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[Music] most common tunnel operations are done under local anesthetic as a day case operation and I recommend that my patients start using their hands straight away the bandages are removed after 24 hours and that allows further hand and wrist function the patient will feel as though theyve cut their hand and that may limit some activity for the first few days but usually that pain settles quite quickly and they can get back to activity a common feature after carpal tunnel surgery is pain across the base of the fore of the hand and patients notice this when they push up and this can happen or last for several months and is normal that will settle down [Music] you