Regarding #195391 finger issues?
Due to occupational requirements, it is necessary to have a normal bending angle of the fingers (not overlapping the middle finger).
What recommendations do you have, doctor? Can rehabilitation help return to the original condition, or would it be faster to remove the plate?
Sasa, 30~39 year old female. Ask Date: 2023/04/17
Dr. Wang Shouji reply Orthopedics
Hello, limited joint mobility after a finger fracture is a common sequela.
Incomplete reduction of a rotationally displaced fracture may cause the finger to deviate, but it is generally not a significant issue.
Most patients can adapt through occupational rehabilitation.
Removal of the plate can also improve some adhesion and mobility issues.
Changhua Hospital cares about your health.
Wang Shou-ji.
Reply Date: 2023/04/17
More Info
Recovering finger flexibility after orthopedic surgery, especially following procedures like mallet finger repair or fractures, can be a challenging process. Here are some expert tips and insights to help you navigate your recovery journey effectively.
Understanding the Recovery Process
After orthopedic surgery, particularly on the fingers, the healing process involves several stages. Initially, the focus is on protecting the surgical site and allowing the bones or tendons to heal properly. This often requires immobilization, which can lead to stiffness and reduced range of motion. The key to regaining flexibility lies in a combination of proper rehabilitation and patience.
Rehabilitation Strategies
1. Early Mobilization: Once your doctor gives the green light, start gentle range-of-motion exercises. Early mobilization can help prevent stiffness. However, it’s crucial to follow your surgeon’s advice regarding when to start these exercises, as premature movement can jeopardize healing.
2. Physical Therapy: Engaging with a physical therapist who specializes in hand rehabilitation can be invaluable. They can provide tailored exercises that focus on improving flexibility and strength while minimizing pain. Techniques such as passive stretching, active-assisted exercises, and progressive resistance exercises can be beneficial.
3. Heat and Cold Therapy: Applying heat before exercises can help loosen the joints and muscles, making it easier to move. Cold therapy can reduce swelling and pain after exercises. Alternating between heat and cold can be effective in managing discomfort and promoting healing.
4. Splinting and Support: Depending on your specific condition, your doctor may recommend a splint or brace to support the finger during the healing process. It’s essential to follow their guidance on when to wear it and when to remove it for exercises.
5. Gradual Progression: Start with simple movements and gradually increase the complexity and intensity of your exercises. For instance, begin with bending and straightening the fingers, then progress to gripping and pinching activities.
6. Consistency is Key: Regular practice is crucial for recovery. Aim to perform your exercises multiple times a day, as recommended by your therapist. Consistency will help reinforce the neural pathways involved in finger movement.
Surgical Considerations
Regarding your question about whether removing the plate would expedite recovery, it depends on several factors:
- Healing Time: If the bones have healed adequately, your surgeon may consider removing the hardware. However, this decision is based on individual healing progress and the specific surgical technique used.
- Plate Removal: In some cases, removing the plate can relieve discomfort and allow for better movement. However, it’s essential to weigh the risks and benefits with your orthopedic surgeon.
Realistic Expectations
While rehabilitation can significantly improve finger flexibility, it’s important to have realistic expectations. Complete restoration of pre-injury function may not always be possible, especially if there was significant damage to the tendons, ligaments, or nerves. However, many patients can achieve functional recovery that allows them to perform daily activities and work tasks effectively.
Conclusion
In summary, recovering finger flexibility after orthopedic surgery requires a multifaceted approach that includes early mobilization, physical therapy, consistent practice, and possibly surgical intervention if necessary. Always consult with your orthopedic surgeon and physical therapist to develop a personalized recovery plan that aligns with your specific needs and goals. With dedication and the right support, many individuals can regain significant function and flexibility in their fingers, allowing them to return to their professional and personal activities.
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