Our Summary

This research paper looks at the impact of early exercise on the formation of adhesions (scar tissue) following the surgical repair of flexor tendons, which are the deep muscles in the toes that help in bending the foot. To study this, they performed surgery on the toes of chickens to create scar tissue. The chickens were then either kept still or allowed to exercise for a certain period of time.

They found that if the chickens started exercising within 2 weeks after the surgery, the scar tissue that formed was more elastic and didn’t interfere with the movement of the tendon. However, if exercise didn’t start until 3 weeks after the surgery, the scar tissue was more mature and did limit movement.

So, the researchers concluded that starting exercise within 2 weeks of tendon repair surgery can lead to more flexible scar tissue and better movement. However, if exercise is delayed beyond 3 weeks, the scar tissue is less likely to change and may restrict movement.

FAQs

  1. What is the impact of early exercise on scar tissue formation after tendon repair surgery?
  2. How does delayed exercise post-surgery affect the flexibility and movement of the scar tissue?
  3. What is the optimal time to start exercising after tendon repair surgery to ensure better movement and more flexible scar tissue?

Doctor’s Tip

Therefore, it is important for patients to follow their doctor’s recommendations for starting physical therapy and exercise after tendon repair surgery. Starting exercise early can help improve flexibility and prevent stiffness in the repaired tendon. It is important to work closely with a physical therapist to develop a safe and effective exercise program to promote healing and restore function in the affected tendon. By following these recommendations, patients can optimize their recovery and improve their overall outcomes after tendon repair surgery.

Suitable For

Patients who have undergone tendon repair surgery, especially for flexor tendons, are typically recommended to start early exercise as part of their rehabilitation program. This is because early exercise can help prevent the formation of stiff scar tissue, also known as adhesions, which can limit the movement of the tendon and lead to poor outcomes.

Patients who have had tendon repair surgery may include individuals who have suffered from tendon injuries due to trauma, overuse, or degenerative conditions. Common examples of tendon injuries that may require tendon repair surgery include tendon ruptures, tendonitis, and tendon tears.

It is important for patients to follow their healthcare provider’s recommendations for post-operative care and rehabilitation, including starting early exercise as advised. This can help improve the flexibility and function of the repaired tendon, leading to better outcomes and a faster recovery.

Timeline

Before tendon repair surgery, a patient typically experiences pain, swelling, limited range of motion, and difficulty performing everyday tasks due to the injury. They may undergo imaging tests such as X-rays or MRI to assess the extent of the damage and consult with a surgeon to discuss treatment options.

After tendon repair surgery, the patient will go through a period of immobilization with a splint or cast to protect the repaired tendon and allow it to heal. Physical therapy may be prescribed to help regain strength, flexibility, and range of motion in the affected area. The patient will gradually increase their activity level and resume normal daily activities as advised by their healthcare provider.

Overall, the recovery process can take several months, with the patient gradually improving their strength and function over time. It is important to follow the rehabilitation program prescribed by healthcare providers to ensure a successful outcome and minimize the risk of complications such as adhesions or stiffness in the repaired tendon.

What to Ask Your Doctor

Some questions a patient should ask their doctor about tendon repair include:

  1. What is the typical recovery timeline for tendon repair surgery?
  2. When can I start physical therapy and exercise after tendon repair surgery?
  3. How soon after surgery should I begin exercising to prevent the formation of adhesions?
  4. What types of exercises are safe and beneficial for promoting healing and preventing stiffness?
  5. Are there any specific precautions I should take when exercising to avoid re-injury?
  6. How will I know if I am overdoing it with my exercise routine?
  7. What are the signs of adhesions or scar tissue formation that I should watch out for?
  8. Are there any specific exercises or rehabilitation protocols that you recommend based on my individual case?
  9. What are the potential risks or complications associated with exercising too soon or too late after tendon repair surgery?
  10. How can I optimize my recovery and improve my outcomes through exercise and physical therapy?

Reference

Authors: Satou N, Yagi M, Yoshida K, Shiba N. Journal: Kurume Med J. 2022 Mar 11;67(1):23-29. doi: 10.2739/kurumemedj.MS671008. Epub 2022 Feb 9. PMID: 35135935