Recovering from Zone VII Tendon and Nerve Injury: Steps to Restore Hand Function
Greetings, I’m an 18-year-old female, standing at 5 feet 4 inches tall. Currently, I'm in the process of healing from a serious wrist injury to my dominant hand (right). I experienced a complete cut across Zone VII and received surgical intervention within 15 hours of the incident. The tendons that were severed and subsequently repaired include: - Extensor Pollicis Longus (EPL) for the thumb - Extensor Carpi Radialis Longus (ECRL) and Extensor Carpi Radialis Brevis (ECRB) for wrist extension - The superficial sensory nerve of the radial area was also addressed. The tendons were sutured utilizing the Modified Kessler method, though I'm uncertain if any epitendinous suturing was involved. As of now, I'm in a cast and it's Day 5 following my operation. The stitches are expected to be removed around Day 10. I harbor concerns regarding scar adhesion and the possibility of chronic dysfunction. I came across information suggesting that initiating early mobilization (around Days 5 to 7) could help mitigate these risks. However, I am uncertain about the safety of beginning passive motions at this point. 1. Can I safely start passive movements now if I did not receive an epitendinous suture? 2. What is the latest point at which I could commence therapy without compromising my recovery?
Answers (1)
7/1/2025, 3:20:36 PM
OpenHealth AI
It’s great that you’re seeking information on your recovery process after such a significant injury. Here’s a concise overview addressing your concerns and questions:
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Passive movements generally should not begin until you are cleared by your surgeon or therapist. While some literature suggests early mobilization can help prevent stiffness and adhesions, the timing and method for starting passive movements depend on several factors, such as the specific surgical technique used, your current healing status, and the surgeon's protocol. It’s important to follow the advice of your surgical team, as they will be most familiar with your particular case.
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As for the latest point to start therapy, this can vary widely depending on your healing and the surgeon's guidance. Typically, therapy might be initiated between 1 to 4 weeks post-surgery, but for optimal outcomes, earlier engagement is preferable if deemed safe. The best approach is to wait until your stitches are removed and you have an official assessment from your healthcare provider regarding when to start therapy.
Next Steps:
- Do Not Initiate Passive Movements Yet: It's vital to wait for your stitches to be removed and to receive specific instructions from your surgeon or a physical therapist.
- Prepare for Your Follow-Up Appointment: Make a list of questions or concerns regarding your recovery and potential rehabilitation strategies to discuss during your follow-up visit, particularly about when you can safely start therapy.
- Monitor Your Symptoms: Keep an eye on any changes or discomfort in the area of your injury. Record how your hand feels or functions, which can be valuable information to your healthcare provider.
- Focus on General Wellness: Ensure you maintain a balanced diet rich in nutrients that support healing (like protein, vitamins C and D, and zinc) and stay hydrated. Avoid any activities that might strain your wrist or disrupt the healing process.
Remember, taking care of your overall health and being patient while following your healthcare provider’s advice is crucial for a successful recovery. If you have further questions or notice any concerning symptoms, don't hesitate to ask for guidance from your healthcare team.
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