Post-Surgery Thumb Mobility Issues: When to Seek Rehabilitation Help? - Orthopedics

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After undergoing surgery for a left radial and ulnar fracture, it is not uncommon to experience mobility issues, especially in the thumb. Given that you are three weeks post-surgery and have noticed that your thumb cannot fully bend or extend, it is essential to address these concerns promptly.
First, it is important to understand that after any surgical procedure, particularly one involving bones and joints, rehabilitation plays a crucial role in recovery. The fact that you are experiencing limited mobility in your thumb, while the other fingers are functioning normally, suggests that there may be specific issues related to the surgical site or the healing process of the thumb itself.
The recommendation from your orthopedic surgeon to perform hand exercises is a standard approach, as it encourages movement and can help prevent stiffness. However, if you have been diligently trying to improve your thumb's mobility for over a month without any noticeable progress, it may be time to consider additional support through rehabilitation services.
Here are some points to consider regarding your situation:
1. Assessment of Mobility: A physical therapist can provide a thorough assessment of your thumb's range of motion and strength. They can identify specific limitations and tailor a rehabilitation program to address these issues. This may include targeted exercises, manual therapy, and modalities to reduce stiffness and improve function.

2. Potential for Scar Tissue Formation: After surgery, scar tissue can form around the surgical site, which may limit mobility. A physical therapist can employ techniques to help break down scar tissue and improve mobility.

3. Importance of Early Intervention: Engaging in rehabilitation sooner rather than later can significantly impact your recovery. The longer you wait, the more challenging it may become to regain full function. Early intervention can help prevent compensatory patterns that may develop due to the limited use of your thumb.

4. Communication with Your Surgeon: It is advisable to reach out to your orthopedic surgeon again, especially since you are experiencing persistent issues. They may want to reassess your condition to rule out any complications, such as improper healing or other underlying issues that could be affecting your thumb's mobility.

5. Self-Management Strategies: While waiting for your appointment, you can continue to perform gentle range-of-motion exercises for your thumb. This may include flexing and extending the thumb, as well as lateral movements. However, be cautious not to push through pain, as this could lead to further complications.

6. Consideration of Rehabilitation Services: If your surgeon agrees, seeking a referral to a rehabilitation specialist or a hand therapist would be beneficial. They can provide specialized care focused on hand and thumb rehabilitation, which may include splinting, strengthening exercises, and functional training.

In conclusion, while it is essential to follow your surgeon's advice, your ongoing difficulties with thumb mobility warrant further evaluation. Seeking rehabilitation services can provide you with the necessary tools and support to enhance your recovery. Don't hesitate to advocate for your health and pursue the appropriate care to ensure the best possible outcome for your thumb's function.