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Splinting > Conditions
Hand, Wrist, Forearm & Elbow Conditions > Ligament
Reconstruction Tendon Interposition Procedure Hand Therapy
Ligament Reconstruction Tendon Interposition Procedure Hand Therapy
“Working with a knowledgeable hand therapist can make the difference between success and failure in complex hand surgical cases. The therapist extends the continuum of our care, as well as functioning as coach and trainer for our patients.”
Marybeth Ezaki, MD, Past President, American Society for Surgery of the Hand
In Phoenix Rehab, our senior hand therapists are experienced licensed and dedicated therapists (physiotherapists and/or occupational therapists) who specialized ONLY in the rehabilitation, treatment and management of painful fingers, hands, wrists, forearm & elbow conditions, because of interest, passion and expertise.
Area of arthritis at the base of the thumb
Arthritis at the base of the thumb is also known as CMC (carpal metacarpal) arthritis, or basal joint arthritis. This specific arthritis causes pain at the base of the thumb, and is typically treated with
- inflammation / pain killers medicine or
- use of a thumb orthosis for support
That being said, if the thumb pain continues, your doctor may recommend surgery.
There are many different types of surgery that treat this type of thumb pain and a specific surgery is called a ligament reconstruction tendon interposition procedure (LRTI).
What is done during an LRTI procedure?
During surgery, the arthritic parts of the bone at the base of the thumb are removed.
- A small cut in the forearm is then made to get a tendon that will be rolled up and used to fill the space at the base of the thumb
- Now the bone in the thumb will not rest on the piece of bone that was causing the thumb pain
- Part of the tendon from the forearm is also used to rebuild the ligament that provided support to the thumb
- Removing the tendon to use for this surgery will not affect wrist motion or strength.
If arthritis pain at the base of the thumb is present after non-surgical treatment, an LRTI procedure may be recommended
What should I expect after surgery?
After surgery, the wrist and thumb will be immobilized in a cast or orthosis.
It is important to keep the hand above the heart to limit any swelling. It is also important to move the shoulder, elbow and fingers to prevent joint stiffness and help with swelling.
The wrist and thumb will be immobilized until your doctor gives our senior hand therapist and you the green light and instructs you to begin exercising them.
After surgery, the doctor will refer you to our senior hand therapist to assist in recovering full function, movement and strength of your thumb and hand.
What can a hand therapist do for me?
Our senior hand therapist can assist in care after surgery.
We can make a custom thumb splint and demonstrate exercises to increase range of motion and strength. We can also teach you how to take care of your scar and recommend ways to limit the force you put on your healing thumb.
An extended number of hand therapy sessions may be needed to help regain functional use of your wrist and hand.
Example of custom orthosis for wrist and thumb following an Ligament Reconstruction Tendon Interposition Procedure
Patients may also receive the following hand therapy treatment modalities:
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Phoenix Rehab physio Services
Phoenix Rehab Group works with specialist
physiotherapists and rehab therapists who are highly
trained, qualified, experienced and passionate to provide high level of
expert care to our patients.
PHYSIOTHERAPY & PHYSICAL THERAPY
HAND THERAPY & SPLINTING
Patients who sustained injuries to their elbows, forearms, hands, wrists
(sprains and fractures) and fingers, and requires Hand Therapy to increase the function of their hand
following injuries or post-operations as well as custom made hand splints.
Commonly treated hand pain injuries includes
CLINICAL PILATES & WELLNESS PILATES
Clinical Pilates is a form of physical exercise that focuses on
- core stability
- flexibility and
It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
TRADITIONAL CHINESE MEDICINE (TCM)
DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY
Sports and deep tissue release massage helps to increase nutrient-rich blood
flow to tired, tight and tense muscles to
- accelerate recovery and
- shorten downtime / recovery period required
It also prevents
muscles from scar tissue micro-tears (and potential ruptures), and increases muscle
Done regularly, it will keeps your muscles healthy and fit with body/movement-confidence. Read the benefits of regular deep tissue release therapy here.
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
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