What To Do When You Suffer A Sprain
We have all suffered sprains or ankle cramps at some point in our lives. Its a condition that, although painful, is also easily treatable. However, we often ignore the first and most important stage of treatment, which can actually be the key to long-term recovery. For most of us, this is because we are unaware or uninformed about sprains, their treatment, and the proper recovery process.
- What is a sprain?
- How should you treat a sprain?
- What causes an ankle or wrist sprain?
So many questions, so little time. No worries, however. We have everything you need to know about sprains covered below.Read on to find out about what we refer to as the sprained truth.
What Happens After Carpal Tunnel Surgery
Your wrist will likely be in a heavy bandage or a splint for 1 to 2 weeks. Doctors usually schedule another appointment to remove the bandage or splint. During this time, you may be encouraged to move your fingers to help prevent stiffness.
You’ll probably have pain in your hand and wrist after surgery. It’s usually controlled with pain medicines taken by mouth. The surgeon may also have you keep the affected hand elevated while sleeping at night to help decrease swelling.
Once the splint is removed, you will likely begin a physical therapy program. The physical therapist will teach you motion exercises to improve the movement of your wrist and hand. These exercises will speed healing and strengthen the area. You may still need to sometimes use a splint or brace for a month or so after surgery.
The recovery period can take anywhere from a few days to a few months. In the meantime, you may need to adjust job duties or even take time off from work while you heal. Your doctor will talk to you about activity restrictions you should follow after surgery.
Let your doctor know about any of the following:
- Fever
- Redness, swelling, bleeding, or other drainage from the incision
- Increased pain around the incision
These problems may need to be treated. Talk to your doctor about what you should expect and what problems mean you need to see your doctor right away.
Be Skeptical Of Online Experts
Finally, beware of cure-all treatments you may find online. If something sounds too good to be true, it probably is. And if someone is trying to sell you something with a money-back guarantee and 100% successful results, think twice before buying.;;If you need carpal tunnel surgery, dont be afraid to consult with a hand specialist who is an expert in treatment of CTS.;
Dr. John M. Erickson is a hand and upper extremity specialist at the Raleigh Hand Center. He trained in orthopedic surgery at the University of Michigan and completed a hand surgery fellowship at Vanderbilt University. He;is an active member of the American Society for Surgery of the Hand .
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Answers By Doctors At First Hand Medical:
You are thinking about Carpal Tunnel Syndrome in the right way. You need to unlock your bodys natural healing power which is blocked by the same pressure that is causing the pinching action on the Median Nerve in the Carpal Tunnel.
It usually takes six weeks for your body to heal injured soft tissue when its healing power is unleashed. The healing process usually eliminates your worst symptoms in just a few weeks with Carpal Tunnel Syndrome and then you are completely healed within six weeks.
As you already know, oral pain medication is not a good way to treat Carpal Tunnel Syndrome. Anti-inflammatory medication can help in theory, but until you free up blood flow to your hand and wrist with full circulation, little if any of the active ingredients in oral pain meds can find their way to the injured soft tissue.
Also oral pain meds have a lot of serious side effects. Many are habit forming and are only reasonable treatment options for short term pain.
Carpal Tunnel Syndrome is a chronic condition that requires effective stretching treatment for Six Weeks for natural healing to work.
CTS comes back even after a surgical procedure for over 85% of patients. So, applying pain medication is not a good way to treat a condition that comes back.
Pain meds do not even cover up the pain from Carpal Tunnel because the active ingredients cannot get to the injured tissue, since circulation is blocked.
The good news is:
How Effective Is Surgery

Surgery is usually only considered if symptoms return regularly and problems associated with the painful sensations increase despite trying other treatments such as splints or corticosteroid injections. In those cases surgery can provide better relief than repeat injections or splint treatments.
Acute carpal tunnel syndrome with sudden and severe pain is quite rare. It most often occurs after an injury, infection or bleeding in the wrist. Having surgery quickly is then often the only way to get effective relief.
Most peoples symptoms disappear after surgery: If you don’t experience any lasting abnormal sensations or loss of strength in the wrist, the symptoms usually improve rapidly. One of the things that determines how fast you recover is how badly the nerve was damaged. It can take several weeks or months for more severe symptoms to go away completely. The pain usually improves pretty fast, but the abnormal sensations may need more time to disappear. So it might be preferable to not wait too long to have surgery.
If the surgical procedure doesn’t have the desired outcome, there are a number of possible explanations:
- The condition might already be at such an advanced stage that surgery can no longer make the symptoms go away completely.
- The may have been wrong, so surgery was performed even though the symptoms were being caused by something else.
- Symptoms may persist or worsen if there is a surgical error or the flexor retinaculum is not cut through completely.
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Possible Complications Of Distal Radius Fractures
As with all procedures to treat an injury, there are some potential complications that can occur. The chances for the following complications vary based on the condition of the patient and the treatment approach used. Patients should ask their physicians for specific information about their own risk for certain complications.
Possible complications of a distal radius fracture can include, but are not limited to:
- Malunion of the bone and continued deformity
- Residual pain and stiffness
What Happens During Carpal Tunnel Release Surgery
You usually lie on your back for carpal tunnel release surgery, with your arm stretched out on a special operating board by your side. Your nurse will check that youre in a comfortable position. You may have a tourniquet placed around the top of your arm. A tourniquet is a tight cuff that stops blood flow in your arm during the operation.
Youll be given a local anaesthetic injection so you wont feel any discomfort during the procedure. Your surgeon will check whether the anaesthetic has taken effect before starting the operation. You may still feel some pressure, but you shouldnt feel any pain. If you do feel any pain, tell your surgeon occasionally the local anaesthetic may need topping up.
There are two main ways in which carpal tunnel release surgery can be performed: open surgery and endoscopic surgery.
- In open surgery, your surgeon makes a cut near the bottom of your palm. Theyll use a special knife to divide your carpal ligament, widening the carpal tunnel and relieving pressure on your median nerve. The cut in your skin is closed with stitches, and a bandage applied around your hand.
- In keyhole surgery, your doctor makes one or two small incisions in your skin near to your carpal tunnel. They then insert a miniature camera to see inside your hand and wrist, and other tiny instruments to perform the surgery and cut your carpal ligament. It means that the skin and tissue above your carpal tunnel doesnt need to be damaged.
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Recovering In The Short Term
- 1Know that you will most likely be sent home shortly after surgery.XTrustworthy SourceJohns Hopkins MedicineOfficial resource database of the world-leading Johns Hopkins HospitalGo to source A carpal tunnel release surgery is generally done as an “outpatient procedure,” meaning that you show up during the day, receive the surgery, and are sent home the same day. It is very rare that anyone would need to stay overnight, or be officially admitted for a hospital stay, for this surgery. Therefore, excluding unforeseen complications, you can expect to be sent home on the same day.
- 2Wear a bandage or splint after surgery.XTrustworthy SourceJohns Hopkins MedicineOfficial resource database of the world-leading Johns Hopkins HospitalGo to source For approximately one week following the procedure , you will need to wear a bandage or splint. The nurse will put this on prior to you leaving the hospital. The purpose is to keep your wrist and hand properly aligned during the initial healing stages.
- Your doctor will ask you to return for a follow-up visit approximately one week later.
- At this time, she will assess your initial healing, and will most likely remove the bandage or splint.
- She will also provide you with further instructions regarding what to expect with your recovery moving forwards.
- The pain should begin to subside a few days to a week or so after surgery.
- Pain that steadily increases, rather than decreases, following surgery.
-
Wrist Surgery Recovery After Tendon Repair
How Long Is The Recovery From Surgery? Common Questions About Carpal TunnelDoctors sometimes recommend tendon repair for individuals with arthritis or overuse injuries that cause inflammation in the tendons that run along the back of the hand and wrist.;
Similar to carpal tunnel release surgery, tendon repair may be performed either endoscopically or with an open incision to create more space and relieve pressure on the tendons. The tendon usually fully recovers within 12 weeks, and most people can return to their usual activities within 6-8 weeks.5
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Broken Wrist Heres What You Need To Know
A broken wrist can happen to anyone at any age, although aging individuals with thinning bones are most often at risk. Dr John Froelich an orthopedic surgeon that specializes in hand and wrist injuries at Panorama Orthopedics, sees patients for fractures caused by everything from mountain biking and snowboarding to slipping on ice or falling from a ladder. Breaks often occur when people extend a hand backwards or forwards to catch a fall. Theres even an acronym for that FOOSH or falling on an outstretched hand.
An X-ray can usually confirm whether or not your wrist is broken or simply sprained. The most common symptoms of a fracture include severe ongoing pain, swelling near the wrist, tenderness, stiffness, numbness and an inability to move your wrist or thumb. In some cases, the fracture results in an obvious deformity such as a bent wrist. Although there are many different types of fractures, Dr. Froelich says treatment depends upon whether or not the fracture is non-displaced or displaced.
Treatment For A Wrist Sprain
If you want more information on wrist sprain treatment then get your symptoms assessed first with our pain assessment tool.
Once youve identified the likely cause youll be able to download a treatment guide. It will tell you everything you need to know to treat the condition, manage the pain effectively and help prevent re-injury.
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Can Carpal Tunnel Heal Over Time
I was told by the doctor in 2001 after testing that I had carpal tunnel. My hands hurt worse now so I went to a different doctor and after testing she says there is no carpal tunnel that maybe it healed itself. Can that happen?
Joshua Answers:
Start With Ball Squeezes
The athlete can use either a tennis ball or racquetball. If these are not readily available, a rolled sock works just as well. The athlete places the object in his/her hand and squeezes the object as hard as he/she can without going into pain. This can be performed multiple times throughout the day and early during the rehabilitation process because this exercise can be performed while the athletes wrist is immobilized.
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The Difference Between A Broken Or Sprained Wrist
A sprain involves the ligaments that connect the bones at the joint. It can be difficult to tell the difference between a fracture and a sprain. You should not assume that the degree of pain determines the specific problem.
Although it would seem that a sprain would hurt less than a fracture, this is not always the case. Sprains can often be extremely painful, where fractures may sometimes hurt less. There are also different degrees of sprains from mild to severe.
A broken or sprained wrist may have many of the same symptoms:
- Swelling in your wrist or hand
- Pain, especially when you move your wrist
- Difficulty picking up objects
- Bruising
- Limited range of motion
However, if youve fractured your wrist, there are a few symptoms that go beyond sprains. There may be a deformity in the wrist and bone pushing against the skin or sometimes puncturing it. When you fall and hurt your wrists, you might hear a snap or pop and your wrist will usually swell immediately and worsen, even when treated with ice.
The best way to know for certain if your wrist is fractured or sprained is to see a hand surgery specialist. They can do a thorough assessment and diagnose what is causing your pain.
Many wrist fractures do not require surgery, and can be adequately treated in a cast or brace. Brandon P. Donnelly, MD
Carpal Tunnel Surgery Recovery Time Off Work
If you have been diagnosed with Carpal Tunnel Syndrome , commonly caused by repetitive stress injury at work, and have determined that surgery if your best course of action for treatment, then you may have several questions about what this will entail. For most patients, their biggest concern has to do with their recovery time, and more specifically, how much time they will need to take off work.
This is particularly important for people who need to type or use their hands and wrists to do their job effectively. Unfortunately, there is no one-size-fits-all answer for how long it takes to heal. However, if you are getting this type of surgery, you can expect some significant downtime during the recovery process. The recovery time can also depend on the type of Carpal Tunnel Surgery that you have as each involves a slightly different process. These are the two types of surgeries.
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Purpose Of Carpal Tunnel Surgery
The median nerve, which starts at the shoulder and extends down to the tips of the fingers, is one of the major nerves of the upper extremities. This nerve not only directs the contractions of muscles in the forearm and hand but provides sensation to the hands and fingers.
When the median nerve is compressed in the carpal tunnela narrow passageway from the wrist to the hand that’s made of tendons, ligaments, and bonessymptoms of carpal tunnel syndrome can develop and, over time, become chronic.
Carpal tunnel surgery is generally indicated when you fail to respond to conservative therapies after more than six months.
From a physiological standpoint, surgery should be pursued if carpal tunnel syndrome manifests with the following features:
- Severe chronic pain
- Inability to place the thumb in a perpendicular position
- Loss of finger dexterity
- Loss of protective sensation in the fingers and hand
- Loss of two-point discrimination, the ability to discern two separate objects touching the skin at the same time
Carpal Tunnel Syndrome Doctor Discussion Guide
Get our printable guide for your next doctor’s appointment to help you ask the right questions.
When Will I Need Surgery For Ligament Damage In Wrist
Carpal Tunnel: What to Expect After SurgeryAs mentioned above, if the X-rays and MRI are unable to provide enough information about the injury, anarthroscopy is needed. This involves surgically inserting a camera into the wrist to examine the injury thoroughly so it can be treated appropriately.;
Based on what is found during the arthroscopy, surgery may include:
- Debridement: the tissues around the wrist may have sustained significant trauma and will need to be debrided .
- Ligament Repair: by tightening up the capsule tissue on the back of the wrist. This could require the use of pins to hold the ligament repair in place.;
- Reduction of a Fracture or Dislocation: the damage is reduced by placing the bones correctly and using pins to hold them in place.
In the case of Ligament Repair and Fracture/Dislocation Reduction surgeries, a cast will be applied to your wrist to keep the pins in place while you heal. Your surgeon will remove the pins anywhere from 8-12 weeks or when the injury has deemed to have healed completely.;
After this, you will need to consult your physiotherapist so that strengthening and range of motion exercises can begin .
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How Long Does Recovery From Carpal Tunnel Surgery Take
Carpal tunnel syndrome occurs when the median nerve between the forearm and hand is compressed by swelling ligaments, causing a tingling sensation, weakness, and pain in the hand. Surgery for carpel tunnel syndrome relieves the symptoms by both separating the thick wrist ligament, called the transverse carpel ligament, and decreasing pressure on the median nerve. Complete recovery from carpal tunnel release is typically one to three months, but it can be as long as a year, depending on the type of surgery and whether complications occur. Common complications delaying recovery are caused by median nerve damage during surgery, and excessive swelling, scar tissue formation, and infection following surgery. Physical therapy, on the other hand, may shorten recovery time.
Carpal tunnel surgery can be performed as open or endoscopic surgery. Open carpel tunnel surgery involves making a 2-inch slit on the palm side of the wrist to access the transverse carpel ligament. In endoscopic surgery, one or two small incisions are made in the wrist through which tools are introduced to cut the wrist ligament. Both types of surgery are done under local anesthesia and do not require a hospital stay. Recovery from endoscopic carpal tunnel surgery is slightly shorter than for open surgery.
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