Hand surgery: before & after

First of all, no before photo in this post… I couldn’t capture the bump on the back of my left hand well for a before photo. The after photo is completely bandaged, so nothing gruesome.

Before

Back in October, before I went to Montreal, my hand started hurting… just a little… and I noticed a bump just before the wrist. It disappeared during that trip, then returned in full force after Dorkstock, to the point where I headed to Urgent Care (5 minutes away) right after work one day. They quickly diagnosed it as a ganglion cyst and referred me to Orthopedics.

“But Frances,” I can almost hear you say, “that was 4 months ago. Why are you just having surgery now?”

The answer is there’s a process to follow before surgery. First we tried anti-inflammatory medication, and when that didn’t eliminate the cyst (though it did reduce the pain), the doctor drained it. Well, tried to… the cyst wasn’t particularly cooperative with the initial needle or the larger one she used next, as neither one managed to puncture the cyst to remove content. Despite that, the bump and related pain lessened for a bit, and she instructed me to give it about 6 weeks and reach out to a colleague who specializes in hands and wrists if it returned. I scheduled that appointment immediately after Capricon, had a 5 -minute appointment with the doctor to confirm that I wanted to move forward with surgery, and scheduled it for the next available date, which was a month out at the time.

The day before, the office called to give me a specific appointment time mid-afternoon, and reviewed the things I should avoid going into that day: alcohol, lotions, jewelry are the primary ones that come to mind. Arrival time was an hour before surgery time.

Once there, it was a lot of waiting time. Wait to check in, wait briefly in the waiting room, then wait for most of an hour in my pre-op room until the doctor came by to inject something numbing into my hand. Once that had time to settle, I took a luxurious wheelchair ride to the operating room, where the view of my hand was completely blocked by a draped sheet. I could feel poking and prodding happening, but no pain, and then my hand was bandaged up.

After

After the procedure, I was wheeled back to my pre-op room, offered a snack, and told I could change back into my clothes once I was sure I was stable. At that point, my fingertips weren’t numb anymore, but the rest of my hand still was, including the knuckles and base of my fingers. It’s a weird sensation that lasted for hours; that area was still numb when I went to bed several hours later – and partially numb in the middle of the night.

By early morning, none of that numbness remained, though any pain is mostly limited to movement. Part of my release instructions are to move my fingers frequently, so I’ve experimented with different movements to see what’s comfortable. For example, typing sitting down is a bad angle for my wrist, but standing up seems to be OK. I’m also applying ice packs regularly and found a position at my work desk for keeping that hand elevated most of the time (including with an ice pack). The bandages stayed on for two days (coming off just before this post is live), and I have a follow-up appointment in just over a week to make sure it’s healing well.

In terms of other restrictions, well, the doctor said to listen to the hand… if something hurts, I’m probably not ready to do it yet.