Recovery after a Carpometacarpal (CMC) arthroplasty, just like any surgery, can be quite the experience…and it is always better to go in prepared! Whether you're in the initial stages of post-operative care or well into the recovery process, understanding the challenges and adopting adaptive tools can significantly improve your journey toward increased functionality. Let’s chat about the phases of recovery after CMC arthroplasty, the role of splints, and various adaptive tools that can aid in regaining hand function.
Understanding CMC Arthroplasty Recovery:
CMC arthroplasty is a surgical procedure designed to address arthritis in the base of the thumb. There are several surgical techniques that can be used based on your specific situation. Each surgery has its own restrictions and considerations, but generally follow a similar path.
The recovery process is typically divided into phases, with the initial focus on pain management, wound healing, and gentle mobilization exercises. You may be placed in a custom splint or cast at this time to allow your surgical site to properly heal. As the weeks progress, you will start to be weaned out of the splint and rehabilitation shifts toward movement, strengthening exercises, functional tasks, and adapting to the use of adaptive tools.
The Role of Splints:
A crucial component of early post-operative care is the use of a splint. This serves to provide stability, protect the surgical site, and prevent unwanted movement during the initial healing period. While the duration of splint use varies among individuals, it's essential to follow the recommendations of your surgeon and physical or occupational therapist.
During the splint phase, gentle range-of-motion exercises may be introduced to prevent stiffness, especially at surrounding joints. You want to keep your other fingers and elbow moving to prevent stiffness. This will also help to pump swelling out of your arm. Try to move your other fingers and elbow for 15 repetitions, once and hour. Additionally, maintaining a proper hand position within the splint is crucial for optimal healing and long-term function. As you progress in your recovery, your healthcare team will guide you through the gradual reduction of splint use.
Gaining Strength and Motion:
After you have been given the all clear to start to wean out of your splint, your therapist or doctor will recommend range of motion exercises and stretches to help improve your movement patterns. You will start to tolerate gentle movement and light function but should avoid heavy lifting as you won’t have the strength yet. It is important to remember - you have been locked down in a splint for several weeks, these muscles have not worked in a long time! They are going to get really tired and sore with what seems like very little exercise or activity. That’s OK! They will get stronger every single week. Think about after you have been sick in bed for 3 days. It takes you a week to be able to go up the stairs without being winded. It is the same concept for these small muscles in your hand, they need time to build their endurance up again. Using tools and adaptive equipment can help make you successful during this time while you get stronger!
Adaptive Tools for Increased Functionality:
Ergonomic Utensils:
Invest in utensils with larger, easy-to-grip handles to reduce strain on your thumb joint. Adaptive utensils with angled or contoured handles can also assist in maintaining a comfortable hand position while eating. Click here for amazon link!
Zipper Pulls and Button Hooks:
Dressing can be a challenging task during the recovery period. Zipper pulls and button hooks eliminate the need for precise thumb movements, making it easier to fasten clothing. Click here and here for the amazon links!
Adaptive Computer Accessories:
If you spend extended periods on the computer, consider using ergonomic keyboards or mice. These tools minimize the strain on your hands and can be particularly helpful during the recovery phase. Click here for amazon link.
Gripping Aids:
Various gripping aids are available to compensate for reduced hand strength. These aids can be attached to everyday objects like pens, tools, or kitchen utensils, enabling a more secure grip. They also make like a whole lot easier when trying to open tight jars or containing. Click here and here for amazon links.
Joint Protection Techniques:
Learn and practice joint protection techniques to minimize stress on the thumb joint during daily activities. Simple adjustments, such as using your whole hand to grasp objects or lifting with your palm rather than your fingers, can make a significant difference.
Recovering from CMC arthroplasty requires a combination of patience, commitment, and the right tools. Embracing adaptive tools and techniques not only facilitates the recovery process but also helps you regain independence in your daily lives- You can do this! Always consult with your healthcare team for personalized guidance throughout your rehabilitation journey. With time, perseverance, and the support you can look forward to enhanced hand function and an improved quality of life.