Originally Posted by Koot
Note: one thing my doctor did was not to put my arm in a sling as he usually does, and which is most common to have done. I know (pre-op) my doctor had me fitted for a sling and two ice packs, but elected not to use them after he did the surgery. I have not asked my doctor yet why he elected to put my arm in a straight position (probably 20 degrees) in lieu of the common (90 degrees) sling position. Also, I do not know why he did not want me to use the ice packs he wanted me to get (pre-op), which he returned to the RX departemt along with the sling. I was surprised when I came out of the anesthesia to find my arm was not in a sling. Maybe it had something to do with me making it very clear to my doctor that I wanted to be able to play golf and the preservation of my forearm muscles, etc. was important to me. I really do not know why my arm was not in a sling.
I'm in Scotland & had ulnar nerve transposition done 5 days ago. Over here, they're not into slings, icepacks, physiotherapy & stuff & I believe it's the right way to go. For the last 5 days I've had a large padded bandage on, like you, my arm was probably at around the 20 degrees angle. The bandage slid down a few times so I took it off & reapplied it myself. In between times I washed the arm (but not the incision) & gently bent/straightened my arm a few times. Today, the bandage came off & I just have a small dressing covering the incision. I can straighten my arm no problems & touch my nose with my fingers so it bends ok too. The nurse said that it's fine to go in the shower & wash the incision, dry & apply a dressing.
I've also had CTS surgery & no bandage after a few days. I'm convinced that all these cast applications & slings actually leads to more problems. The 2 surgeons I've had agree that physio just isn't necessary & I think they're right. I've never heard ice recommended over here either. I've read posts where people have put ice packs on top of bulky dressings. Never could figure out how that one worked
I haven't got any stitches or staples to come out either. The incision looks like it was glued together - healing nicely too!