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Swelling after Surgery
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03/09/2010 21:32
leonas 
03/09/2010 21:32
leonas 
Swelling after Surgery

Hello,

I am a 51 year old Type 1 diabetic whose had diabetes for 41 years. Other than having dupuytren's I am quite healthy considering how long I've been a diabetic.

I had a palmar fasciectomy to correct the dupuytren's in my left hand on Jan 14/10. On Feb 2 I had a splint made and was given numerous exercises to do. I was told to wear the splint for 6 weeks at night only and to do physio 6 x/day for at least 6 weeks or more. I'm also doing deep massage. I went to my family Dr. yesterday and she was happy with the progress I'm making even though I can't make a fist yet.

The biggest problem I've encountered is swelling! Is it common to still have swelling after this length of time (almost 2 months since surgery)? What should I be doing to combat the swelling? Is this normal or am I just being too impatient?

Thanks in advance for your help,

LeonaS

03/10/2010 02:03
callie 
03/10/2010 02:03
callie 
Re: Swelling after Surgery

Everyone recovers at different rates. Swelling is not unusual as long as your Dr. feels that there is no infection involved. Wrapping your hand with a flexible ace bandage for ten minutes at a time is what works for making a fist. Do it 5-10 times a day. Flex your hand open and shut several times afterwards.

03/10/2010 03:52
leonas 
03/10/2010 03:52
leonas 
Re: Swelling after Surgery

Hi Callie,

Is a flexible Ace bandage the same as a tensor bandage? Is the idea to force my hand into a fist by wrapping the bandage tightly around it?

LeonaS

03/10/2010 07:45
wach 

Administrator

03/10/2010 07:45
wach 

Administrator

Re: Swelling after Surgery

After my surgery it took 6 months until the swelling was completely gone. It took at least 2 months until I was able to make a fist again. As callie wrote, everyone is different. As long as you have no infection and the swelling gets better you ware OK. If the swelling does not get better afetr one month you need to consult with your docotor. Extensive and long time swelling might indicate a problem.

Wolfgang

Quote:



Hello,

I am a 51 year old Type 1 diabetic whose had diabetes for 41 years. Other than having dupuytren's I am quite healthy considering how long I've been a diabetic.
...
The biggest problem I've encountered is swelling! Is it common to still have swelling after this length of time (almost 2 months since surgery)? What should I be doing to combat the swelling? Is this normal or am I just being too impatient?

Thanks in advance for your help,

LeonaS


03/10/2010 16:31
callie 
03/10/2010 16:31
callie 
Re: Swelling after Surgery

leonas,

I am specifically referring to a 3M Coban Self adherent wrap. I used the 1 inch wide. You make a wrap around as tight of a fist as you can make. Then use about 10 inches of the wrap and wrap your fist so that it puts just a little more pressure on the fist than you can make yourself. Do this several times during the day for about 5-10 minutes. Then flex hand straight a few times. It really made a difference for me. My hand is completely fine eight years after my surgery and zero signs of Dupuytren's.

This is the product description it comes in latex, or latex free if you have a problem with latex.

A self-adherent elastic wrap that functions like a tape, but sticks only to itself. Available in sterile and nonsterile styles, and in a variety of widths and colors to meet your application needs.


Coban self-adherent wrap is a laminate of nonwoven material and elastic fibers placed lengthwise to provide elasticity. The elastic wrap contains a cohesive material that makes it stick to itself but not to other materials or skin.

03/10/2010 19:13
jimh 
03/10/2010 19:13
jimh 
Re: Swelling after Surgery

I've been through this twice, and yes, the swelling persists for months. The physical therapy people told me to wrap the swollen fingers in Coban for a good part of the day, and that helped a lot. Ask your PT about it, I don't know if it's appropriate in all cases.

Edited 03/10/10 21:14

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