Tendon Rupture Recovery: Ice or Heat for Pain Relief? - Rehabilitation

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Rupture of the tendon of the ring finger?


Hello Doctor, I had surgery for a ruptured tendon in my little finger about a year ago, and recently I've been experiencing unexplained swelling and pain whenever I touch it.
Should I apply ice or heat first? Thank you, Doctor.
A few months ago, I had a similar issue, but I didn't pay much attention to it, and it resolved quickly.
This time, however, it has persisted for a whole day.

Chen Bo-yan, 30~39 year old female. Ask Date: 2021/08/27

Dr. Li Yanheng reply Rehabilitation


It may be caused by poor tissue perfusion; consider undergoing regenerative treatment to restart tissue regeneration.
If there is severe swelling and pain, apply ice initially, and after improvement, switch to heat therapy to enhance blood circulation.

Reply Date: 2021/08/27

More Info


When it comes to managing pain and swelling after a tendon rupture and subsequent surgery, the choice between ice and heat can significantly impact your recovery. Given your recent experience of swelling and pain in the area of your little finger tendon repair, it’s essential to understand the appropriate methods for managing these symptoms.

Ice Therapy:
In the initial stages of swelling or after an acute injury, ice therapy is generally recommended. Ice helps to constrict blood vessels, which can reduce swelling and numb the area, providing pain relief. Applying ice for 15-20 minutes every hour as needed can be beneficial, especially within the first 48 hours after noticing swelling. It’s crucial to wrap the ice pack in a cloth to prevent frostbite on the skin.
Heat Therapy:
Heat, on the other hand, is typically used for chronic pain or stiffness. It helps to relax and loosen tissues and stimulate blood flow to the area. However, applying heat to an area that is already swollen can exacerbate the problem by increasing blood flow and potentially leading to more swelling. Therefore, if your finger is swollen and painful, it’s advisable to avoid heat until the swelling has subsided.

When to Use Each:
Given that you are experiencing swelling and pain, you should start with ice therapy. Monitor the area closely; if the swelling does not improve or worsens, or if the pain becomes more intense, it may be a sign of complications, such as infection or a re-injury. In such cases, seeking medical attention is crucial.

Long-term Management:
Since you mentioned that this swelling has occurred before and resolved on its own, it’s possible that you are experiencing a flare-up of post-surgical inflammation. However, if this becomes a recurring issue, it might be worth discussing with your healthcare provider. They may recommend physical therapy, which can help strengthen the surrounding muscles and improve flexibility, potentially reducing the risk of future issues.

Conclusion:
In summary, for your current situation with swelling and pain after a tendon rupture surgery, ice therapy is the appropriate first step. Use it to manage your symptoms, and if the situation does not improve, do not hesitate to consult your doctor. They can provide a thorough evaluation and may suggest further interventions, such as imaging studies or adjustments to your rehabilitation plan. Remember, proper care and attention to your symptoms can significantly influence your recovery trajectory.

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