Ulnar nerve Guyons canal therapy
Preoperatively, the patient is educated about the expected clinical course
following nerve release. Specifically, they are warned about incisional
tenderness for 8-12 weeks postop, and the fact that although nighttime symptoms
are often relieved immediately, constant numbness, weakness or clumsiness will
resolve very gradually, and recovery may be incomplete. The patient should be
counselled regarding activity modification and possible impact on employment.
The patient is instructed on isolated tendon glide exercises for all digits.
They are cautioned against heavy resistive activities for 6 weeks following
Active Range of motion exercises of the wrist are instituted according to the
physician's instructions. Edema control, scar massage and desensitization are
initiated when the incision is made accessible.
Progressive strengthening exercises are instituted.
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