What to expect after surgery

### Quick Recovery Guide for Upper Extremity Surgeries

**Welcome to Next Journey Orthopaedics! We are dedicated to providing you with the necessary information and support for a smooth recovery following your upper extremity surgery. Below, you’ll find answers to some of the most common questions our patients ask after procedures such as trigger finger release, carpal tunnel release, and De Quervain's release.**

#### What Should I Expect During the Recovery Period?

Recovery timelines can vary, but here’s a general outline for quick recovery surgeries:
- **Initial Healing (1-2 weeks):** Focus on rest and protecting the surgical site. Light activities with the hand may be encouraged.
- **Early Rehabilitation (2-4 weeks):** Begin gentle hand and wrist exercises as recommended by your doctor or physical therapist.
- **Advanced Rehabilitation (4-6 weeks):** Gradually resume normal hand activities with continued exercises to regain strength and flexibility.

#### What Are the Signs of Complications?

It's essential to monitor for any signs of complications. Contact us immediately if you experience:
- Redness, swelling, or unusual drainage at the surgical site
- Fever or chills
- Severe or worsening pain
- Numbness or tingling that persists or worsens

#### How Can I Manage Pain Effectively?

Effective pain management is crucial for a comfortable recovery:
- **Medication:** Take prescribed pain medications as directed.
- **Non-Pharmacological Methods:** Apply ice packs, elevate the hand, and perform gentle exercises.
- **Expected Pain Levels:** Mild to moderate pain is normal and should gradually decrease. If pain worsens, contact your doctor.

#### What Activities Can I Do or Not Do After Surgery?

Following activity guidelines is essential for a successful recovery:
- **Restricted Activities:** Avoid heavy lifting, forceful gripping, and high-impact activities.
- **Permitted Activities:** Gentle hand and finger movements, light daily tasks, and prescribed exercises.
- **Returning to Normal Activities:** Your doctor will advise when it's safe to resume work, sports, and other activities.

#### How Should I Care for My Surgical Wound?

Proper wound care can prevent infections and promote healing:
- **Dressing Changes:** Follow instructions for changing dressings and keeping the area clean.
- **Bathing and Showering:** Keep the wound dry until your doctor advises otherwise. Use waterproof coverings if needed.

#### What Are the Dietary Recommendations for Optimal Recovery?

A healthy diet supports healing and overall well-being:
- **Healing Foods:** Eat a balanced diet rich in protein, vitamins, and minerals.
- **Supplements:** Discuss with your doctor if you should take any supplements.
- **Hydration:** Drink plenty of water to stay hydrated.

#### When Should I Schedule Follow-Up Appointments?

Regular follow-up appointments are crucial for monitoring your progress:
- **Frequency:** Typically, follow-ups are scheduled 1-2 weeks post-surgery, with additional visits as needed.
- **Expectations:** Your doctor will assess your healing, remove stitches if necessary, and adjust your treatment plan.

#### How Can I Prevent Complications?

Preventing complications is a key part of post-surgery care:
- **Exercises:** Perform gentle hand and wrist exercises as recommended.
- **Elevating the Hand:** Keep your hand elevated to reduce swelling.
- **Signs of Complications:** Be alert for signs of infection or issues with wound healing.

#### What Are the Best Practices for Physical Therapy?

Physical therapy is vital for regaining strength and mobility:
- **Starting Therapy:** Begin as advised by your doctor, usually within the first week.
- **Recommended Exercises:** Follow the physical therapist’s guidance for safe and effective exercises.
- **Finding a Therapist:** We can help you find a qualified physical therapist.

#### What Mobility Aids Might I Need?

Using mobility aids correctly can aid your recovery:
- **Types of Aids:** Splints or braces may be recommended initially.
- **Safety Tips:** Ensure you use these aids correctly to avoid further injury.
- **Duration:** Your doctor will advise how long you need to use them.

#### What Are the Expected Outcomes of the Surgery?

Understanding your recovery expectations can help set realistic goals:
- **Long-Term Prognosis:** Most patients experience significant improvements in function and pain relief.
- **Improvements:** Gradual improvements in hand strength and flexibility are expected.

#### How Do I Handle Emotional and Mental Health Post-Surgery?

Your mental well-being is just as important as your physical recovery:
- **Coping Strategies:** Practice relaxation techniques, maintain a positive mindset, and seek support from loved ones.
- **Support Groups:** Consider joining a support group for post-surgery patients.
- **Staying Positive:** Focus on your progress and set small, achievable goals.

**Remember, our team at Next Journey Orthopaedics is here to support you every step of the way. If you have any questions or concerns, please don’t hesitate to contact us. Your health and recovery are our top priorities.**

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**Contact Information:**
Next Journey Orthopaedics
8255 Greensboro Drive, Ste 150, McLean, VA 22102
Phone: 571-425-5390
Email: paperwork@nextjourneyortho.net

Humerus (Upper Arm) and Elbow

Arthritis

Arthritis in the shoulder joint can result from various causes, including osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis. Symptoms typically include shoulder pain, stiffness, swelling, and reduced range of motion.

Bursitis

Biceps tendonitis involves inflammation of the long head of the biceps tendon, which runs from the shoulder to the elbow. Symptoms include shoulder pain, particularly in the front of the shoulder, and may worsen with overhead activities or lifting.

Dislocation

Elbow dislocation is when the joint becomes unhinged and is characterized by joint stiffness and instability often resulting from inflammation and tightening of the elbow.

Golfer's Elbow

This condition involves repetitive use or trauma that injures the inside of the elbow where the origin of the muscles that control the wrist start. Use a golfers elbow brace for rest or pain relief.

Humerus Fracture

This condition occurs when the bone breaks. The bone needs time to heal.

Olecranon Fracture

This condition occurs when the one of the bones that make up the elbow breaks.

Radial Head Fracture

This condition occurs when the one of the bones that make up the elbow breaks.

Tennis Elbow

Tendonitis, or tendinitis, involves inflammation or irritation of a tendon, typically due to overuse or repetitive motion

Forearm and Wrist

Forearm Strains

Forearm strain refers to an injury to the muscles or tendons in the forearm, typically caused by overstretching, overuse, or sudden force. This condition can lead to pain, swelling, and reduced function in the forearm.

Forearm/Wrist Fracture

Wrist and forearm tendonitis refers to the inflammation or irritation of the tendons in these areas. Tendons are the fibrous tissues that connect muscles to bones, and inflammation can cause pain, swelling, and difficulty moving the affected area. Tendonitis in the wrist and forearm is often caused by repetitive strain, overuse, or injury.

Forearm/Wrist Tendonitis

The labrum is a ring of cartilage that surrounds the socket of the shoulder joint, providing stability and cushioning. Tears in the labrum can occur due to trauma, overuse, or repetitive shoulder movements. Symptoms may include shoulder pain, clicking or popping sensations, and feelings of instability. Use a a extended wrist brace for rest or pain relief.

Wrist Strains

Wrist strain refers to an injury to the muscles or tendons surrounding the wrist. It typically occurs when these tissues are overstretched or torn due to excessive force, repetitive movements, or sudden impacts. Wrist strain can result in pain, swelling, and limited wrist movement.

Hand and Fingers

Hand Arthritis

Carpal Tunnel Syndrome

Carpal tunnel syndrome (CTS) is a medical condition resulting from the compression of the median nerve as it travels through the carpal tunnel, a narrow passageway on the palm side of the wrist. This nerve controls sensation and movement in parts of the hand, including the thumb, index finger, middle finger, and part of the ring finger.

Hand Cramps

Hand cramps are involuntary muscle contractions or spasms in the muscles of the hand, causing pain, stiffness, and temporary loss of function. These cramps can affect any part of the hand, including the fingers, palm, and the base of the hand. They can be sudden and intense, and their duration can vary from a few seconds to several minutes.

Hand Fracture

A hand fracture refers to a break or crack in one or more of the bones in the hand. The human hand consists of 27 bones, including the phalanges (finger bones), metacarpal bones (bones of the hand), and the carpal bones (wrist bones).

Hand Numbness

This condition refers to a loss of sensation or feeling in the hand or fingers. It can be accompanied by tingling, a "pins and needles" sensation, or a feeling of weakness

Hand Stiffness

This condition occurs when the is a lack of function or movement in the hand. The hand feels rigid, inflexible, or difficult to move.

Hand Tendonitis

This is inflammation of the tendon in the hand. Symptoms include pain, weakness, limited range of motion, and difficulty with daily activities. Use thumb neoprene brace for pain relief.

Hand Flexor Tendon Injury

This is when the tendon gets cut or rupture. Symptoms include pain, weakness, limited range of motion, and difficulty with simple activities. Flexor tendon surgery.

Trigger Finger

Tendonitis, or tendinitis, involves inflammation or irritation of a tendon, typically due to overuse or repetitive motion. Use finger splint or finger sleeve for pain relief.

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