You may have your first visit with your therapist prior to surgery to allow for education on the postoperative plan and possible fabrication of your splint. Otherwise rehabilitation will likely occur between four and seven days after surgery.
The hand was broken down into a classification scheme based on the flexor tendon along five anatomic zones. Zone II occurs between the distal crease of the palm and the middle crease in the finger.
Depending on the type of equipment involved there are several things you need to pay attention to regarding safety features and protective gear that you should wear. If you do happen to have a finger amputation, the best course of action would be to apply pressure to the stump with […]
The most conservative treatment is a simple cortisone injection into the affected tendon. This anti-inflammatory can sometime provide enough to allow the tendon to release and remodel. If the cortisone injection does not work, surgical options are your next choice. There are two surgical options, an open A1 pulley release […]
There are two options for surgical repair of a trigger finger, open release and percutaneous release, both of which present with their own possible adverse effects. The research investigating effectiveness and complications associated with open A1 pulley release surgery treating trigger finger indicates success rates varying from a 60 per […]
There are other options for treatment of intrinsic contracture, but your surgeon probably has a good reason to be suggesting this course of action. The most conservative treatment is a trial of Physical Therapy. This would probably focus on specific stretches and possibly casting. This therapy may also help address […]
Lateral band mobilizations are performed when there is contracture of muscles that are inside the hand, the intrinsics, as well as other structures such as the joint itself or tendons coming from the forearm, the extrinsics. This means that if they released only the intrinsics there will still be contracture […]
A typical surgery to correct the contracture caused by Dupuytren Disease begins with an incision along the affected finger. The surgeon will use this incision to excise or remove the fibrous bands and nodules causing the contracture. In some cases, a ligament or tendon sheath release or palmar capsule release […]
There are several possible outcomes resulting from surgical correction of Dupuytren’s Disease. You can regain your extension mobility and maintain it for years to come or you could lose a small amount of your range in the first several months after which your contracture is stable and no longer progressing. […]
It seems you are describing mallet finger, a condition where the tendon that helps to straighten your fingertip ruptures. Typically treatment is only sought if it becomes an aesthetic issue or interferes with your ability to do something. In your Grandmother’s case it seems that she is not bothered by […]
Flexor tendon repair protocols tend to be very specific to the type of surgical repair and tendon rupture. Surgeons typically have an exact idea of what motions they want to restrict and when it is appropriate to advance. You might, however, ask your surgeon for a referral to a hand […]
You should seek help from a hand specialist. Depending on the time frame between the rupture, the extent and the location of the rupture there are several options. Conservative treatment could involve splitting however there are now decent results to be had with surgical correction.
Recent review of the literature suggests that you should go ahead and seek medical treatment. Even though it has been awhile since your injury you are still within the successful treatment time-frame. Your physician will more than likely refer you to a physical therapist or hand specialist to splint your […]
Antibiotics are given prophylactically to prevent infection in almost all cases of what is referred to as acute fight bite. The only two exceptions are: 1) patients with minimal superficial wounds (skin is not broken) and 2) those individuals who come for care 72 hours or more after the injury […]
Acute fight bites that result in broken skin from contact with someone else’s tooth/teeth have a high potential for infection and more dire consequences. It is advised that he get medical evaluation and treatment as soon as possible. Even a small skin opening from such an injury can allow bacteria […]
There are several things you may need to know about smoking and carpal tunnel syndrome. Of course, even without the carpal tunnel, the long-term consequences of tobacco use are well documented and potentially serious. In the interest of your overall health and well-being, it is always advised to stop smoking. […]
There is sufficient evidence now to show that positive nerve conduction (electrophysiologic) tests are a reliable diagnostic tool for CTS. It is recommended that treatment should not be determined until a clear and accurate diagnosis has been made. If you have, indeed, been clearly diagnosed with carpal tunnel syndrome (based […]
Symptoms after carpal tunnel surgery must be evaluated carefully to determine whether this is a case of persisting symptoms (they never went away with the surgery), recurrent symptoms (the symptoms went away but came back later), or new symptoms (a different problem). Treatment will be planned according to the findings. […]
As in your experience, pain is not a key symptom in primary (first) episodes of carpal tunnel syndrome. Instead, numbness seems to be more common after the surgery is performed. The presence of scar tissue around the median nerve and nearby soft tissue structures after surgery may explain the new […]
There is plenty of research evidence to support the benefits of surgery to release the soft tissues around the affected (median) nerve in the general adult population. But no one has really studied the results of surgical release in the older adult group. The procedure can be done in one […]