What is the primary OT focus after carpal tunnel release?

• A. Sensory re-education prioritized
• B. Strength training only
• C. ROM only
• D. Tendon gliding, edema control, and scar management to optimize ROM

Answer: (D)

After carpal tunnel release, the most important OT focus is to create an environment that preserves and restores motion through edema control, scar management, and tendon gliding. Edema control reduces swelling around the incision and within the forearm, which lowers pressure, minimizes pain, and helps fingers move more freely. Scar management addresses the new scar, guiding its healing so it doesn’t form restrictive adhesions and so it glides with the surrounding tissues. Tendon gliding exercises promote smooth sliding of the flexor tendons within the finger retinacula, preventing adhesions that can limit range of motion. When combined, these strategies help maximize range of motion and set the stage for functional hand use after surgery.

Other aspects like sensory re-education or strengthening become more prominent later in rehab. Early on, focusing on ROM through edema control, scar management, and tendon gliding is essential to prevent stiffness and optimize recovery.