Physical Therapy Nest

Rehabilitation begins with a thorough evaluation of the surgical site and overall hand function:

• Medical history and surgical details (type of procedure, restrictions from surgeon).

• Physical exam assessing range of motion, swelling, and scar tissue.

• Strength and coordination testing to guide therapy goals.

• Functional assessments (grip, pinch, and fine motor skills).

Physical therapy after hand surgery focuses on safe, gradual progression to restore mobility and function. Treatment may include:

• Manual therapy to reduce stiffness and mobilize scar tissue

• Range of motion exercises (passive and active) for fingers, wrist, and hand

• Strengthening exercises for grip, pinch, and forearm support

• Edema management (compression wraps, massage, elevation)

• Scar management to prevent adhesions and stiffness

• Fine motor training for dexterity and daily tasks

• Pain relief techniques including heat, ice, or electrical stimulation

• Patient education on home exercise programs, activity pacing, and protection of the surgical site
  Every program is customized to match the patient’s surgery type and recovery timeline.

Patients may experience:

• Stiffness and limited range of motion in fingers, wrist, or hand

• Swelling or lingering edema around the surgical site

• Weakness in grip and pinch strength

• Pain during movement or daily activities

• Numbness or tingling (depending on surgery type)

• Difficulty with fine motor tasks like buttoning clothes, typing, or writing

To ensure a smooth recovery after surgery:

• Follow your surgeon’s post-op guidelines closely

• Avoid overusing the surgical hand too early

• Perform prescribed home exercises consistently

• Keep swelling under control with rest, ice, and elevation

• Use proper splints or supports as recommended

• Communicate any new pain, numbness, or stiffness to your therapist or physician