How to exercise after tendon adhesion surgery?

Tendon adhesion refers to a disease caused by adhesion of the tendon to nearby tissues after surgery or after tendon repair. If the patient's condition is mild, the sliding of the tendon is obstructed. If the condition is severe, even surgical treatment will not be very effective. The treatment of tendon adhesions is usually divided into two methods: conservative treatment and surgical treatment. For patients whose conditions are not very serious, exercise can alleviate the condition. Patients with serious conditions also need exercise after surgery to speed up recovery. This article will briefly introduce the postoperative exercise methods and precautions for tendon adhesion.

1. Early exercise after surgery

Passively flex and actively extend the finger 10 times in the plaster splint, and move the injured finger together with the healthy finger of the same hand or both hands together. Depending on the patient's wound bleeding and pain, repeat the above activities every 3 to 4 hours, at least 4 times a day.

2. Exercise 1 week after surgery

It is the key to determine whether the tendon is adhered. At this time, the pain and swelling of the affected finger are more serious. The nurse should patiently guide the patient's activity method and strength to prevent the patient from blindly increasing the range of motion due to the eagerness to treat the heart, which may lead to tendon rupture or other complications. Methods: The nurse supervised the patient to passively flex and actively extend the finger in the plaster splint 15 times, and move the injured finger together with the healthy finger of the same hand or both hands together. The above activities were repeated every 2 to 4 hours, at least 5 times a day.

3. Mid-term exercise after surgery

Instruct the patient to passively flex and actively extend the fingers 25 times in the plaster splint, help the patient remove the plaster splint, actively extend and actively flex the wrist 10 times, repeat every 2 to 4 hours, flex the fingers so that the fingertips are 2 cm away from the palm when extending the wrist, and maintain for 5 to 10 seconds. During this stage, the pain and swelling of the affected finger gradually subside. Nurses should encourage patients to use their healthy hands to assist in active and passive activities, and supervise and check.

4. Postoperative exercise

Instruct the patient to passively flex and actively extend the fingers 30 times in the plaster splint, then remove the plaster splint, actively extend and flex the wrist 20 times, and repeat every 2 to 4 hours. The position of the flexed fingers maintained when the wrist is extended is based on the distance from the fingertips to the palm increasing by 1 mm every day.

5. Postoperative Exercise

Completely remove the plaster support protection and conduct gradual resistance training to enhance muscle strength and endurance, such as using the affected fingers to practice daily life movements such as putting on and taking off clothes, shoes and socks, eating, buttoning, typing, tying and untying knots, playing the piano, etc. At the same time, use elastic tools such as squeezing balls and picking rubber band nets for training, and then gradually increase resistance activities to prepare for returning to society and returning to work.