Persistent / Worsening Symptoms after Carpal and Cubital Tunnel Surgery

Persistent / Worsening Symptoms after Carpal and Cubital Tunnel Surgery

Frustrated Youth
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Hi all, I'm just under 30 and had surgery a little over four weeks ago for carpal and cubital tunnel in my non-dominant hand, and am having persistent symptoms. I'm not sure what to think. Some background. I had off-and-on hand problems for years, but starting about 5 months ago I began to get persistent tingling in my finger tips in the median nerve area (thumb, first two, middle of third) and very rare tingling in the pinky. I only once woke up at night from the problem. Splinting the wrist didn't seem to help much anymore, though in the years past it seemed to make a big difference. I would frequently drop things in my hand and began to suffer weakness when lifting weights: my arm "gave out" on me when doing shoulder presses. Typing on non-ergonomic keyboards, especially laptops, always aggravated symptoms. Finally, one time I caught a slow elevator door that was closing and had numbness down that arm for days. I was referred to a hand / elbow / forearm surgeon specialist and an EMG was performed. The EMG showed severe cubital tunnel: everywhere else my numbers were about 6.5-6.7, but at the ulnar region of the elbow it was something like 5.8 down and dropped down to 4.3 or 4.5 on the return. The surgeon said these numbers were really bad for someone my age and suggested that I get surgery. In addition, since I had a positive Tinel's sign over the wrist and symptoms with the Phalen's test, he recommended I get a carpal tunnel surgery as well despite having a normal EMG score in that region. Cut to recovery. At first I felt much worse: the pain would make it hard to sleep, and I would sometimes feel like my fingers were touching each other when they weren't (all except the thumb). Right now I'm at the point where the symptoms are pretty similar to pre-surgery, except that now I have some elbow pain. I have frequent tingling in all fingers (including thumb, though not as common here), sometimes an aching pain throughout the fingers, and pain in the palm. Also I sometimes have pain in the meaty part of the thumb area of the palm, particularly where the ball joint connects to the wrist. Tinel's sign over the wrist and elbow are both still positive, maybe even more pronounced than before. Physical therapy exercises, particularly bending the elbow up and down with palms up and turning the wrist over from palms-up to palms-down reproduce tingling pretty significantly. Lastly, when I touch my thumb to my pinky in a certain position, a bone or tendon in on the ulnar side of the elbow seems to be grabbing or clenching; I can feeI it moving and snagging on something. I just don't know what to think. I have a history of boxing and was a "power puncher", which involves rotating your hands a lot with a lot of force, and I type a lot; that's the only relevant history I can think of to the hand. The surgical report says moderate-to-severe compression was present in both areas, but no transposition of the nerve was necessary for the cubital tunnel. I don't think it said anything about removal of the medial epicondyle either. Another thing that may be relevant is that they took an MRI of my neck and both the spine specialist and primary physician don't think the neck is a problem, but the therapists seem to think so. I have a follow-up with the surgeon in about a week. Any advice is greatly appreciated. If nothing else, I need some guidance on what to say: I don't think he'll sit there for me to say all of this. Best, Frustrated Youth

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