Repeat surgeries are most often required when there has been incomplete release of the ligament that crosses the nerve. There may also be excessive scar tissue across the site where the body tried to heal the "broken" (cut) tissue.

A physical therapist can use ultrasound and stretching treatments to help release this tissue. Exercises to improve nerve and tendon "glide" may be helpful in reducing painful symptoms.

At least three months of conservative care after the first surgery are recommended. If you have done this without improvement, a second surgery may be necessary.