Physical Therapy Nest

Diagnosis of a flexor contracture usually includes:

• Medical history review (prior injuries, surgeries, or underlying conditions).

• Physical exam checking finger flexibility, scar tissue, and tendon glide.

• Range of motion testing to measure contracture severity.

• Imaging (X-rays or ultrasound) may be used to assess bone, tendon, or joint involvement.

Physical therapy is a critical part of managing flexor contractures, either as primary treatment or after surgical release. Therapy may include:

• Manual therapy to stretch and mobilize tight tendons and soft tissue

• Splinting (static or dynamic) to gradually restore finger extension

• Range of motion exercises to improve flexibility and tendon glide

• Strengthening exercises for grip and hand coordination

• Scar management (massage, silicone pads, or mobilization) to prevent further tightening

• Modalities such as heat, ultrasound, or electrical stimulation for pain and stiffness relief

• Patient education on hand exercises to maintain progress outside of therapy
  In severe cases, surgical tendon release may be necessary, with PT playing a key role in recovery.

Signs and symptoms of flexor contracture may include:

• Inability to fully straighten one or more fingers

• Tightness or stiffness in the palm or finger tendons

• Nodules or scar tissue in the palm (common with Dupuytren’s contracture)

• Hand weakness and reduced grip control

• Pain or discomfort when stretching fingers

• Functional limitations with grasping, releasing, or fine motor tasks

To reduce the risk of developing or worsening a flexor contracture:

• Perform regular hand stretches and mobility exercises

• Follow post-surgery or post-injury rehab protocols closely

• Manage scar tissue early with therapy and massage

• Use splints or braces as directed by a therapist or physician

• Avoid prolonged immobilization when possible

• Address early stiffness or tightness promptly with therapy