Trigger finger surgery
Hello Dr.
Chou: In early April of this year, I underwent traditional surgery for trigger finger, and now I still cannot make a fist or fully extend my fingers.
The doctor has advised me to continue performing stretching and pressure exercises.
Is this correct? When I try to make a fist and then extend my fingers, I feel a slight catch.
The doctor mentioned that this is due to swelling at the surgical site.
Could you please provide some guidance? Thank you.
Mr. Zheng, 30~39 year old female. Ask Date: 2016/04/18
Dr. Zhou Jianwen reply Rehabilitation
It may be swelling; outpatient follow-up treatment is recommended.
Reply Date: 2016/04/18
More Info
Recovery after trigger finger surgery can be a challenging process, and it’s understandable to have concerns about your progress. Trigger finger, or stenosing tenosynovitis, occurs when the tendons in your fingers become inflamed, causing pain and difficulty in movement. The surgical procedure typically involves releasing the constricted tendon sheath to allow for smoother movement of the tendon.
From your description, it seems that you are experiencing some common post-operative symptoms, such as difficulty in fully extending your fingers and a sensation of catching or locking when trying to make a fist. These symptoms can be attributed to several factors, including swelling, scar tissue formation, and the healing process of the tendon and surrounding structures.
1. Post-Surgical Expectations: It's important to understand that recovery from trigger finger surgery can take time. While some patients may experience immediate relief, others may have lingering stiffness and discomfort for weeks or even months after the procedure. The fact that you are still experiencing difficulty in making a fist and fully extending your fingers is not uncommon.
2. Importance of Rehabilitation: Your doctor’s recommendation to perform stretching and strengthening exercises is crucial for your recovery. These exercises help to improve flexibility, reduce stiffness, and promote healing. It is essential to follow your physician's instructions regarding the frequency and type of exercises. If you are unsure about the exercises or if they cause significant pain, it would be beneficial to consult with a physical therapist who specializes in hand rehabilitation. They can provide a tailored exercise program that suits your specific needs and monitor your progress.
3. Managing Swelling and Pain: Swelling can impede your recovery and may contribute to the sensation of catching when you try to extend your fingers. To manage swelling, consider elevating your hand when resting, applying ice packs, and using anti-inflammatory medications as prescribed by your doctor. If swelling persists, it may indicate that your body is still healing, or there may be other underlying issues that need to be addressed.
4. Scar Tissue Formation: After surgery, scar tissue can form around the surgical site, which may restrict movement. Gentle massage around the scar tissue can help break down adhesions and improve mobility. Again, a physical therapist can guide you on how to perform this safely and effectively.
5. Follow-Up with Your Surgeon: If you continue to experience significant limitations in movement or if you notice any new symptoms, such as increased pain or swelling, it is essential to follow up with your surgeon. They can assess your healing progress and determine if any additional interventions are necessary. In some cases, further treatment, such as corticosteroid injections or additional surgery, may be required to address persistent symptoms.
6. Patience and Persistence: Recovery from trigger finger surgery can be frustrating, especially when progress seems slow. It’s important to remain patient and consistent with your rehabilitation efforts. Celebrate small victories, such as improved range of motion or reduced pain, as these are indicators of progress.
In summary, while it is normal to experience some limitations in movement after trigger finger surgery, consistent rehabilitation and communication with your healthcare provider are key to a successful recovery. If you have any doubts or concerns about your recovery process, do not hesitate to reach out to your surgeon or a hand therapist for guidance. They can provide you with the support and information you need to navigate your recovery effectively.
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