Post-Surgery Numbness: Nerve Issues and Rehabilitation Needs - Rehabilitation

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Postoperative wounds may experience numbness?


Hello Doctor: My father (currently 59 years old) had his index finger severed by a machine a few years ago and underwent a surgical repair.
Now, he experiences numbness and tightness in his hand when the weather changes or after riding a motorcycle for too long, sometimes to the point of discomfort.
I would like to know if this is related to a nerve issue or if there is another problem.
Does he need to undergo rehabilitation or something similar?

Miss You, 20~29 year old female. Ask Date: 2017/07/01

Dr. Yin Xinbei reply Rehabilitation


When nerves that have been severed and reconnected are severely damaged, it is often impossible to fully repair them, and residual numbness is a normal phenomenon.
Additionally, blood and lymphatic circulation may also be impaired, so maintaining the same position for too long can lead to slight swelling and a feeling of tightness.
In such cases, moving the joints more can help improve the situation.
If the discomfort is caused by changes in weather, applying local heat or soaking in warm water can provide relief.

Reply Date: 2017/07/01

More Info


Post-surgery numbness, especially after a traumatic injury like a severed finger, can be a complex issue that often involves nerve damage or irritation. In your father's case, the symptoms of numbness and discomfort in his hand, particularly in response to weather changes or prolonged activities like riding a motorcycle, suggest that there may be underlying nerve issues that need to be addressed.

When a nerve is injured, as in the case of your father's finger being cut, it can lead to a variety of symptoms, including numbness, tingling, weakness, and pain. These symptoms can persist long after the initial injury has healed, particularly if the nerve was significantly damaged. Nerves regenerate slowly, at a rate of about 1 millimeter per day, and recovery can take months or even years, depending on the severity of the injury.

The discomfort your father experiences during weather changes could be related to a phenomenon known as "barometric pressure sensitivity," which is common in individuals with nerve injuries. Changes in temperature or humidity can affect the nerve's ability to function properly, leading to increased symptoms. Additionally, prolonged activities that require gripping or using the hand can exacerbate these symptoms, especially if there is any residual nerve compression or irritation.

Rehabilitation is crucial for anyone who has experienced nerve damage. Physical therapy can help improve strength, flexibility, and function in the affected hand. A rehabilitation program may include:
1. Range of Motion Exercises: These exercises help maintain flexibility in the joints and prevent stiffness.

2. Strengthening Exercises: Gradually increasing the strength of the muscles in the hand and fingers can help improve function.

3. Sensory Re-education: This involves activities designed to help the brain relearn how to interpret sensory signals from the affected area.

4. Pain Management Techniques: These may include modalities such as heat, cold, or electrical stimulation to help alleviate discomfort.

5. Education on Activity Modification: Learning how to modify activities to reduce strain on the affected hand can help manage symptoms.

Given your father's ongoing symptoms, it would be advisable for him to consult with a healthcare professional, such as a neurologist or a rehabilitation specialist. They can conduct a thorough evaluation, which may include nerve conduction studies or electromyography (EMG), to assess the extent of nerve damage and determine the best course of action.

In summary, your father's symptoms are likely related to nerve issues stemming from his previous injury. Engaging in a structured rehabilitation program can significantly aid in his recovery and improve his quality of life. It is essential to address these concerns with a healthcare provider to ensure he receives the appropriate care and support.

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