Flexor and extensor tendon repairs are surgical procedures aimed at restoring the function of tendons in the fingers, hand, or wrist that have been damaged by trauma, lacerations, or other injuries. Flexor tendons are located on the palm side of the hand and allow us to bend our fingers, while extensor tendons are on the back of the hand and enable finger extension. Injuries to these tendons can severely limit hand function, making it difficult to perform basic tasks like grasping or releasing objects. During tendon repair surgery, the damaged tendons are meticulously stitched together to promote healing and restore function. However, the repaired tendon must be carefully protected and gradually mobilized to prevent stiffness, re-rupture, or adhesion formation.
A PT, CHT plays an essential role in the rehabilitation process after flexor and extensor tendon repairs. Early on, they work with the patient and surgeon to develop a customized protocol that balances protection of the repair with safe movement to prevent stiffness and scarring. Initially, a PT, CHT may use protective splints to immobilize the repaired tendon, followed by gentle, controlled movements (like passive or active-assistive exercises) to encourage tendon glide and prevent adhesion. As healing progresses, they introduce strengthening exercises and functional retraining to help the patient regain full motion, coordination, and grip strength. They may also incorporate manual therapy, edema management, and scar massage to minimize stiffness and enhance the tissue’s flexibility. Through this specialized care, a PT, CHT helps ensure that patients recover the highest possible level of hand function, ultimately enabling them to return to their daily activities and work with confidence.
