Tendon Rupture Recovery: A Chef's Dilemma - Orthopedics

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Tendon rupture


At Cheng Kung University Hospital, I had surgery in the emergency department for a partial cut of the flexor pollicis longus tendon.
The hospital provided a medical certificate for three days of rest, but verbally advised that I should not use my left hand for four weeks.
As a chef, it's impossible for me to work with just one hand.
Is this diagnosis correct? During my second follow-up visit, they reiterated the four-week restriction on using my left hand, which is difficult for me as a chef.
Is this diagnosis appropriate?

Mr. Chen, 30~39 year old female. Ask Date: 2016/03/06

Dr. Shi Guozheng reply Orthopedics


A physician may prescribe a longer duration of rest, typically around four to six weeks, depending on the situation.

Reply Date: 2016/03/06

More Info


Recovering from a tendon rupture, especially for someone in a physically demanding profession like a chef, can be quite challenging. Tendon injuries, particularly those involving the hand, require careful management to ensure proper healing and to prevent long-term complications.
When a tendon is ruptured, surgical intervention is often necessary, as in your case where the tendon was cut during an accident. The recovery process typically involves several stages, including immobilization, rehabilitation, and gradual return to normal activities. The initial period of rest is crucial, as it allows the tendon to heal properly.
In your situation, the hospital provided a diagnosis that allowed for three days of rest, but verbally advised that you should avoid using your left hand for about four weeks. This discrepancy can be confusing, but it is essential to follow the more conservative advice of avoiding movement for the recommended duration. The reason for this is that tendons take time to heal, and any premature movement can jeopardize the surgical repair, leading to complications such as re-rupture or improper healing.

As a chef, your job involves a lot of hand movements, which can be detrimental during the recovery phase. It is understandable that working with one hand is not feasible in a kitchen environment. However, it is crucial to prioritize your health and recovery over immediate work obligations. If you attempt to work with an injured hand, you risk not only your recovery but also your overall ability to perform your job in the future.

The typical recovery timeline for tendon repairs can vary based on the specific tendon involved, the extent of the injury, and the individual's healing response. Generally, after the initial immobilization phase, physical therapy is often recommended to regain strength and range of motion. This phase usually begins after a few weeks, depending on the surgeon's assessment of the healing process.

In your case, it would be advisable to have a frank discussion with your healthcare provider about your work situation. They may be able to provide you with a more tailored recovery plan that considers your profession. If necessary, they can also issue a more formal medical leave or suggest alternative duties that do not require the use of your injured hand.

In summary, while the hospital's initial recommendation may seem insufficient given your profession, it is crucial to adhere to the advice regarding rest and rehabilitation. Rushing back to work can lead to long-term issues that may affect your ability to work as a chef in the future. It is essential to prioritize your recovery, follow your doctor's advice, and communicate openly with your employer about your situation. This approach will help ensure a successful recovery and a return to your culinary career without complications.

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