Hi Doctor, i am 41 years ( F). ..i have right shoulder adhesive capsulitis from May 2023. Till now it has not improved significantly, despite of continuous physiotheraphy..plus last 2 months i have started sidha treatments also. Now i stopped physio and started similar thokkanam treatment using herbal oils....pain has reduced but hand is still having the limitation..cant lift up to 90 deg. How long this will take to recover ?

Ans: Hello Ravinder,
What did your MRI and x-ray show? What was the operation done exactly for?

Ans: Sleeping to one side with arms kept under the pillow might have compressed certain nerves. Your pain in the right hand could, have been due to this and not due to cold and fever. The nerve which got compressed recovers by itself unless otherwise you have Vit B12 deficiency in which case it may take a little longer time.

Ans: Thank you for your query regarding physiotherapy following your surgery for Flexor Tenosynovitis of the thumb. It is possible for the index finger adjacent to the affected thumb to become sore during physiotherapy. This soreness can occur due to increased use or compensation during exercises aimed at improving thumb mobility. The muscles and tendons of the hand are interconnected, and stress on one area can affect adjacent areas. Ensure that your physiotherapist is aware of the soreness in your index finger so they can adjust your exercises or provide specific techniques to alleviate the soreness.

The time it takes to regain full movement in the thumb can vary based on the severity of the initial condition, the extent of the surgery, and individual healing rates. Generally, it may take several weeks to months. Stiffness is common in the early stages of recovery, but continued physiotherapy, including range-of-motion exercises and stretching, will gradually improve flexibility and movement. Many individuals can achieve significant improvement and even full recovery of thumb movement with consistent physiotherapy, but the extent of recovery can vary.In a retrospective study of 41 patients with flexor tenosynovitis, Dailiana et al. found that the best functional outcome associated with this condition resulted from early diagnosis, drainage through small incisions, and continuous postoperative irrigation. Worse outcomes were associated with delayed treatment and infections with specific pathogens. By following these guidelines and working closely with your physiotherapist, you should be able to maximize your recovery and regain as much thumb function as possible.