Rehabilitation: Is Hand Trembling Normal After Injury? - Physical Fitness

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Could you please provide more specific information or context regarding rehabilitation?


Hello, my cousin Liu Zheying previously visited you for a hand injury.
Later, you advised him to do rehabilitation at home.
Recently, when he lifts heavy objects, his hand still trembles and feels numb.
Is this a normal phenomenon? Are there any other methods to accelerate his rehabilitation?

Pei Ru, 20~29 year old female. Ask Date: 2005/03/10

Dr. Lai Zhongliang reply Physical Fitness


Your brother has sustained an injury to his hand that involves not only tendon damage but also nerve injury.
If there are any changes in his condition, please follow up at the outpatient clinic, or call during clinic hours.
Thank you!

Reply Date: 2005/03/10

More Info


Hello! Thank you for your inquiry regarding your cousin's hand tremors and sensations of numbness after his injury. It's understandable to be concerned about these symptoms, especially after experiencing a hand injury.
Firstly, it's important to recognize that tremors and numbness can be common after hand injuries, particularly if there has been damage to the nerves, tendons, or muscles. These symptoms may arise due to several factors, including:
1. Nerve Compression or Damage: If the injury involved any trauma to the nerves, it could lead to sensations of tingling, numbness, or tremors. This is often seen in conditions like carpal tunnel syndrome, where the median nerve is compressed.

2. Muscle Weakness: After an injury, especially one that requires immobilization, the muscles can weaken significantly. This weakness can lead to difficulty in controlling movements, resulting in tremors when trying to lift or hold objects.

3. Rehabilitation Process: During rehabilitation, as the muscles and nerves begin to recover, it's not uncommon for patients to experience tremors or shakiness, particularly when performing tasks that require fine motor skills or strength.

4. Psychological Factors: Anxiety and stress can also contribute to tremors. If your cousin is anxious about using his injured hand, this could exacerbate the trembling.

Regarding whether this is a normal phenomenon, it can be considered typical in the context of recovery from a hand injury. However, it is crucial to monitor the situation closely. If the tremors persist, worsen, or are accompanied by other concerning symptoms (such as severe pain, increased numbness, or loss of function), it would be advisable for him to consult with a healthcare professional for a thorough evaluation.

As for accelerating rehabilitation, here are some strategies that may help:
1. Physical Therapy: Engaging in a structured physical therapy program can significantly aid recovery. A physical therapist can provide tailored exercises to improve strength, flexibility, and coordination in the hand.

2. Gradual Strength Training: Incorporating light weights or resistance bands into his routine can help rebuild muscle strength. It's essential to start with manageable weights and gradually increase as he gains strength.

3. Fine Motor Skills Exercises: Activities that require precise hand movements, such as squeezing a stress ball, using therapy putty, or even playing with small objects (like beads or coins), can enhance dexterity and control.

4. Heat Therapy: Applying heat to the hand before exercises can help relax the muscles and improve blood flow, potentially reducing tremors and discomfort.

5. Mindfulness and Relaxation Techniques: Practicing mindfulness, deep breathing, or relaxation techniques can help manage anxiety, which may, in turn, reduce tremors.

6. Nutrition and Hydration: Ensuring proper nutrition and hydration can support overall recovery. Foods rich in omega-3 fatty acids, antioxidants, and vitamins can promote healing.

7. Regular Follow-ups: Keeping regular appointments with healthcare providers to monitor progress and adjust rehabilitation plans as necessary is crucial.

In conclusion, while hand tremors and numbness can be common after an injury, they should be monitored closely. If symptoms persist or worsen, seeking further medical advice is essential. Encouraging your cousin to engage in a comprehensive rehabilitation program will be beneficial in his recovery journey. Wishing him a smooth and speedy recovery!

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