Restoring Wrist and Finger Movement After Tenolysis
What is Tenolysis?
Tenolysis is a surgical procedure performed on the fingers or wrist to address issues caused by scar tissue formation after a crush injury or surgical repair of a ruptured tendon.
The scar tissue binds to the tendon or sheath, interfering with the tendon’s normal sliding movement.
– Why might you need tenolysis?
When tendons do not slide smoothly due to scar tissue, individuals experience limited active Range of Motion (ROM) and reduced precision in fine finger movements.
Although the affected finger may be moved with assistance (passive ROM), active ROM is typically restricted.
Tenolysis helps:
- Restore Normal Tendon Movement: Scar tissue can prevent the tendon from sliding smoothly within its sheath, which is essential for normal hand function.
- Improve Range of Motion: Limited active range of motion due to adhesions can be addressed through tenolysis, helping restore the ability to perform fine motor tasks.
- Enhance Functionality: By removing the scar tissue, tenolysis helps in regaining the precision needed for everyday activities and reducing functional impairment.
Importance of Smooth Tendon Gliding
Restoring smooth tendon gliding is crucial for:
- Precision in Finger Movements: Essential for fine motor skills.
- Functional Activities: Enables the performance of everyday tasks.
Ultimately, tenolysis aims to restore smooth tendon gliding and improve overall hand function, enabling individuals to return to their normal activities with greater ease and less discomfort.
– What happens during tenolysis?
During tenolysis, a surgeon removes scar tissue (adhesion) that prevents the tendon from gliding smoothly within its sheath.
This procedure aims to restore the tendon’s natural movement.
Post-Surgery Rehabilitation
Initial Postoperative Care
Right after your tenolysis surgery, we’ll start with gentle active and passive range of motion (ROM) exercises the very next day.
This early start is crucial because it helps in focusing on restoring the tendon’s gliding motion.
Even though it might seem like a small step, these exercises play a big role in preventing stiffness and ensuring that the tendon begins to slide smoothly again.
Long-Term Rehabilitation
– Progressive Exercises:
As you move forward in your recovery, the exercises will evolve.
Initially, the focus will be on regaining the gliding motion of the tendon, but as your recovery progresses, we’ll introduce strengthening exercises.
This gradual approach helps in building up the strength needed for full functionality without overwhelming the healing tendon.
– Duration:
Your journey doesn’t end quickly. Physical therapy, combined with a home exercise program, is often required for 12 weeks or more.
This extended period allows us to monitor your progress closely and make adjustments to your exercises as needed. It’s a collaborative process to ensure the best outcomes.
Goals of Rehabilitation
The main goals of your rehabilitation process are to:
- Control Postoperative Swelling: Managing swelling is crucial for reducing discomfort and improving mobility.
- Improve Gliding Motion: We aim to make sure the tendon moves smoothly within its sheath. This smooth gliding is essential for the proper function of your hand and wrist.
- Strengthen the Affected Finger: Strengthening exercises are introduced to build up the strength in the affected finger, helping it perform daily tasks more effectively.
- Restore Active ROM: Our goal is to help you regain active range of motion, which is vital for getting back to your normal activities and enjoying a full range of hand functions.
Did you know you have Direct Access* to Physical Therapy? No referral, no problem!
Collaboration and Support
If you’re considering tenolysis surgery, we’ll work closely with your surgeon to create a customized rehabilitation program just for you.
This tailored plan is designed to restore and strengthen your tendons, reduce pain, and keep your joints flexible and strong.
Our joint effort ensures that you receive comprehensive care and support throughout your recovery process.
Ready to Get Started?
Recovering from tenolysis can be a journey, but with the right support and a dedicated rehabilitation plan, you can regain your hand’s full function and return to your daily activities with confidence.
If you’re considering tenolysis or have questions about your recovery, don’t hesitate to reach out.
Let’s work together to help you get back to doing what you love with less pain and more mobility. Contact us today to start your personalized rehabilitation journey!
The Jackson Clinics serves 18 locations throughout Northern Virginia.
Find one near you: https://thejacksonclinics.com/locations/