Ulnar Nerve Release - Recovery

Incision care

  • Your incision is closed with skin glue, which will eventually come off with time.  
  • It may also be closed with sutures (also called “stitches”) on the outside of your skin.  These will be removed at your follow up appointment.  These should be removed within 10-14 days of surgery by Dr Grunch’s office
  • You may remove the dressing on the 2nd day after surgery.  Please leave the stitches intact.
  • You may get the incision wet showering 3 days after surgery.  Do not scrub your wound, but gently cleanse it and pat dry. 
  • Do not submerge the incision into water or a tub for 6 weeks after surgery and scabs are absent.
  • Leave the wound open to dry unless otherwise directed.
  • It is normal to have a small amount of brown to reddish colored ooze for a few days.  
  • Do not apply ointments or creams to the incision. 

Pain and Swelling Expectations

  • It is normal to expect pain around the incision.  That is why we prescribe medication to ease you through the healing process.
  • This pain will get better with time as your body heals, so it is important to be patient as your body is healing.
  • Swelling is expected after surgery.   To reduce swelling, elevation is very helpful.  Elevate the hand above the heart level for the first few days after surgery.  Elevate for 30 minutes every 2-3 hours.  You may also ice the incision for 20 minutes,  several times a day for the first 3 days after surgery.
  • It may take up to 1 year for the nerve to fully heal.  During this time, it is normal to experience numbness, intermittent periods of pain, and tingling.  If the nerve was severely damaged from your condition, it may not return to normal.

Medications

  • You will be given a prescription for a pain medication.  Patients typically do not need to take these for more than a few days. You may try transitioning to over the counter anti-inflammatories such as Aleve or Ibuprofen.
  • Do not take pain medication on an empty stomach.  This may make you feel nauseated. 
  • Do not drink alcohol if you are taking pain medication.
  • If you feel that your pain is well tolerated, you may begin to wean yourself off of your pain medication sooner than your post-op visit.
  • Because pain medication can cause constipation, it is important to have stool softeners and laxatives at home such as Colace or Senna to prevent constipation.  Take the stool softener daily and use the laxative as needed
  • If you still have constipation after using these medicines, you may use an over-the-counter suppository or enema.  

Medications to avoid

  • NO blood thinners such as Aspirin, Coumadin, Warfarin, Xarelto, Plavix, etc.  for 5-7 days after your surgery.  We will tell you when you may resume your blood thinners.  

Restrictions

  • Try to limit use of the elbow where you had surgery.  NO lifting using the arm that had the operation for 4-6 weeks.  
  • You may use your arm to dress yourself and do self-care activities.  
  • Be careful to protect the incision from hitting against any hard surfaces. 
  • You may drive as long as you are not taking narcotic pain medication. 
  • It is ok to ride as a passenger if you are taking narcotic pain medication.
  • If you are unable to work due to these restrictions, please let us know if we need to complete any paperwork for your employer. 

Diet

  • It is important to remember to eat and drink fluids so that your body may properly heal.
  • If you are experiencing nausea, follow a “BRAT diet” which is Bananas, Rice, Applesauce, Toast and advance as tolerated

Smoking 

  • Smoking constricts your blood vessels which carry oxygen and nutrients to your healing tissue and muscles.  This may impair healing.  
  • Carefully consider quitting smoking during this time.  If you would like help in smoking cessation, please let us know.

Call our office if you have any of these symptoms:

  • Fever > 101 degrees 
  • Constipation that is not relieved by stool medications 
  • Redness, warmth, or significant drainage from your incision
  • Shortness of breath or Chest Pain 
  • Pain, swelling, or redness in your calves
  • Worsening weakness with hand strength 

Follow up appointment

  • We have scheduled a follow up appointment for you that is about 2-3 weeks after your surgery
  • You will be provided with a card listing the date and time
  • If you need this appointment changed, please call our office 

If you are experiencing any problems or have any questions, please call Stacey at 678-207-4231

Nicholas Morrison