Tendon Ruptures: Rehabilitation After Surgery - Rehabilitation

More Info

---

Tendon ruptures, particularly in the hand, can significantly impact a person's ability to perform daily activities. When a tendon is ruptured, it means that the fibrous tissue connecting muscle to bone has been torn, which can lead to loss of movement and function in the affected fingers. In your uncle's case, the fact that he is four weeks post-surgery and still unable to move his middle, ring, and little fingers is concerning and warrants further investigation.

Firstly, it is essential to understand that the healing process for tendons can vary widely among individuals. Factors such as the severity of the rupture, the specific tendon involved, the surgical technique used, and the individual's overall health can all influence recovery time. In general, tendon healing can take several weeks to months, and full recovery may require a structured rehabilitation program.

Given that your uncle is still experiencing immobility in his fingers after four weeks, there are several potential reasons for this:
1. Swelling and Inflammation: Post-surgical swelling can impede movement. It is common for the hand to remain swollen for several weeks after surgery, which can restrict motion.

2. Scar Tissue Formation: After surgery, scar tissue can form around the tendon, which may limit movement. This is a natural part of the healing process, but excessive scar tissue can lead to stiffness.

3. Tendon Gliding: Tendons need to glide smoothly through their sheaths to allow for finger movement. If the tendon is not gliding properly due to swelling or scar tissue, this can result in limited motion.

4. Nerve Injury: Depending on the nature of the injury, there may also be nerve involvement. If the nerves that control finger movement were damaged during the injury or surgery, this could lead to a lack of movement.

5. Surgical Complications: In some cases, complications from the surgery itself can lead to prolonged immobility. This could include issues such as infection or improper tendon repair.

Regarding rehabilitation, it is crucial for your uncle to engage in a structured physical therapy program. Rehabilitation after tendon repair typically includes:
- Passive Range of Motion Exercises: Initially, a therapist may assist with moving the fingers to prevent stiffness and promote circulation.

- Active Range of Motion Exercises: As healing progresses, your uncle will be encouraged to actively move his fingers to regain strength and flexibility.

- Strengthening Exercises: Once the tendon has healed sufficiently, strengthening exercises will be introduced to help restore function.

- Scar Management: Techniques to manage scar tissue, such as massage or the use of silicone gel sheets, may also be beneficial.

It is essential for your uncle to consult with his healthcare provider or a physical therapist about his current condition. They can assess his range of motion, strength, and any other factors that may be affecting his recovery. Early intervention with rehabilitation can significantly improve outcomes and help prevent long-term complications.

In summary, while it is not uncommon for some immobility to persist shortly after tendon repair surgery, the lack of movement in your uncle's fingers after four weeks is a sign that he should begin rehabilitation. Engaging in physical therapy can help address the issues of swelling, scar tissue, and overall mobility, ultimately aiding in his recovery and return to function.