NA this June 9th. What to expect and dos and don'ts |
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06/05/2025 18:05
Katbel
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06/05/2025 18:05
Katbel

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NA this June 9th. What to expect and dos and don'ts
I will have a Needle Aponeurotomy this coming Monday done at my right ring finger. For how long I will not be able to use my right hand (predominant)? Will I be able to wash it?
I searched this forum but could not find the specific and I would like to know it before Monday If someone had it recently and remember the first week and everything is useful to know. Should I teach my husband to wash/dry my hair? Scary 🫣
Thanks in advance!
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06/05/2025 19:50
Katbel
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06/05/2025 19:50
Katbel

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Re: NA this June 9th. What to expect and dos and don'ts
Thank you a lot! As usual 🥰 you are always amazing to help I will come back when I’ll be able to write my story, if of any help for others Hopefully with a positive outcome🙂
All the best Katbel
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06/06/2025 14:52
mikes
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06/06/2025 14:52
mikes
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Re: NA this June 9th. What to expect and dos and don'ts
I had it done on a Friday in a city to which I had to fly. The multiple numbing injections were very painful. During the actual procedure, I didn't feel a thing. Immediately afterwards there was no pain. Heavily bandaged. Took taxi to the airport and flew home (1.5 hour flight). Told to keep the finger raised as much as possible for the first 24-48 hours. No significant pain.
Did nothing over the weekend. Returned to work Monday. Used my non-dominant hand (procedure on dominant hand) to keyboard for a few days; perhaps a bit longer. As instructed, followed up with a hand therapist 2-3x/week for about 10 weeks and various layers of splinting (all day at first, then only at night) as instructed.
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06/06/2025 15:55
Katbel
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06/06/2025 15:55
Katbel

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Re: NA this June 9th. What to expect and dos and don'ts
Thank you Mike for your report!
🥰
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06/13/2025 17:55
Katbel
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06/13/2025 17:55
Katbel

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Re: NA this June 9th. What to expect and dos and don'ts
Update
I had the NA done on the 9th. Mike: you were so right! The injections with steroid and anaesthetic were so painful. I couldn’t believe it. I had a very long, waiting time sitting only on a chair for four hours with air conditioning that made my neck and my shoulder hurt, all of that aggravated by the surgery itself because I must have contracted the muscles during it because of the pain. Now I don’t have too much pain in the hand, but I cannot sleep because of a tension headache coming from neck and shoulders And there is nothing I can take that can make me feel better. Only some Voltaren cream is helping a little but for a very short time. My ring finger is straight now, 99% but it is pretty sore because there is a big bruise that goes to my little finger as well. I cannot make a full fist yet. The hand surgeon made four injections and three cuts on the cord. Two cuts still need to fully heal. On the first appointment the surgeon told me that with NA I would’ve been good to go and the DD would not return. Immediately after the surgery, when I saw the finger straight I asked if the cord could grow back again and he answered me : of course it could and then you can do the NA again 😣 He told me to keep my hand as flat as possible because the finger after being in a wrong position for so long needs to learn to stay back as normal , but that I didn’t need a splint. As soon as I’m fully healed I’m going to get one that I will keep at night. No way I’m going to do the NA again 🤞 That’s it for now.
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06/14/2025 09:47
spanishbuddha  Administrator
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06/14/2025 09:47
spanishbuddha  Administrator
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Re: NA this June 9th. What to expect and dos and don'ts
Thanks for sharing your experience Katbel. So sorry your experience was not great, exacerbated by the aircon.
After NA or Xiaflex the cords can reconnect, or new ones develop. At that point if you're not keen on repeating the experience find another NA doc or look into RT options near you. Sadly even RT is not a (guaranteed) cure but the majority have some success for years, myself included.
Here's hoping you have a good outcome for a long time.
SB
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10 hours ago
mikes
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10 hours ago
mikes
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Re: NA this June 9th. What to expect and dos and don'ts
Katbel,
Reports indicate that people have widely different experiences with NA (as well as with other techniques like Xiaflex injections or radiation), probably as a result of multiple factors. I would rather not have to do NA again if possible but would certainly not rule it out. The injections - it felt like I had as many as 10 - were by far and away the (unexpectedly) worst part of the process. The cord breaking itself was pain-free. Afterwards, there were some inconveniences like trying to keep the bandaged hand elevated for the first 24 (or maybe it was 48) hours, a section of broken skin that took about 6 months to heal fully, various levels of splints (day and night at first for some # of weeks; night only for 2-3 years), and hand therapy sessions 2-3x/week for some 10 weeks. But in retrospect it was worth it. That particular finger went from 90 degrees to 20 after the procedure, and then continued to straighten on its own over time. The lucky part is that so far the finger has remained straight after many years. Some other fingers are not that great but have not yet deteriorated to the point that I'm willing to seek treatment. Best of luck.
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10 hours ago
Katbel
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10 hours ago
Katbel

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Re: NA this June 9th. What to expect and dos and don'ts
Mike: I have the 1st cut that is taking sometime to heal, broken skin looks like a smiley face…maybe the 2nd is going to heal faster as the 3rd. Sorry you had such a long recovery SpanishBuddha: I already received a call from the radiologist who gave me an appointment in 10 days. Very efficient I’m going to see what she’s going to tell me. About the surgery. I’m thinking that probably the surgeon didn’t wait long enough for the anaesthetic to kick in and this is why I had so much pain. The ward was going to close half an hour later and they still had one more patient after me. It was late and they were tired, but maybe I’m thinking too much.
Thank you both for your support!
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