Proximal Row Carpectomy Post-operative Protocol

Post-operative Patient Care

  • Do not remove the splint and dressings that have been placed on your hand and wrist
  • If you would like to shower or bath, keep your operative hand/wrist out of the water or cover it with a waterproof bag
  • If the splint or dressings become wet, contact Dr. Cinats’ office immediately (604-545-1405)
  • ELEVATE the operated limb and ice as much as possible for the first 48-72 hours after surgery
  • You will be seen by Dr. Cinats in the clinic approximately 14 days after your surgery to remove your splint, have your sutures removed, transition into a removable splint, and start physiotherapy

Post-operative Activity Guide

  • Begin moving and wiggling the fingers IMMEDIATELY after surgery. This helps with swelling and pain control
  • Progress to making a full fist by 24-48 hours after surgery
  • AVOID lifting, pushing, or pulling more than 5lbs with the operated limb for 2 weeks after surgery

Pain Control after Proximal Row Carpectomy

  • Your wrist has been injected with a local freezing which lasts 12-18 hours
  • You should start taking pain medication before the freezing wears off to ensure you stay on top of pain
  • The below medications are usually safe for most patients, but certain medical conditions may limit your ability to take these medications
  • PLEASE CHECK WITH YOUR DOCTOR BEFORE TAKING ANY MEDICATION
  • The first medications you should take are Tylenol and Advil
    • Tylenol 1000mg every 6 hours
    • Advil 400mg every 6 hours
  • If you pain is not controlled by alternating Tyenol and Advil, you can take the narcotic medication that has been prescribed
  • Click the link below for the PRC rehabilitation protocol:
Proximal Row Carpectomy Rehabilitation Protocol