Stiffness After Surgery |
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03/15/2005 23:47
Stevenot registered
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03/15/2005 23:47
Stevenot registered
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Stiffness After Surgery
I had extensive surgery for Dupuytren's 5 weeks ago. I am now in therapy. Would anyone who has had the surgery please tell me how to relieve the stiffness. I have also had some swelling. Thank you.
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03/15/2005 23:09
Randy H. not registered
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03/15/2005 23:09
Randy H. not registered
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Hand surgery
Steve,
That's fairly normal.
The best thing I found was prescription strength IBUPROFEN. All that means is 800-1000 mg dose which you can simply take without a prescription. The downside with any antiinflammatory drug is liver damage with long term use. Hopefully your hand will mend soon so you will not need to take anything.
Also, as with the heat the PT uses before therapy, my doc suggested warm water in a bowl at home *before* you do your exercises. Not more than 10 minutes. Actually, you can start the exercises with your hand in the water. Good luck.
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03/20/2005 23:33
Mikenot registered
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03/20/2005 23:33
Mikenot registered
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Hand surgery
Had surgery on 2/2.
Dups removed from palm and 3 fingers. I am stiff and swollen. Stiffness is worse in morning. My PIP joints are particularly stiff; My DIP joints feel pretty good.
Contracture is a little better and I can close my hand more; but still can't make a fist. I am already in OT.
Any thoughts from Dups alum. Tks
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03/20/2005 23:57
Sean
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03/20/2005 23:57
Sean
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Hand surgery
Mike, Do you have a night-time splint? Are you keeping hand moist 24/7? Get into the habit of flexing hand all day. Also what really works, and has been mentioned by many, is to use an ace bandage or elastic bandage to wrap around fist for 10 minutes at a time. This gently forces fingers to a fist like position. It was the sigle thing I did to combat stiffness. Each day I could feel progress. It wasn't long until I could make a fist easily. Now fingers and hand are like they were before DD.
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03/20/2005 23:58
Randy H. not registered
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03/20/2005 23:58
Randy H. not registered
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Wrapping the Hand
Sean is quite right. Personally I've switch to 1" coban. You can order it one line. You can easily wrap it as tight or loose as you want. I was told that the length of time, rather than the tightness is most important. Also, the warm water treatment to get flexibility *before* you stretch fingers into position is helpful. Maintaining full range of motion as soon as you can, and then holding it there, can't be overstated. Go for it.
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03/20/2005 23:33
No Namenot registered
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03/20/2005 23:33
No Namenot registered
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Wrapping the Hand
Wrapping my hand was also the best thing I did. I do it about 4 or 5 times a day for 20 minutes. I think this helped more than the silly putty.
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03/20/2005 23:16
Stevenot registered
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03/20/2005 23:16
Stevenot registered
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Hand wrapping
I had Dup surgery 6 weeks ago. I am doing much better. I thank all who gave me replies concerning my stiffness. Please tell me how to wrap my hand. Do I bend them as far as I can and then wrap it in that position? Thanks for all your replies. They have been a support for me.
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03/20/2005 23:37
Sean
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03/20/2005 23:37
Sean
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Hand surgery
I used the 1" coban also. It is an elastic wrap that can be used over and over. If I remember correctly, I would cut a piece about 9" long and then wrap it around my fist. It will stick together where it overlaps so would be like a 1" wide rubber band. This would hold my fist tight. As the swelling goes down and the flexibility gets better you would make it smaller/tighter. I would put this on my fingers as often as I would think about it (for about a 10 minutes). I would carry it with me during the day an slip it on occasionally. The more often, the better. You want to place it so that it puts pressure on the affected fingers. The purpose is to break down any scar tissue. Hope this makes sense, it really worked for me.
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