4 weeks post bilateral open carpal tunnel release
Before surgery on both hands simultaneously 4 weeks ago I had intermittent numbness and tingling in both hands, most often occurring when playing the violin. I am a serious amateur violinist, practicing 1-3 hours a day. I began wearing splints at night about 6 years ago and that was a satisfactory solution to the problem of being awakened by sausage fingers, numbness, and tingling. In addition to the splints, I tried chiropractic treatment and two kind of therapeutic massage. These latter treatments seemed to have no effect. On the basis of nerve conduction tests and EMG, I was told in May 2013 I had mild to moderate CTS in left hand and moderate CTS in right hand. Weakness in thenar muscles both right and left was also noted. After the surgery my thumb, index, middle finger, and half of ring finger have been numb and I feel constant pins and needles. My surgeon is dismayed and says he has never seen this result He feels the surgery went well, he completely released the ligament and he is sure the local anesthetic, administered when I was wide awake, went where it was supposed to go. He says his colleagues have seen this poor outcome very rarely.
I am doing tendon gliding, decompression, and desensitization exercises and seeing an occupational therapist twice a week. Repeat testing of sensation using monofilaments indicates some small improvement in the ability to detect light touch, consistent with my impressions of my very slightly improved ability to do tasks of daily living.
I cannot seem to get any answers here as to what likes ahead. Will I ever have the sensitivity restored so that I can play violin again? Is there some way to get my nerves, which seem all "riled up" for lack of a better term, to calm down so I can get to sleep?