Physical Rehabilitation Medicine/Hand injury results in surgery

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Question
My dad had an injury in his hand from working out improperly with some gym equipment. For 3 days he ignored it then finally went into see a doctor. They ended up doing surgery and giving him alot of medicine to keep infection out.

So this was back in dec it's april and he feels his hand isn't recovering fast enough, he stopped doing the physiotherapy exercises they gave him because he was sick of them but I think that was stupid they were just hand exercises nothing hard. Now he says he is in pain again and went to see a specialist in hand medicine that can perform some surgery to remove scar tissue. Seriously though they cut from the bottom wrist to like middle of his lower arm doesn't that take longer than 3 months to really show improvement. He is nuts if you ask me thinking of another surgery so soon.

Answer
Well I'm not sure.  First of all immediate therapy after surgery is often indicated for certain injuries.  It sounds like the follow-up surgery is a tenolysis in which scar tissue is removed mainly from gliding tendons.  Usually this surgery is performed 3-6 months after the prior surgery.

It's difficult for me to tell from the info but it seems like a legit call.  If you are on the fence about it go to www.assh.org and find another board certified hand surgeon.  Get their opinion and then go with their recommendation.  Just make sure they are board certified...that could turn into a mess without the right person doing the surgery.

Good luck!

Physical Rehabilitation Medicine

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Brian Neville, OTR/L, CWCE

Expertise

I can answer questions about both conservative and post-operative rehabilitation for UPPER extremity injuries. These include but are not limited to: fractures, tendon repairs, tendon transfers, nerve repairs, lacerations, tenolysis procedures, TFCC injuries, repetitive motion disorders, reconstructive procedures. I have an advanced knowledge of UPPER extremity anatomy and industrial rehabilitation. I have extensive splinting skills for injuries to the upper extremity. Although not a physician or a surgeon I have worked closely with world renowned upper extremity specialists for over 10 years. I can give general information on what some of the most common upper extremity surgeries involve. I can reference those procedures as well. PLEASE DON'T ASK ME QUESTIONS ABOUT ANYTHING OTHER THAN THE NECK, SHOULDER, ARM/HAND. I'M NOT QUALIFIED AND KNOW ABSOLUTELY ZERO ABOUT BACKS/HIPS/KNEES/ANKLES/ETC. THANK YOU!!!

Experience

10+ years working closely with orthopedic and hand surgeons and their patients. I have treated patients with small lacerations to major reconstructive procedures. My knowledge base includes both conservative and post-operative rehab protocols and care for upper extremity injuries. I have treated patients all the way from day 1 post-op to return-to-work status.

Organizations
Kentucky Occupational Therapy Association American Society of Hand Therapy National Nurses in Business Association Roy Matheson and Associates

Publications
RSD article

Education/Credentials
Occupational Therapist former Certified Hand Therapist (license currently inactive) Deep Physical Agent Modalities Instructor Certified Work Capacity Evaluator

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