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After Tendon Repair Surgery: Immobilization and Physical Therapy
Summary
You've just had tendon repair surgery to reattach torn tissue in your body. It's important to follow specific post-care instructions to ensure proper healing. Expect to wear a splint or cast for about 3-4 weeks as your tendon begins to recover. During this time, you may experience some pain and weakness, which is normal.
What Is This & Why It Matters
Tendon repair surgery is a procedure where a surgeon reattaches torn tissue in your body. After the operation, your body needs time to heal properly. This involves keeping your tendon immobilized in a splint or cast for 3-4 weeks. Immobilization helps protect the repaired area and prevents any strain that could disrupt the healing process. Starting from the second week, you'll begin passive range-of-motion therapy to maintain flexibility.
What You Should Do
- Wear your splint or cast at all times unless instructed otherwise by your doctor.
- Keep your arm elevated to reduce swelling and discomfort.
- Take acetaminophen (650-1000 mg) every 8 hours if you're experiencing pain, as recommended by the American Society for Surgery of the Hand (ASSH) 2023 guidelines.
- Attend all follow-up appointments with your orthopedic surgeon.
- Start passive range-of-motion exercises in week two, as advised by your therapist.
- Rest and avoid strenuous activities that might strain the tendon.
- Maintain a healthy diet to support healing and recovery.
- Contact a physical therapist to guide you through post-surgical exercises.
What You Should NOT Do
- Do not remove your splint or cast unless directed by a healthcare professional.
- Avoid using the affected limb for lifting heavy objects.
- Refrain from engaging in activities that could potentially injure the repaired tendon.
- Don't ignore severe pain or swelling that worsens over time.
- Avoid skipping prescribed medication doses without consulting your doctor.
Symptoms: Normal vs Warning Signs
Normal (Don't Worry)
- Mild swelling around the surgical site.
- A feeling of stiffness when trying to move the limb slightly.
- Some bruising or discoloration near the operated area.
- Slight tingling or numbness, which should decrease over time.
Call Your Doctor If...
- Increasingly severe pain that doesn't improve with medication.
- Swelling that suddenly gets worse instead of better.
- Redness spreading around the incision site.
- Fever above 100.4°F (38°C), indicating possible infection.
- Pus or unusual discharge from the surgical area.
- Loss of feeling or movement in fingers or toes.
FAQ
When can I start moving my limb again?
You can begin passive range-of-motion exercises in week two under guidance.
How long do I need to wear the splint or cast?
Typically, you'll need it for 3-4 weeks, but follow your doctor's advice.
What kind of pain relief can I use?
Acetaminophen (650-1000 mg every 8 hours) is recommended for managing pain.
Can I shower with my splint on?
It's best to cover it with a waterproof cover or ask your doctor for specific instructions.
Is it normal for my hand to feel numb?
Some numbness is expected initially but should gradually improve. If it doesn't, contact your doctor.
How soon should I see improvements?
Recovery varies, but you should notice gradual improvement within a few weeks.