Mommy's thumb issue
Hello, doctor.
I had surgery for De Quervain's tenosynovitis (also known as "mommy's thumb"), and due to work requirements, I need to lift heavy objects.
Is it safe to lift heavy objects after the surgery?
Xiao Juan, 40~49 year old female. Ask Date: 2022/10/23
Dr. Chen Yongxue reply Orthopedics
Hello, mommy's thumb, also known as de Quervain's tenosynovitis, is caused by overuse.
Surgery involves opening the sheath of the affected tendons to relieve inflammation.
In principle, after the surgical wound heals, you should be able to move freely, but please be cautious and avoid overuse, as the tendons may still become inflamed.
Thank you.
Reply Date: 2022/10/23
More Info
After undergoing surgery for De Quervain's tenosynovitis, commonly referred to as "mom's hand syndrome," it is crucial to approach the recovery process with caution, especially when it comes to lifting heavy objects. The primary goal of the surgery is to relieve pain and restore function by addressing the inflamed tendons in the wrist. However, the healing process can vary significantly from person to person, and several factors must be considered before resuming activities that involve heavy lifting.
Healing Process
Typically, after surgery, the wrist will be immobilized for a period to allow the tendons to heal properly. This immobilization can last from a few days to several weeks, depending on the extent of the surgery and the individual's healing capacity. During this time, it is essential to follow your surgeon's post-operative care instructions, which may include rest, ice application, elevation of the hand, and possibly physical therapy.
Lifting Heavy Objects
1. Timing: Generally, it is advisable to avoid lifting heavy objects for at least 4 to 6 weeks post-surgery. This timeframe allows the surgical site to heal adequately and reduces the risk of complications such as re-injury or delayed healing.
2. Consultation with Your Surgeon: Before resuming any heavy lifting, it is crucial to have a follow-up appointment with your surgeon. They will assess your healing progress and provide personalized recommendations based on your specific situation. They may perform a physical examination and possibly imaging studies to ensure that the tendons are healing correctly.
3. Gradual Return to Activity: If your surgeon gives you the green light to start lifting again, it is essential to do so gradually. Start with lighter weights and progressively increase the load as your strength and comfort level improve. Pay attention to any signs of pain or discomfort, as these may indicate that you are pushing your body too hard too soon.
4. Physical Therapy: Engaging in physical therapy can be beneficial during your recovery. A physical therapist can guide you through exercises that strengthen the wrist and improve flexibility, which can help prepare you for returning to your regular activities, including lifting.
5. Listen to Your Body: It is vital to listen to your body during the recovery process. If you experience pain, swelling, or any unusual symptoms while lifting, stop immediately and consult your healthcare provider.
Conclusion
In summary, while it may be tempting to return to heavy lifting shortly after surgery for De Quervain's tenosynovitis, it is crucial to prioritize your recovery. Avoid heavy lifting for at least 4 to 6 weeks post-surgery, consult with your surgeon for personalized advice, and consider engaging in physical therapy to aid your recovery. By taking these precautions, you can help ensure a successful healing process and minimize the risk of complications.
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