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Updated: Sep 6, 2025

04:08
Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
619
Surgeons' Recommendations for Return to Work After Carpal Tunnel Release.
Tobias N von Bergen1, Risa Reid2, Matthew Delarosa1
1OrthoCarolina Hand Center, Charlotte, NC, USA.
Summary
Surgeons recommend return to work (RTW) after carpal tunnel release (CTR) based on job type. Desk jobs allow RTW in 3 days, light lifting in 10 days, and heavy labor in 30 days.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Occupational Medicine
Background:
- Return to work (RTW) guidelines after carpal tunnel release (CTR) lack consistency.
- Understanding surgeon preferences for perioperative management and RTW is crucial.
Purpose of the Study:
- To survey members of the American Society for Surgery of the Hand (ASSH) regarding their preferences for perioperative management of CTR patients.
- To emphasize surgeon preferences for patient RTW after CTR.
Main Methods:
- A survey was distributed to ASSH members via email.
- The primary outcome measured was the recommended timeframe for full duty RTW.
- Factors influencing RTW decisions were also evaluated.
Main Results:
- A 15% response rate (632/4109) was achieved from ASSH members.
- Median recommended RTW times: 3 days for desk work, 10 days for light lifting (<10 lbs), and 30 days for heavy manual labor.
- Key factors influencing RTW were identified as type of work, employer support, and financial considerations.
Conclusions:
- ASSH members show consistency in perioperative management of CTR patients.
- Type of work, employer support, and financial factors are paramount in determining RTW timelines.
- Findings establish a foundation for managing expectations regarding time missed from work post-CTR.
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