Hand Surgery - Carpal Tunnel Decompression

Carpal Tunnel Decompression can be performed in the community setting under LA and without tourniquet. At ASPC we aim to support community surgeons to access training and ongoing peer review. We have the support of Secondary Care clinicians who can advise and help with queries concerning other hand procedures via our WhatsApp group. We have links with the British Society for Surgery of the Hand (BSSH) where you can access information regarding rehabilitation post hand surgery and return to work following surgery.

Our data is collated and analysed via audit and compared and discussed at our yearly conference. This is a great opportunity to review how you are performing compared to your peers.

We are in the process of developing a training schedule for CTD for ASPC and are able to connect you with trainers.

The Benefits of Hand Physiotherapy After Carpal Tunnel Decompression Surgery 

Carpal tunnel decompression has emerged as one of the primary treatment modalities for carpal tunnel syndrome. However, the journey towards complete recovery doesn't end with surgery alone; physiotherapy plays a crucial role in optimizing post-surgical rehabilitation.


Hand physiotherapy aims to restore normal function and strength and improve overall hand-arm co-ordination. The physiotherapy involves a systematic rehabilitation programme tailored to individual needs. Therapy typically includes exercises to improve grip strength, wrist mobility, fine motor skills and sensory re-education. Additionally, manual techniques – such as soft-tissue mobilization and scar management – are employed to optimize healing. 

Enhancing Surgical Outcomes

Hand physiotherapy accelerates the healing process and reduces post-operative swelling and pain. In promoting circulation and lymphatic drainage, it alleviates inflammation, allowing for faster recovery. Moreover, exercises targeting wrist and hand movement help prevent post-operative stiffness and promote an early return to function. 

Improving Patient Quality of Life

Restoring grip strength, dexterity and fine motor skills allows the patient to regain their ability to perform daily tasks effectively and without discomfort. In facilitating a return to work, active family life and other activities, physiotherapy significantly improves the quality of life for individuals recovering from carpal tunnel syndrome. Additionally, through education on correct posture and ergonomics, the physiotherapist can help the patient prevent future recurrences or the development of other overuse injuries. 

Preventing Complications 

Another significant advantage of hand physiotherapy following carpal tunnel decompression is its ability to prevent complications. The manual techniques mentioned earlier – such as scar management and soft tissue mobilization – help mitigate the formation of adhesions and minimize scar tissue, optimizing the healing of incisions. 


Hand physiotherapy is a vital component of managing patients undergoing carpal tunnel decompression. By enhancing surgical outcomes, restoring function, strength and preventing complications, physiotherapy plays a fundamental role in the rehabilitation process. Surgeons in primary care should actively promote and advocate for hand physiotherapy as an integral part of the treatment plan for patients with carpal tunnel syndrome, ensuring the best possible outcomes and improved long-term prognosis.