General information:

• It is common to note swelling in the forearm as well as the hand because although the cut is in the palm of the hand the inside surgical dissection goes up into the forearm.  

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• Sometimes patients can note some bruising in the forearm and the hand.  Although the there is generally no bleeding at the conclusion of the procedure some subsequent bleeding can result in the formation of a bruise which often resolves over several weeks.

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• Also, common over the first 6 weeks to note increasing firmness around the incision.  This is often secondary to the formation of scar tissue.  

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• Sometimes small gaps can form at the incision site in between stitches, if they are small appearing and not associated with drainage or other signs of infection they often will fill in with new skin over the first several weeks.

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• Generally after hand surgery the hand does not feel quite as strong and gripping and while using the hand for manual activities people note some loss of strength this often begins to improve over several months following surgery

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• If there is ever a question or concern about the appearance of the arm or hand or any other concern please do not hesitate to reach out to our office.

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Surgical Bandages:

• Remove surgical bandages anytime between the first day after surgery.  Wash your arm with soap and water. (I have found foam soap easiest to apply to a surgical wound).  Keep wound clean and dry with a fresh Band-Aids (may need lager size Band-Aid)

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• Some patients utilize a soap called Hibiclens if they are not allergic.  It is sold in liquid and foaming versions as well, many patients might prefer foaming version.

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• After you start using Band-Aids, please wear a carpal tunnel brace during the nighttime to prevent your wrist from being in a flexed position during sleep, if it is comfortable.  If it is not comfortable, discontinue the brace. Wear brace for a total of 6 weeks at night time only.

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Pain management:

• If you can take non-steroidal anti-inflammatory medications such as ibuprofen (Advil), these often are adequate to manage pain.  If you cannot alternative pain medication can be provided.  If you do not have a prescription already, another prescription can be sent to your pharmacy with alternative pain medications

• Here are detailed pain instructions: 

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Follow-up:

• If you do not have a follow-up appointment already scheduled, please contact the office and schedule appointment for 12-14 days after your procedure. (512-454-4561

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Movement:

• Work on flexing and extending your elbow rotating your forearm palm up and palm down, and moving your hand and wrist every hour while awake.  Keeping the entire arm moving and mobile.

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• Every hour while awake make a full fist and straighten your hand digits 10 times per hour, until it becomes easier. 

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• Here is a website that has helpful information for arm, hand, and finger range of motion

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