Carpal Tunnel Release

University of Virginia Orthopaedic Surgery

Weight-Bearing

NWB initially

Key Restrictions

No lifting/pushing/pulling initially; no resistance strengthening until 4-6 weeks; avoid instrument-assisted scar mobilization directly over carpal tunnel

Timeline & Phases

Phase 1 (0-2 wks): optional volar wrist splint, elevation, finger AROM; Phase 2 (2-6 wks): median nerve glides, soft tissue mobilization, scar management, desensitization; Phase 3 (6-12 wks): progressive UE strengthening, continued nerve glides, address posture/movement patterns

Notes

Splint use at surgeon discretion; padded glove or sleeve for comfort; median nerve glides; posture and nerve compression/traction education

Published

09/2024