Please ask questions regarding tendon rupture surgery?
Hello, my husband has a tendon rupture on the inner side of his left forearm near the wrist, along with some small nerve injuries, resulting in an open wound.
He has undergone surgery for suturing.
The doctor mentioned that the main nerve is intact, but the small nerves cannot be reconnected.
Is this true? Will it affect his recovery? Currently, his wrist is immobilized in a cast, bent inward at about 30 degrees.
I would like to ask:
1.
It has been six days since the surgery, but his ring and little fingers have been numb (this has been the case since before the surgery).
If the nerves are not severed, is it normal for his fingers to feel numb? (The numbness feels like when you sleep on your arm at a table and wake up with it numb, and moving it causes significant pain.)
2.
Additionally, he is experiencing pain in his wrist, possibly due to being in a bent position for too long.
How can we alleviate this?
3.
In terms of diet, what should he consume to help the tendon and nerve injuries heal more quickly? Are there any dietary restrictions?
Thank you for taking the time to answer my questions; I truly appreciate it! A worried wife.
Barbara, 30~39 year old female. Ask Date: 2007/08/18
Dr. Qiu Yushu reply Neurosurgery
Hello: For issues related to peripheral nerves and tendons, please consult with an orthopedic surgeon (Dr.
Chou Hung-Chang).
Reply Date: 2007/08/18
More Info
Post-surgery recovery from tendon and nerve injuries can be a complex process, and it's understandable to have concerns about your husband's condition. Given the details you've provided, let's address your questions and provide some insights into the recovery process.
1. Nerve Sensation and Tingling: The persistent tingling or numbness in the ring and little fingers is not uncommon after surgery, even if the main nerve was not severed. This sensation can occur due to several reasons, including swelling, inflammation, or irritation of the surrounding tissues. The small nerves that were damaged may take time to heal, and it's possible that they are regenerating, which can lead to unusual sensations. It's important to monitor these symptoms, and if they worsen or do not improve over time, you should consult with the surgeon or a neurologist for further evaluation.
2. Pain from Wrist Position: The wrist being in a flexed position for an extended period can lead to stiffness and discomfort. To alleviate this, gentle range-of-motion exercises may be beneficial, but they should only be done under the guidance of a physical therapist or as advised by the surgeon. It's crucial to avoid any movements that cause pain or discomfort. If the pain persists, it may be necessary to adjust the splint or cast to ensure that the wrist is in a more neutral position, which can help reduce strain on the tendons and nerves.
3. Dietary Considerations for Recovery: Nutrition plays a vital role in the healing process. To support tendon and nerve recovery, consider incorporating the following into your husband's diet:
- Protein: Essential for tissue repair. Include lean meats, fish, eggs, dairy, legumes, and nuts.
- Omega-3 Fatty Acids: Found in fatty fish (like salmon), flaxseeds, and walnuts, these can help reduce inflammation.
- Vitamins and Minerals: Vitamin C (found in citrus fruits, strawberries, and bell peppers) is crucial for collagen formation, while Vitamin E (found in nuts and seeds) can support nerve health. Zinc and magnesium are also important for healing.
- Hydration: Staying well-hydrated is essential for overall health and can aid in recovery.
As for dietary restrictions, it's generally advisable to avoid excessive sugar and processed foods, as they can promote inflammation and slow down the healing process.
In conclusion, while the recovery from tendon and nerve injuries can be slow and sometimes frustrating, it's important to remain optimistic. Healing takes time, and the body has a remarkable ability to recover. Regular follow-ups with the healthcare team are essential to monitor progress and make any necessary adjustments to the treatment plan. Encourage your husband to engage in any prescribed rehabilitation exercises, as they will be crucial for regaining strength and function in his hand. Lastly, emotional support from you and family can significantly impact his recovery journey, so continue to be there for him during this challenging time.
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