Home > Blog > Hand Therapy & Customized Splinting > Conditions > Finger, Hand, Wrist, Forearm & Elbow Conditions > Ligament Reconstruction Tendon Interposition Procedure Hand Therapy

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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

  • rest
  • 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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book your physio appointment or enquire now

Email questions and your preferred physiotherapy timings to nigel@phoenixrehabgroup.com or

WhatsApp / SMS your name, preferred date, time and enquiries to +6588001830

Clinic Locations: See how to get to us here

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.



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 posture, core stability, balance, control, strength, flexibility and breathing.

It is a system of safe and effective exercises, which meet specific individual needs, to treat a wide range of injuries and conditions.

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 performance.

Done regularly, it will keeps your muscles healthy and fit with body/movement-confidence. Read the benefits of regular deep tissue release therapy here.



ALTERNATIVE THERAPIES

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 solution.

do Tell Your Family, Friends And Colleagues About Us =)

We appreciate you as our valued clients and want you to know that the #1 way we grow as a clinic/brand is through word of mouth referrals from valued patients like yourself.

We do not rely on advertising - instead, we prefer and appreciate the goodwill and positive reinforcement from patients. When you have the chance, please tell your family, friends and physicians about the positive results and experience you have had in our physio clinics.

book your physio appointment or enquire now

Email questions and your preferred physiotherapy timings to nigel@phoenixrehabgroup.com or

WhatsApp / SMS your name, preferred date, time and enquiries to +6588001830

Clinic Locations: See how to get to us here