After Surgery Care

The first two days after surgery are the most important for reducing swelling and minimising pain. Following these instructions carefully will make your recovery more comfortable.

• Keep the dressing clean and dry until your wound review appointment (usually 1–2 weeks after surgery)
• Do not remove or change the dressing yourself unless specifically instructed to do so
• If the dressing becomes wet, soiled, or falls off, call our rooms or the hospital for advice
• After suture removal, apply sunscreen to the scar and massage gently with moisturiser from 4 weeks onwards
• Avoid direct sunlight on the scar for 6–12 months to reduce pigmentation changes

Most patients find that paracetamol and ibuprofen are sufficient for post-operative pain. Take medications regularly for the first 2–3 days rather than waiting for pain to become severe. Stronger medication will be provided if needed and should be taken only as directed.

• Take paracetamol (1g every 6 hours, maximum 4g/day) regularly for the first 2–3 days
• Add ibuprofen 400mg with food if tolerated and not contraindicated
• Use stronger medication (if prescribed) sparingly — only for breakthrough pain
• Do not drive or operate machinery while taking opioid pain relief
• Elevating the hand reduces swelling and pain more effectively than medication alone

• Do not drive while the hand is in a dressing, splint, or cast, or while taking opioid medication
• Return to work depends on your procedure and your job — Dr Ma will advise at your post-operative appointment
• Avoid getting the dressing or wound wet for at least 2 weeks
• Do not return to strenuous activity or sport until Dr Ma advises it is safe
• Keep the hand elevated during rest and sleep for the first week

Hand therapy is a critical part of recovery for many procedures. If Dr Ma has arranged a hand therapy referral, please attend your first appointment as soon as possible after surgery — typically within 1–2 weeks. Early guided mobilisation prevents stiffness and adhesions.

For tendon repairs, TFCC surgery, fracture fixation, and Dupuytren's fasciectomy, hand therapy is essential — not optional. Please prioritise attendance and follow your therapist's programme carefully.