Recovery Tips for Stiff Thumb Joint After Surgery: What to Expect - Orthopedics

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Thumb joint


Hello doctor, I had a car accident on December 2nd last year and underwent surgery on December 9th.
I have an exposed steel pin in my thumb.
During my follow-up appointment on March 8th, the doctor said that the bone and pin marks have filled in, but the color hasn't completely returned to normal.
I mentioned to the doctor that my thumb joint feels stiff when I bend it, and the doctor advised me to soak it in warm water to soften the joint and move it around.
I would like to ask, after soaking in warm water, how many days will it take for the joint to return to normal?

Mei, 20~29 year old female. Ask Date: 2016/03/09

Dr. Shi Guozheng reply Orthopedics


It may take one to two months of dedicated rehabilitation to see significant improvement.

Reply Date: 2016/03/09

More Info


Recovery from thumb joint surgery, especially after an injury like a car accident, can be a gradual process. It’s great to hear that your doctor has informed you that the bone healing is progressing well, with the hardware filling in nicely. However, stiffness in the thumb joint is a common issue post-surgery, and there are several strategies you can employ to aid your recovery.

1. Understanding Stiffness: After surgery, it’s normal to experience stiffness in the affected joint. This can be due to a combination of factors, including swelling, scar tissue formation, and the immobilization of the joint during the healing process. The stiffness you’re feeling is your body’s way of responding to the trauma and subsequent surgery.

2. Heat Therapy: Your doctor’s recommendation to soak your thumb in warm water is a beneficial approach. Heat can help increase blood flow to the area, relax the muscles, and improve the elasticity of the connective tissues. Soaking your thumb in warm water for about 10-15 minutes several times a day can be effective. You might start to notice improvements in flexibility and a reduction in stiffness within a few days of consistent heat application.

3. Gentle Range of Motion Exercises: After soaking, it’s important to perform gentle range of motion exercises. Start with simple movements, such as bending and straightening your thumb, and gradually increase the range as tolerated. You can also try to touch the tip of your thumb to the tip of each finger, which can help improve mobility. Aim to do these exercises several times a day, but be cautious not to push through pain.

4. Gradual Progression: Recovery timelines can vary significantly from person to person. While some may notice improvements within a few days, others may take weeks to regain full mobility. It’s essential to listen to your body and not rush the process. If you experience increased pain or swelling, it may be a sign to ease off on the exercises.

5. Physical Therapy: If you find that stiffness persists despite your efforts at home, consider consulting a physical therapist. They can provide tailored exercises and treatments, such as ultrasound therapy or manual therapy, to help improve your range of motion and reduce stiffness.

6. Patience and Consistency: Recovery from surgery is often a marathon, not a sprint. Consistency in your rehabilitation efforts is key. Make sure to follow your doctor’s advice and keep up with any prescribed exercises or therapies.

7. Follow-Up Appointments: Regular follow-ups with your surgeon or healthcare provider are crucial. They can monitor your healing progress and make adjustments to your rehabilitation plan as needed. If you have concerns about your recovery or if stiffness worsens, don’t hesitate to reach out to them.

In conclusion, while it’s normal to experience stiffness after thumb joint surgery, employing heat therapy, gentle exercises, and possibly seeking physical therapy can significantly aid in your recovery. With patience and consistent effort, you should see improvements in your thumb’s mobility over time. Always keep an open line of communication with your healthcare provider to ensure you’re on the right track.

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