Rehabilitation Options for Finger Injury Recovery After Surgery - Rehabilitation

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Laceration


My right index finger was nearly severed by a machine three months ago and was surgically repaired by a plastic surgeon.
However, it still cannot move normally.
I would like to ask the doctor: Is it possible to start rehabilitation? Thank you!

A-Meng, 30~39 year old female. Ask Date: 2007/10/28

Dr. Chen Xianchang reply Rehabilitation


Hello, sir: Thank you for your inquiry.
Here are my responses and suggestions:
1.
In general, after finger suturing surgery, rehabilitation can begin once the acute phase has passed.
If the wound sutures are intact, you may also consider starting laser therapy or other light therapies.

2.
Since it has been over three months, I recommend that you promptly visit a rehabilitation specialist for treatment, as the first three months are considered the golden period for recovery, and the subsequent three to six months are the secondary golden period.
If the wound has healed, you may consider hydrotherapy, ultrasound, and laser-assisted active-assisted exercises.
During these exercises, it is essential to have the angles and muscle strength evaluated by a physician and therapist.

Lastly, I wish you peace and happiness!

Reply Date: 2007/10/28

More Info


Rehabilitation after a finger injury, especially following a surgical procedure like reattachment or reconstruction, is crucial for regaining function and mobility. Given your situation, where your right index finger was nearly severed and has undergone surgical repair, it is understandable to be concerned about the recovery process and the potential for regaining normal function.

Firstly, it is important to note that rehabilitation can indeed begin as soon as the surgical site has stabilized, which may not necessarily mean waiting for complete healing. Early intervention can be beneficial, and many rehabilitation programs incorporate modalities such as laser therapy or infrared treatment to promote healing and reduce inflammation even before the wound is fully closed.

Here are some key components of rehabilitation for finger injuries:
1. Initial Assessment: A physical therapist or occupational therapist will assess your current range of motion, strength, and any sensory deficits. This assessment will guide the development of a personalized rehabilitation plan.

2. Wound Care: Proper care of the surgical site is essential. If there are any signs of infection or complications, these should be addressed before starting rehabilitation exercises. Follow your surgeon's advice regarding wound care and any medications prescribed.

3. Gentle Range of Motion Exercises: Once the initial healing phase has passed, gentle range of motion exercises can be introduced. These exercises help to maintain joint flexibility and prevent stiffness. It is crucial to perform these exercises within a pain-free range to avoid further injury.

4. Strengthening Exercises: As healing progresses, strengthening exercises can be incorporated. These exercises will help rebuild muscle strength and improve overall hand function. Resistance bands or putty can be used for this purpose.

5. Sensory Re-education: If there are sensory deficits due to nerve damage, sensory re-education techniques may be employed. This can include activities that stimulate the nerve endings and help the brain relearn how to interpret sensations from the finger.

6. Splinting: In some cases, a splint may be recommended to support the finger during the healing process. This can help protect the surgical site while allowing for some movement.

7. Functional Activities: As you progress, your therapist will introduce functional activities that mimic daily tasks. This is important for regaining the ability to perform everyday activities, such as gripping, pinching, and typing.

8. Regular Follow-ups: Regular follow-up appointments with your healthcare provider are essential to monitor your progress and make any necessary adjustments to your rehabilitation plan.

Regarding your specific concern about whether you can start rehabilitation, the answer is generally yes, especially if your surgical site is stable and there are no complications. It is advisable to consult with your surgeon or a rehabilitation specialist to determine the best time to begin therapy and to ensure that you are following a safe and effective rehabilitation protocol.

In conclusion, rehabilitation after finger surgery is a vital part of the recovery process. With the right approach and guidance from healthcare professionals, many individuals can regain significant function in their fingers, even after severe injuries. Be proactive in seeking rehabilitation services, and communicate openly with your healthcare team about your goals and concerns. This collaborative approach will enhance your chances of a successful recovery.

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