CTS symptoms following fasciectomy / correct use of splint

roblanc
Offline

I had a fasciectomy late September 17 for Dupuytrens contracture affecting my little finger. Immediate recovery was good and I attended the very helpful hand therapy clinic at K&C. I began experiencing tingling (like stinging from nettles), pain and numbness in my thumb and other fingers but not the operated finger. Worse at night. I described these symptoms to my therapist who thought they might be unrelated to surgery and could indicate CTS.
I read about CTS and completed the online questionnaire scoring 38%. Result may be lowered as one hand only affected. I recognised that some symptoms existed before surgery but far less frequent and intense. Barely troublesome. I went to see my GP who examined me and thought it very likely that I had CTS and advised the use of a wrist splint for 6 weeks at night and then review.
Firstly, I wonder what the relationship may be between the surgery I had and the development of these symptoms, if there is any precedent for this and if improvement can be expected without further intervention. I continue the hand exercises recommended at the hand therapy clinic. The splint at night reduces the symptoms and I sleep fairly well. Symptoms persist unchanged in the daytime.
Secondly, I wonder if I am wearing the splint correctly. It has a bar running the length of it which curves at about 30 degrees towards the palm. My therapist suggested straightening this curve a bit which I have done partially but maybe should do totally.
I am discharged from the hand therapy clinic as I had completed my allocated 6 sessions following surgery.

Any observations or recommendations most welcome.

jeremydpbland
Offline

There does seem to be a link between Dupuytrens, trigger digit and CTS - see the page The Triad here on the website. There is also detailed instruction on how to adjust a splint HERE. If it doesn't settle down fairly quickly with splinting then you can print out the questionnaire result and your GP can use that as a referral to the CTS clinic and we can see you, test it and treat it. JB

This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies. Find out more here.

close