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Hand surgery educationRegion: WristNerve Decompression

Carpal tunnel release

A short procedure that cuts the tight ligament across the wrist to take pressure off the median nerve.

Page reviewed — follow your clinical team for decisions.

Why it's done

  • Persistent numbness or tingling in the thumb, index, and middle fingers
  • Symptoms that wake you at night and don't respond to splinting
  • Weakness or thumb muscle wasting

Related condition overview

Our learn library has a separate page on Carpal tunnel syndrome — helpful context alongside this surgery overview (diagnosis, day-to-day coping, and when to seek care).

Open Carpal tunnel syndrome

Typical recovery phases

General patterns only — your protocol wins.

These phases describe common themes many teams use after this type of procedure. Your surgeon and hand therapist set the exact timeline, motion limits, and return-to-work or driving rules.

  1. Phase 1Days 0–7

    Protect the wound; gentle finger motion.

    Keep the hand elevated. Move fingers often. Keep the bandage dry.

  2. Phase 2Weeks 2–4

    Restore wrist motion and light grip.

    Begin gentle wrist range of motion as your surgeon allows.

  3. Phase 3Weeks 4–8

    Build pinch and grip endurance.

    Add light putty work and return to most daily tasks.

  4. Phase 4Months 2–6

    Return to demanding tasks; symptoms continue to settle.

    Heavier lifting and sustained gripping return last.

Red flags — call your team

Contact your surgical team urgently for new or worsening symptoms like these. If you cannot reach them and the problem feels life-threatening, use local emergency services.

  • Increasing redness, drainage, or fever
  • New or spreading numbness
  • Severe pain not controlled by rest and elevation

Splints you may wear

Names and designs vary by hospital. These splint education pages match common post-operative supports for this procedure — confirm what you were given before changing anything.

Related motions in the movement library

Canonical hand-therapy movements linked to this condition for education — not a substitute for your own program or clearance.

Sources

Independent references we used to shape this overview. They do not replace your clinician's instructions or your local emergency pathways.