Tendon and Nerve injuries

The treatment of tendon and nerve injuries by our hand surgeon involves a combination of surgical and non-surgical interventions, depending on the specific injury, its severity, and the individual patient’s needs. Here is an overview of the treatment options commonly employed by our hand surgeons for tendon and nerve injuries:

1. Non-Surgical Treatments:
   • Non-surgical treatments are typically considered for minor or partial tendon or nerve injuries, or in cases where surgery may not be feasible or necessary.
   • Immobilization: The hand surgeon may recommend immobilizing the affected hand or finger with a splint or cast to allow the injured tendon or nerve to heal.
   • Physical Therapy: Hand therapy plays a crucial role in non-surgical treatment, focusing on exercises, stretches, and modalities to promote healing, reduce pain, and restore function. Therapists may also provide education on activity modification and ergonomics.
2. Surgical Intervention:
   • Surgical intervention is often necessary for complete tendon or nerve injuries, severe injuries, or cases where non-surgical treatments have failed to provide adequate recovery.
   • Tendon Repair: Hand surgeons perform tendon repair surgeries to reattach or repair severed or damaged tendons. This involves making an incision, identifying the ends of the damaged tendon, and suturing them back together. In some cases, grafts or tendon transfers from other parts of the body may be used.
   • Nerve Repair: Nerve repair surgeries aim to rejoin the ends of a severed or injured nerve. This may involve direct suturing of the nerve ends or using nerve grafts from another part of the body to bridge the gap.
   • Tendon Transfer: In cases where a tendon is completely damaged or unavailable, tendon transfer procedures may be performed. This involves using nearby healthy tendons to replace the function of the damaged tendon.
   • Nerve Decompression: In certain nerve injuries, such as carpal tunnel syndrome, the hand surgeon may perform nerve decompression surgery to relieve pressure on the nerve, allowing for improved function and reduced symptoms.

After surgery, hand therapy is typically recommended to optimize recovery and rehabilitation. Hand therapists work closely with the hand surgeon to develop a customized therapy plan, including exercises, modalities, and functional activities aimed at restoring strength, range of motion, and coordination.

It’s important for individuals with tendon and nerve injuries to consult with the hand surgeon of the Eisenhower Clinic to receive a comprehensive evaluation and appropriate treatment plan tailored to their specific injury and needs. Our hand surgeon will consider factors such as the type and location of the injury, the extent of damage, and the individual’s functional goals in determining the most suitable treatment approach.