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Stroke rehab patient with carpel tunnel?
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Stroke rehab patient with carpel tunnel?

My grandfather has recently had a stroke.
After being in the hospital for around 4 days, they sent him to a rehab center (which for around here, is supposed to be the best one).

Before he had his stroke, his carpel tunnel had flared up horribly- even to the point of extreme swelling. His doctor had given him a wrist splint to keep in in place and had told him to take medication to help with pain and swelling. Also, NOT TO USE THE WRIST. That was all that could be done at that time because the swelling was so bad.

Now that he is in a rehab center for his stroke, they are doing nothing for his carpel tunnel... He has told us that he will feel cheated if he leaves there without help for this. Why? mainly because no one has even asked him about it. While doing therapy, if his wrist is bothering him then they just stop that exercise and move to something else. So he feels like he isn't getting the therapy that he needs because he cannot do it with the pain in his wrist.

When we bring this problem up with the people at the center, they just say "Well, he is here for stroke rehab, not carpel tunnel so we are not treating that" and another lady told us "Just let him exercise it and it will get better" ...and i believe that we all know that exercising carpel tunnel only makes it worse.

So i'm just wondering,

What should they be doing? Because he cannot get proper therapy until his wrist is better so that he can actually use it.
Avatar_dr_f_tn
Hello and sorry for the late reply.

Understand your predicament. As surgery is not an option now, he can wear the wrist splint, take anti inflammatory medications and continue with physical therapy. The carpal tunnel (at your wrist through which the median nerve passes) changes its size depending on the position of the wrist. It’s widest when wrist and hand are straight in line. When the hand is bent up or down, the tunnel becomes slightly smaller. So, try to get the wider posture with the wrist splint and keep the arm elevated to reduce the swelling.

If symptoms worsen steroid injections may help. Discuss these options with your doctor when you happen to meet him next time.

Hope this helped and do keep us posted.
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