Hi Doctor, My query is regarding Physiotherapy. I recently underwent a surgery for 'Flexor Tenosynovitis' of the Thumb. I am currently undergoing physiotherapy since last 1 month to regain thumb movement. My queries are: (1) Is it possible that index finger adjacent to the affected thumb gets sore due to physiotherapy of the thumb. There is no pain , only soreness of the index finger since last 1 month. (2) How many days/ weeks it takes to regain complete normalcy in thumb movement, especially the bending of thumb. At present my thumb is extremely stiff and I can hardly bend it. (3) Is it possible to regain 100% normalcy of thumb movements by doing physiotherapy? For reference I'm 36 yrs of age and physically fit. Thanks in advance.

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.