Recovery After Tendon Injury: Is My Hand Healing Properly?

I have a tendon injury and would like to inquire about the recovery status?

Hello Doctor, when I was 18 years old, I had a tendon rupture and underwent surgery for repair.
After a few months, I finally had a splint fitted (which conforms to the hand when heated).
I attended rehabilitation twice but then stopped.
Now, at 22 years old, the area around the scar still feels numb and weak when pressed.
I also find that my hand is not very strong when lifting slightly heavy objects.
I would like to ask if this means I have not fully recovered, or if this is a normal sequela.
Thank you, Doctor.

amber, 20~29 year old female. Ask Date: 2019/12/20

Dr. Yin Xinbei reply Rehabilitation

[The inability to hold slightly heavy objects is a result of insufficient rehabilitation training after the injury.] [The area around the scar still feels numb and weak when pressed.] This requires an outpatient examination to determine if the scar tissue is compressing the surrounding nerves.

Reply Date: 2019/12/20

More Info

Hello! Thank you for your question regarding your recovery after a tendon injury. It sounds like you have been through quite a journey since your surgery at 18, and it's understandable to have concerns about your current condition at 22.
From your description, it appears that you are experiencing symptoms that could be related to several factors following your tendon repair. The numbness and weakness you feel in the area of the scar may indicate that the nerve endings in that region are still healing or that there may be some nerve damage from the initial injury or the surgical procedure. It's not uncommon for patients to experience lingering sensations such as numbness or weakness after tendon repairs, especially if the injury was severe or if there was significant swelling or scar tissue formation.

In terms of whether your hand is healing properly, several factors can help assess your recovery:
1. Pain and Sensation: It's important to monitor any pain or abnormal sensations. If the area is still numb and you experience weakness, it may suggest that the healing process is not complete, or that there may be complications such as scar tissue affecting nerve function.

2. Range of Motion: Assessing your range of motion is crucial. If you can move your fingers and wrist through their full range without pain, that is a positive sign. However, if you feel restricted or experience pain during movement, it may indicate that further rehabilitation is needed.

3. Strength Testing: You mentioned difficulty lifting items of even moderate weight. This could be a sign of weakness in the muscles that are innervated by the tendons that were repaired. A physical therapist can help assess your strength and provide exercises tailored to your needs.

4. Scar Tissue: Sometimes, scar tissue can form around the tendons and nerves, which may lead to discomfort and reduced function. Techniques such as massage, stretching, and specific exercises can help in breaking down scar tissue and improving mobility.

5. Follow-Up Care: It’s essential to have regular follow-ups with your healthcare provider or a physical therapist who specializes in hand injuries. They can perform assessments and guide you through rehabilitation exercises that can help improve strength and function.

Regarding your concerns about whether this is a normal after-effect, it is not uncommon for patients to experience some residual symptoms after tendon repair. However, the degree of numbness and weakness you describe may warrant further evaluation. It’s crucial to communicate these symptoms to your healthcare provider, as they may suggest imaging studies (like an ultrasound or MRI) to assess the integrity of the tendon and surrounding structures.

In terms of rehabilitation, here are some strategies that might help:
- Physical Therapy: Engaging in a structured physical therapy program can significantly aid your recovery. A therapist can provide exercises to improve strength, flexibility, and coordination.

- Gradual Weight Bearing: Start with light weights and gradually increase as tolerated. This can help rebuild strength without overloading the tendon.

- Scar Management: Techniques such as massage, silicone gel sheets, or other scar treatments can help improve the appearance and function of the scar tissue.

- Home Exercises: Incorporate exercises that focus on finger dexterity, wrist mobility, and grip strength. Simple activities like squeezing a stress ball or using therapy putty can be beneficial.

- Heat and Cold Therapy: Applying heat before exercises can help relax the muscles and improve blood flow, while cold therapy can reduce inflammation after activity.

In conclusion, while some residual symptoms can be expected after tendon repair, persistent numbness and weakness should be evaluated further. Engaging in a comprehensive rehabilitation program under the guidance of a healthcare professional can significantly improve your recovery and help you regain function in your hand. Don't hesitate to reach out to your doctor or a physical therapist for personalized advice and support. Wishing you the best in your recovery journey!

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