Should You Consider Rehabilitation After Tendon Surgery? - Rehabilitation

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Should I undergo rehabilitation?


My uncle was injured at work when a machine crushed his hand.
The orthopedic surgeon diagnosed him with a tendon rupture.
It has been four weeks since the surgery, but his left hand's middle finger and fourth and fifth fingers still do not move.
What could be the issue? Should he undergo rehabilitation?

kuso, 20~29 year old female. Ask Date: 2007/09/01

Dr. Pan Yingda reply Rehabilitation


Rehabilitation is necessary for various reasons, and without proper examination, it can be difficult to determine the exact cause.
It is advisable to promptly seek a qualified rehabilitation physician for assessment and treatment.

Reply Date: 2007/09/01

More Info


Rehabilitation after tendon surgery is crucial for recovery, especially when dealing with injuries like tendon ruptures. In your uncle's case, where he has undergone surgery for a tendon injury in his hand, the fact that his middle, ring, and little fingers are not moving four weeks post-surgery raises some important considerations.

Firstly, it’s essential to understand that tendon repairs can take time to heal. The healing process for tendons can vary based on several factors, including the severity of the injury, the specific tendon involved, and the individual’s overall health. Typically, after tendon surgery, there is a critical period during which the tendon is healing, and movement may be restricted to allow for proper healing. This period can last several weeks, and during this time, the fingers may not show significant movement.

However, the lack of movement in your uncle's fingers after four weeks could indicate a few possibilities:
1. Healing Process: It’s possible that the tendon is still healing, and movement may not be fully restored yet. The surgeon may have advised a specific timeline for rehabilitation and movement based on the type of tendon repair performed.

2. Scar Tissue Formation: Sometimes, scar tissue can form around the tendon, which may restrict movement. This can happen if the fingers are not moved appropriately during the healing phase.

3. Nerve Injury: If the injury was severe, there may also be nerve damage that could affect finger movement. If the nerves were affected during the injury or surgery, this could lead to a lack of movement even if the tendon repair is successful.

4. Surgical Complications: In some cases, complications from the surgery itself, such as improper alignment of the tendon or infection, could hinder recovery.

Given these factors, rehabilitation is generally recommended after tendon surgery. Here are some reasons why rehabilitation is important:
- Restoration of Function: Rehabilitation helps restore the range of motion, strength, and function of the affected fingers. Specific exercises can help prevent stiffness and improve mobility.

- Scar Tissue Management: A physical therapist can provide techniques to manage scar tissue formation, which can help improve movement and reduce discomfort.

- Guided Recovery: A rehabilitation program tailored to your uncle’s specific needs can ensure that he progresses safely and effectively. This may include passive and active range-of-motion exercises, strengthening exercises, and functional training.

- Monitoring Progress: Regular sessions with a physical therapist can help monitor recovery and make adjustments to the rehabilitation plan as needed.

In conclusion, it is advisable for your uncle to begin rehabilitation as soon as it is deemed safe by his surgeon. He should consult with his healthcare provider about starting physical therapy, which can significantly aid in his recovery process. The therapist will assess his condition and develop a personalized rehabilitation program that addresses his specific needs and goals. Early intervention can lead to better outcomes and help him regain the use of his fingers more effectively.

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