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Physical Rehabilitation Medicine/very sore fingers after a wrist fracture

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Question
I too have VERY sore fingers after my wrist fracture. I cannot straighten them out without severe pain. What can cause this?

Answer
Likely this is extrinsic flexor tendon tightness.  You are also probably developing PIP joint contractures which are very difficult to correct without a very skilled hand therapist.  I would recommend you see a certified hand therapist ASAP, with your doctors permission of course.  You can find one at www.asht.org.  You will also find a board certified hand surgeon at www.assh.org, should you want to get a second opinion.  I'm not suggesting you change MD's, just offering this up.  After surgery, therapy is more important and it is critical you find the right person.  I'd guess you need treatment 3x/week for a month minimum.  

Seek treatment and good luck.

Brian  

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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