Contusion
Hello, Doctor! My father fell down the stairs and the orthopedic doctor said that he has a cartilage contusion in the web space of his left hand, which may take 1 to 2 months to recover.
During this period, he needs to continue receiving injections and taking medication to reduce inflammation.
Would it be better for him to go for rehabilitation? Thank you!
A Jie, 20~29 year old female. Ask Date: 2007/11/17
Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry.
Here are my responses and recommendations:
1.
In the acute phase, anti-inflammatory medications can be used, but they should not be taken for more than one week.
If severe pain persists, you should consider seeking medical evaluation to check for fractures.
2.
An X-ray is advisable to confirm the injured area and to assess for any conditions such as fractures or subluxations.
It is not recommended to perform manipulations to avoid exacerbating the injury or inflammation; however, physical therapy modalities such as electrical stimulation for pain relief can be considered.
Finally, I wish you peace and happiness!
Reply Date: 2007/11/17
More Info
Rehabilitation is indeed recommended for recovery from soft tissue contusions, including injuries like a cartilage contusion in the hand. When your father suffered a fall that resulted in a soft tissue contusion, it likely caused damage to the cartilage and surrounding tissues, leading to pain, swelling, and reduced function. The healing process for such injuries can take time, typically ranging from a few weeks to a couple of months, depending on the severity of the injury and the individual's overall health.
Rehabilitation plays a crucial role in the recovery process for several reasons:
1. Pain Management: Rehabilitation can help manage pain through various modalities such as physical therapy, ultrasound, and electrical stimulation. These techniques can reduce inflammation and promote blood flow to the injured area, which is essential for healing.
2. Restoration of Function: After a soft tissue injury, it's common for the affected area to become stiff and weak. A structured rehabilitation program can include exercises designed to restore range of motion, strength, and function. This is particularly important for the hand, as it is used in many daily activities.
3. Prevention of Complications: Engaging in rehabilitation can help prevent complications such as muscle atrophy, joint stiffness, and chronic pain. If the injured area is not mobilized appropriately, it can lead to long-term functional limitations.
4. Education and Guidance: Rehabilitation often includes education about the injury, proper body mechanics, and strategies to avoid re-injury. This knowledge empowers patients to take an active role in their recovery and helps them understand the importance of following through with their rehabilitation program.
5. Gradual Return to Activity: A rehabilitation program can help your father gradually return to his normal activities, ensuring that he does not rush back into activities that could exacerbate the injury. This is especially important for maintaining overall hand function and preventing future injuries.
In your father's case, it would be beneficial to consult with his healthcare provider or a physical therapist to develop a tailored rehabilitation plan. This plan should consider his specific injury, current symptoms, and overall health status. The rehabilitation process may include:
- Range of Motion Exercises: Gentle stretching and mobility exercises to maintain flexibility in the hand and wrist.
- Strengthening Exercises: Once the initial pain and swelling have decreased, strengthening exercises can help rebuild muscle strength around the injured area.
- Functional Activities: Incorporating activities that mimic daily tasks can help improve hand function and prepare him for a return to normal activities.
While medication and injections may help manage inflammation and pain, they should be complemented with rehabilitation for optimal recovery. It's important to follow the guidance of healthcare professionals throughout this process to ensure a safe and effective recovery.
In summary, rehabilitation is highly recommended for soft tissue contusions, including cartilage injuries in the hand. It can significantly enhance recovery, restore function, and prevent complications. Engaging in a structured rehabilitation program under professional guidance will provide your father with the best chance for a full recovery.
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