Post Operative Care

For the hand, wrist and elbow

Swelling:

Swelling after hand surgery near the affected site is natural and may persist up to 1 week.

How to reduce swelling after surgery?

It is important to manage this swelling to reduce pain and speed up the recovery process. You can do this by

  • Keeping your hand above the level of your heart. Use an arm sling while walking around to maintain elevation, and use a pillow when you are sitting or lying down to prop up your arm. If lowering your arm does not cause it to throb, you can stop elevation.
  • Apply an ice pack, or put some ice cubes in a plastic bag, wrapped with a towel around the swollen areas for 20min as often as possible, leaving at least an hour between each treatment.
  • Do the hand exercises listed below to decrease stiffness and swelling.

Wound care and dressing

Your wound site should remain clean and dry for 14 days after surgery. Each dressing may last up to a week if properly cared for. Should the dressing get wet, dirty or start to come loose, please return to our clinic or visit your nearest doctor to get the wound cleaned and redressed.

  • Use the supplied plastic bag covers to protect your dressing during showering. If these run out, you may use a regular plastic bag secured with 2 rubber bands to prevent leaking.
  • Check the circulation going to your fingers. It should be filling with blood and staying warm. If there are colour changes to blue or white with no pink, please contact us immediately.
  • If there are no further instructions, you are generally allowed to expose the healed wound to water during shower and while washing your hands after 14 days.

General exercises (Hand Exercises After Surgery)

You are encouraged to move all your unaffected joints. For example, if your wrist is injured, do move your shoulder and elbow to prevent joint stiffness. If you have a splint, the fingers and joints which are free are those which you should be trying to move as much as you can. If all your fingers are free, you may follow the below diagrams to gently exercise your fingers and thumb to reduce swelling and joint stiffness.

If there is no splint, you are allowed to move the affected joints and fingers unless otherwise instructed.

Pain

Pain is part and parcel of the healing process after a surgery. Here are ways to minimize it.

  • Reduce swelling by elevation, icing and finger mobilizations.
  • Take your pain medication as directed.
  • Rest and take it easy. Strenous activity can elevate heart rate and blood pressure and lead to increased swelling and discomfort.

If pain persists despite taking these steps, please contact our clinic.

Numbness and Tingling

Numbness and tingling after a surgery is common and is due to the local anesthetics used during the procedure. Let us know if the numbness is increasing in intensity or location.

Possible infection

Wound infections are rare, and usually occur around one week after surgery. Please contact our clinic immediately if you experience excessive pain, swelling and redness around the surgical wound, as well as have a fever.