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Old 07-30-2013, 11:42 AM   #1
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Question therapy post op ulna shortening???? No?

Hello,
Went for my 3rd f/up post ulna shortening, fixing the TFCC tear and lunate. I graduated now to a splint(almost like the cockup splint) from a Munster splint and I am to do therapy at home on my own. Mr Dr. Asst went over the Xrays and then I asked her about going to a "hand only" therapist to start getting my area in the wrist, I cannot rotate my hand so my palms will be faced up. It is like it is in neutral position. I asked the Dr. also when he came into the room about going to therapy and he said that "sometimes a therapist has a goal and not always for the good of the patient and that they have had better results of recovery through doing on your own. My friend that lives in Hawaii that invented the Wrist Widget said maybe he had a bad experience with a therapist. These are Tom 10 Hand specialist in the Pittsbugh area and his partner works on the Steelers so I trust their Dr. recommendations but find it odd that most everyone on this board had therapy after the cast came off.
I am to return to work in 2 weeks( being off for 2 mo) and I do not see me accomplishing that. I am a data entry worker and need to meet stats every hr. Is this a realistic thing.

What are your therapies that worked. How long was people off before doing a job like mine- posting medical payments....


Thanks
Mary Lou

 
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Old 07-30-2013, 09:00 PM   #2
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Re: therapy post op ulna shortening???? No?

I used the Wrist Widget for months before deciding on surgery. It was one of my favorite splints.

I had hand therapy after my cast came off. I was going 2 times a week. They wanted three, but I couldn't afford that with the $40 co-pays. A lot of the early therapy involved use of ultrasound, lots of massaging and passive movement stuff, iontophoresis and of course the heat and ice. I didn't start doing too many exercises for a while.

Evidently it is common for it to take a while to get the supination to come back. It was the last thing that returned for me.

I'm at the computer frequently, but not full-time at my job. I was using the keyboard and typing as soon as I got my fiberglass cast on. (My shoulder didn't like this much though since I had my arm at an odd angle when I did this.) I will say that my pronation came back much earlier so things like typing would be easier. Cupping water in my hand was out of the question. I got a wireless mouse that I could use left-handed (surgery on my right) and I used it for quite a while when I was healing just to help keep inflammation down.

I didn't regain my full supination even after months of therapy. I still had some tfcc area pain. I ended up finding out my plate had come loose which impacted both the pain and the ability to regain the ROM. After my plate removal surgery, which was done at the same time as arthroscopic work on my tfcc area. I went to a different hand therapist who again did lots of massage and passive work. He had me doing a lot of other exercises though. I could tell I was more ready for it then.

If you do seek out a hand therapist, I recommend looking for a "Certified Hand Therapist". Others may have good training, but the certified therapists have to prove they have a high level of competency.

I don't have Tom 10's here so I can't speak to that.

I'm about 1 1/2 years out and have full use back of my wrist. I will say I was pretty hypermobile before the surgery and I don't have that full movement back, but I'm still more mobile than 'normal' and they really didn't want me as flexible as I used to be. That was part of what got me in trouble in the first place.

Good luck regaining your ROM.
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Old 08-31-2013, 07:29 AM   #3
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Re: therapy post op ulna shortening???? No?

Quote:
Originally Posted by hawaiibluewater View Post
Hello,
Went for my 3rd f/up post ulna shortening, fixing the TFCC tear and lunate. I graduated now to a splint(almost like the cockup splint) from a Munster splint and I am to do therapy at home on my own. Mr Dr. Asst went over the Xrays and then I asked her about going to a "hand only" therapist to start getting my area in the wrist, I cannot rotate my hand so my palms will be faced up. It is like it is in neutral position. I asked the Dr. also when he came into the room about going to therapy and he said that "sometimes a therapist has a goal and not always for the good of the patient and that they have had better results of recovery through doing on your own. My friend that lives in Hawaii that invented the Wrist Widget said maybe he had a bad experience with a therapist. These are Tom 10 Hand specialist in the Pittsbugh area and his partner works on the Steelers so I trust their Dr. recommendations but find it odd that most everyone on this board had therapy after the cast came off.
I am to return to work in 2 weeks( being off for 2 mo) and I do not see me accomplishing that. I am a data entry worker and need to meet stats every hr. Is this a realistic thing.

What are your therapies that worked. How long was people off before doing a job like mine- posting medical payments....


Thanks
Mary Lou



Hey Mary Lou
I just recently had similar surgery. They shaved my ulnar bone down. My surgery was July 23 and I have been off work now for it will be six weeks on Tuesday and I'm scheduled to go back on 10 September which will be a total of seven weeks. I have started physical therapy with a hand therapist, for 2 weeks now and still can't turn my hand palm up and I am not going to be un able to do my job unless I have ROM and strength of my hand. I'm very curious no know how you are doing now. I'm so nervous i think i over did it, because my hand is hurting kind of constant for the last day now. I truly would love to know how you are progressing.

Thank you
Mydeedee

 
Old 08-31-2013, 08:53 PM   #4
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Cool Re: therapy post op ulna shortening???? No?

Hello Maydee,
I just went back to work 3 days per week on my 8th week and return to full time on Sept 2. I just started therapy on my 8th week and I am only at 15 flexion, which is way bad. My extension is now at 55. I was at 45 2 weeks ago so it is improving but it is a long haul. I can turn palm up only have way and still cannot cup water in my hand. I am at therapy about 2 hours and suppose to do the exercises 3 tx a day which I have never done more than 1x a day especially after working. I do data entry all day posating medical payments and wear a brace and have no problems since I use mostly my fingers and no turning of the wrists. My therapist says it is going to take at least another month to get that ROM and that is doing the exercises every day and therapy at least 2x a week. It is a long haul but I do see a baby step improvement in the last 2 weeks in my numbers. Just be prepared that it takes time a lot of time which no one really tells you in the beginning. I thought after surgery 6 weeks I will be able to do it all again and that is not true. Just be patient and good luck.

 
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