1. You felt the zing when the surgeon nicked the nerve during the surgery. Thus, possibly permant nerve damage.

2. Or, the zing was kind of like a spasm, but a nerve action instead of a muscle action. It's all electrical charge in the nervous system.

There was a lot going on during surgery, your nervous system new somethign was amiss even if it was numbed, and for any number of reasons a charge was triggered through the system.



How similar are these symptoms to your pre-surgery symptoms? I would need to know more about that before I comment further. It's possible that all this numbness is due to the surgery making the dynamic of tightness and inflammatoin worse.

As much as doctors are confident that surgery will fix everything, such is rarely the case. Which also accounts for why doctors generally don't have any idea why you aren't all better.


You had muscle tightness and connective tissue constriction (and numbness and weak grip, yes?) before the surgery, and surgery doesn't reverse that anywhere except -maybe- right at the incision site. But then you have a rush of inflammation....and scar tissue pulls all those tight structures back together as it 'knits' tissue together.


There are all sorts of complications available from CTS surgery.

Let me know your pre-surgery symptoms, and we'll go from there.




2.

Sep 25, 2009
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one hand please get well
by: Anonymous

I had my hand done Sept 2009, itss been only 2 weeks, but it still feel the same.

At night the pain is terrible. I tried elevating my hand on a pillow and still put on my hand brace; it does not do any good.

The pain wakes me up from sleep. Maybe it's the nerves coming back to life. Other than that I can use my hand.

The scar is healing well, the palm is still sore.

I try to massage my hand and move my fingers back and forward. I don't know if I am going to do the other hand.

I going to give it a little more time.


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Joshua Comments:

Thanks for sharing, whoever you are!

Keep us updated.

Sep 03, 2009
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PART 4 - I need help for my pain 3 months after Carpal Tunnel Surgery.
by: Veronica

Wow I feel exactly like you do. I had the surgery June, 2009 and my wrist feels worst then before.

I can't open bottles or close windows. I feel horrible and the doctors says that I have scar tissue and it will be OK but its isn't. It has been 3 months and it seems to be getting worst.

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Joshua Comments:


Yeah, that's no good.

It very well may be getting worse, as the scar tissue pulls everything together (tighter).

It sure would be a different world if doctor's offered some kind of money back guarantee...

My suggestion is to Ice Dip like crazy for a week or so, and then start ice massage and self massage, kneading and stretching the tissue to regain it's openness.

Assuming that the problem was actually at the Carpal Tunnel, one needs to open up all the connective tissue in the forearm and wrist, as well as get all the Process of Inflammation out, or at least dialed down.

Also, would you tell your story on the 'Carpal Tunnel Surgery Stories' link off to the right? Assuming it doesn't hurt too much to type.









Aug 19, 2009
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PART 3 - second update - Sharing more information - Recent Carpal Tunnel Surgery, still have weakness, pain, and a grinding feeling
by: Betty Davis addition

Here I am again adding to my first post following surgery. The grinding sensation seems to have abated and while my surgical site has healed over there is still an underlying "hot spot" that is tender with some pain when pressed.

Also, with use and exercise I am feeling a similar feeling as that prior to surgery at the junction of the wrist, arm, hand. On either side at the meaty portion of the thumb, the meaty flesh opposite the thumb and into the ring finger I still have pain with use, not all the time but at times like now when I am trying to type this updated comment.

I also feel discomfort that radiates into the underside of the arm somewhat. I continue to ice, do simple exercises and and am taking aleve now as needed for the discomfort. This is not my advice for anyone else, it is just what I am doing now.

I am noticing that I can grip or squeeze items that I could not before now, such as a doorknob or the handle of a water hose. However, I am not pain free while performing any acts with the hand upon which I had the surgery and I do still drop things.

At times, I not only feel pain radiate into my lower arm, but sometimes also into and through the junction of my elbow. I had this pain before but it seems more noticeable now that I've had the carpal tunnel surgery.

The worst pain at this time seems to be that at the bend of my wrist and lower thumb. Use of the hand that involves my thumb to be used is still problematic but I am trying to use it some daily.

I will post additional updates as I heal and as time progresses. I continue to hope that the wrist pain will begin to fade as inner healing progresses but am still wondering when that may be.



Aug 04, 2009
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PART 2 - Sharing more information - Recent Carpal Tunnel Surgery, still have weakness, pain, and a grinding feeling
by: Betty

This is Betty again and I am posting an update.

The ice dip and the rub are two great therapeutic devices. It is interesting how I almost knew this without knowing.

My husband keeps a cooler for soft drinks and cold water all the time for work and at home. I had noticed that a cold drink in my hand felt good. How convenient for me that my husband was already keeping an ice dip available for me and I did not realize it.

Well, since getting your email response to my post I tried dipping my hand into the iced cooler of drinks and it does help it feel better. Also, I keep small containers of ice in my freezer to make my granddaughter snow cones.

Well, guess what!?! Those frozen containers of water became my new massage therapy tools. It is relaxing. I can feel where the muscles are tight and where my lower hand sort of fights against any relaxation.

Of course the sore spot still exists at the center of my hand just under the scar tissue of the wound. I still feel some pinching-like pain in my wrist at the junction of the thumb with use but things seem to be getting better and the grinding has eased up.

My injury was a workers comp injury and the insurance carrier has been a royal pain when it has come to me getting any medical care authorized including post-surgery physical therapy. I'll be healed by the time they get around to their authorization.

I am thankful to the internet and for the ability to look up online physical therapy advice such as I have received from Joshua here.

The "hot spot" in my hand does have some improvement at this point.

====

Joshua Comments:

How clever of you Betty!

And I'm so glad you tried it.

Icing gets results. Period. Maybe we should call it 'ice chesting'... :)

Thanks for the update!



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