Fall Yard Cleanup: Do’s and Don’ts

Fall cleanup do's and don'ts

Maintaining your home and your property can be a big job. Summer is great for painting projects, new decking, and power washing the siding, but fall brings its own set of priorities for the homeowner. Copious amounts of leaves, on the lawn and in the gutters – perennials and shrubs that need transplanting – bushes that need trimming and prep for their spring growth – all weigh heavily on the homeowner’s mind. But, with a little planning and prevention, you can get it all done and still maintain your health and mobility, so you’re ready for dancing at the company holiday party!

To help you stay safe during this busy time of year, follow these tips:

DO warm up for at least ten minutes before raking or starting any other heavy yard work. Be sure to warm up your hands, wrists and fingers, too, by flexing your wrists and fingers and “washing” your hands to stimulate circulation.

DON’T do too much bending at the waist. To avoid straining your back, bend at the knees and squat to pick up heavy items. Avoid twisting your back.

DO stay hydrated by drinking plenty of water. Water helps your body manufacture synovial fluid, and you need this to keep your joints flexible and mobile.

DON’T use excessive force when grasping yard and gardening tools. Most people grip too tightly, and this puts extra strain on your hands, fingers and wrists. Put foam rubber around gardening tool handles to make them easier to grasp with less stress.

DO be sure to wear shoes with slip-resistant soles. Wet leaves can be very slippery, and the proper footwear could help you recover your balance and avoid a fall.

DON’T use a ladder or operate power yard equipment if you take medications that interfere with your balance or cause you to feel dizzy. Reach out to family, neighbors, or even the pros if you have any concerns in this area.

DO take frequent breaks, and break larger projects into smaller steps that can be spread out over the course of several days. At the first sign of numbness, tingling or pain, stop what you are doing and rest for ten minutes or so. Stretch and flex the area, and then go back to the task. If the sensation persists, you know it’s time to quit for the day to avoid a repetitive motion injury.

Slow and steady wins the race when it comes to outdoor work and getting your home ready for winter. No one wants to begin a new season with an injury, so take your time and follow these tips to stay safe during fall cleanup.

And, if you or someone you know is experiencing hand, wrist, elbow or shoulder pain, reach out to Dr. Rehman to learn what solutions are available. As with other challenges in life, the sooner the difficulty is recognized, the more likely it is that you will have a successful outcome. Dr. Rehman is a highly experienced orthopedic doctor who specializes in upper extremity injuries. She will conduct a thorough evaluation to determine the exact cause of the condition, and will design an individualized program of recovery to help you return to full strength, mobility and range of motion in the affected area.

Call Dr. Rehman today at 586-532-0803.

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Ways to Minimize the Stress of Carpal Tunnel Syndrome

Carpal Tunnel Syndrome

The initial symptoms may be innocuous and fleeting; an ache in the wrist which may then extend into the forearm or into the hand. Later, as the condition develops, you may notice numbness or tingling in the hands or fingers, or pain that begins radiating through the entire arm. Sometimes weakness is present in the arms or the hand, and grasping objects can be difficult. Oftentimes the symptoms will be most severe upon waking up in the morning, or when using your hands.

Here are some ways to minimize the stress on your hands:

  • When doing tasks, reduce your force and relax your grip. Try putting foam padding around gardening or other tools to cushion your grip. Most people use more force than is required when gripping an object.
  • Watch how you hold your wrists. Repetitive motions performed by cashiers, hairdressers, sewers and workers using a keyboard can contribute to Carpal Tunnel syndrome. Ideally, you should keep your wrists straight or very slightly bent.
  • Take frequent breaks; set a timer for every hour or two to remind you to take a break. Stretch, bend and massage your wrists and hands to promote circulation and blood flow
  • Be sure your form is correct when performing repetitive tasks on the computer, with tools, or in sports. Be sure your equipment fits you properly and consult a coach to make sure your posture and form are correct. When working on a keyboard, make sure your posture is correct. Incorrect posture can cause your shoulders to roll forward, and shorten the muscles in the neck and shoulders, causing the nerves in your neck to be compressed. This in turn can affect your wrist, fingers and hands.
  • Ice can be helpful to reduce pain and inflammation, and non-steroidal anti-inflammatory drugs can often help.
  • Wearing a wrist splint may also help, especially to keep the wrist straight at night, when many people have a tendency to curl the wrists. Bracing the wrist at night will help you keep it straight, reducing the discomfort of carpal tunnel syndrome in the morning.

If you or someone you know is experiencing pain, tingling, numbness or pain in the wrist and hand, contact Dr. Rehman’s office today. She will do a complete evaluation, and her experienced team of hand therapists will use a variety of modalities to help you get relief and to return the wrist and hand to full functioning. And, if surgery should be required, Dr. Rehman is a hand specialist, and has performed many successful Carpal Tunnel release procedures. Contact Dr. Rehman today to get relief from the pain and back on the road to full strength and mobility.

586-532-0803

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Corticosteroid Injections: What to Expect

 

Hand and joint pain relief

Corticosteroid injections, sometimes called Cortisone, are often employed to reduce inflammation and pain following an injury, or in the degenerative conditions of arthritis or carpal tunnel syndrome. It is best to consult with a doctor who specializes in the area needing treatment. In the case of the hands and arms, a hand specialist should perform the injection. For the foot, ankle and lower extremities, a podiatrist should be consulted.

In the case of injury or degeneration in the hands or wrists, corticosteroid injections are just one part of an overall plan to return the patient to full health and mobility. Hand exercises, hot and cold modalities and massage therapy may also be employed by the team of hand therapists at Midwest Hand Therapy.

Here is a step by step description of what you can expect from a corticosteroid injection procedure:

  • The patient will be placed in a comfortable position, so that the area requiring the injection is readily accessible to the doctor.
  • The injection site will be disinfected with alcohol or iodine.
  • The patient will be encouraged to relax. If the muscles around the joint are relaxed, the injection will glide more smoothly and with less resistance and discomfort.
  • If ultrasound is being used, a gel will be applied near the injection site, and a technician will gently press an ultrasound transducer against the skin to show an image of the joint space.
  • If the affected joint or bursa contains excess fluid, the doctor may gently draw off the fluid with a needle and syringe. This is known as joint aspiration or arthrocentisis.
  • The doctor will then inject a small amount of cortisone into the joint; the cortisone may be mixed with an anesthetic such as lidocaine or bupivacaine. The patient may notice a pinching or a burning sensation.
  • The injection area will then be cleaned and bandaged, and the patient may be asked to flex the joint several times to help distribute the medication.
  • Usually patients wait about 30 minutes in the doctor’s waiting room, following this procedure, just to insure they have no unusually severe pain or an allergic reaction to the medication.

These injections can be helpful in reducing inflammation and its associated pain over varying periods, depending on the individual. Frequently the pain is reduced for several weeks or even months, allowing the patient to participate in therapy to strengthen and elongate the muscles and tendons around the joint, to help resolve the issue.

If someone you know is struggling with pain, swelling, tenderness or tingling in the fingers, hands, wrists or elbows, contact Dr. Rehman today. She specializes in injuries and conditions of the upper extremities, and will perform an in-depth analysis of the cause of the condition. Utilizing state-of-the-art technology, she will design a comprehensive program of therapy to return the affected area to full strength and mobility.

Call Dr. Rehman today at 586-532-0803.

 

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How to Help Your Child Choose a Sport this School Year

Helping your child choose a sport

There’s a frenzy of activity as the ramp-up to the school year descends on families: school supplies, clothing, the perfect shoe, haircuts. All those details for the first day of school. But it’s not just the subjects your kids will be studying this year that are important; it’s the sports your children may want to pursue, that will impact their personality, and possibly even their health, for life.

In helping your child discover what sport he or she is interested in, keep these factors in mind:

Enthusiasm

If your son or daughter already has an interest in a particular sport, if he or she likes to watch it on TV or even live, this is a good first step. Enthusiasm and interest will go a long way toward making the sport a good fit for your child.

Personality

There are the traditional team sports like football, basketball, volleyball and soccer, but individual sports may appeal more to your child, depending on his or her personality and development. Sports like swimming, gymnastics, track, golf or tennis may allow your child to shine individually.

Social Skills

Commensurate with personality, his or her social skill development should be taken into account. Sports are a great way for shy and retiring kids to come out of their shells a bit, but a competitive atmosphere may be daunting. Sports can help kids build team building skills and confidence in their abilities.

Body Type

Children who are short and stocky may excel at football more readily than at basketball. Tall and lanky kids might do better in basketball or track. This isn’t a hard and fast rule, but typically kids whose body type is conducive to the sport will meet earlier success, making the experience a positive one.

Time and Financial Commitment

If the practice schedule is grueling it may put too heavy a burden on the child. If parents have work or other weekend commitments that conflict with games, that sport may not be the best fit. Even the cost of equipment must be factored in when deciding which sport or sports your child wants to pursue.

Physical Health

All children should have an examination by a doctor and be given the “OK” to play whatever sport they choose. Sometimes unknown conditions can be aggravated by a particular sport, or a child may be more at risk of injury because of his or her physical development. So whatever sport your child chooses, be sure to get the all clear from a qualified health care professional before your child gets started.

Even in youth sports, injuries can occur. Watch your child carefully, as he or she may not want to miss practice or let team members down by being sidelined with an injury. If you notice signs of tingling, numbness or pain in your child’s hands, fingers, wrists, elbow or shoulder, contact Dr. Rehman for a full evaluation of the condition before you let your child continue. Many sports-related injuries are treatable with minimally invasive techniques, but long-term and permanent damage can occur if injuries are left untreated, especially in children who are still developing.

If anyone in your family is struggling with pain or discomfort, reach out to Dr. Rehman for a comprehensive evaluation and an individualized program to help achieve full recovery, range of motion and strength in the affected area.

Call Dr. Rehman today at 586-532-0803

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Getting Your Kids Up and Moving This Summer

 

Active kids playing outdoors

Summer is the perfect time to instill in your children the love and the fun of outdoor activities. There’s no doubt about it; kids are much more sedentary these days, and childhood obesity is a chronic problem.

Kids play outdoors much less now than decades ago, and many factors go into the equation. Parents often have concerns about kids playing outdoors without supervision, and with the hectic lifestyle of most two-worker families, parents don’t have the time. Poor coordination skills and cuts to school recess and sports programs may have an effect. Children are often encouraged to play safely indoors, without the worry of outdoor activities. They have a lot of entertainment available to them now on their screens, which unfortunately promotes sitting and inactivity.

But grab the waning days of summer and reverse this trend! A simple walk to the park after dinner as part of the family routine can build bonds, happiness and physical health.  Outdoor hopscotch on the driveway, trips to the local nature center or the zoo, skateboarding parks and events and even bike riding can help kids breathe in fresh air and work their muscles, helping them sleep better at night too.

As parents, the more active you are, the better example you set for your children, and the more likely they are to embrace physical activities. Experts have found that if children just moved around for an hour each day, the obesity rate would fall. Beginning at a young age, involve your kids in age-appropriate physical activities. Let them choose what they would like to try, and if one activity doesn’t fit, move on.

Activity promotes wellness and wellness yields health and happiness. If you or someone you know is missing out due to pain, stiffness, numbness or tingling in the hands, arms, wrist or elbow, reach out to Dr. Rehman today. She will conduct a thorough evaluation to determine the cause of the problem, and will design a comprehensive program to regain strength, mobility and range of motion. So you can get back out there and have outdoor fun with your family in the glorious remaining days of summer!

For more information, call the office today: 586-532-0803

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Numbness or Tingling in the Hands or Fingers

 

Numbness and tingling in the hands and fingers

Anything that reduces the blood supply to the wrists, hands and fingers can cause nerve damage, and this damage creates the feeling of numbness or tingling in that area of the body.

A variety of activities and conditions can contribute to this reduced blood supply. Sometimes repetitive motions over a long period of time, such as in a work, hobby or sports setting, can be a factor. Diabetes can reduce the blood supply to peripheral areas of the body, resulting in nerve damage. Arthritis and Multiple Sclerosis can also cause this condition, as can certain chemotherapy drugs used for cancer treatment.

Some of the most common conditions causing numbness or tingling are:

Tendonitis

Tendonitis is an inflammation of a tendon in the body. Tendons attach muscles to bones, and are responsible for helping to create movement. Normally tendons glide smoothly, but when they become inflamed, this process is affected. Stiffness, pain, and sometimes tingling is noticeable. Sports or other injuries can cause this sudden inflammation, but so can repetitive motions from working on a computer, repetitive manufacturing jobs, sewing, playing a guitar or other activities.

Carpal Tunnel Syndrome

The carpal tunnel is a narrow passage through the wrist that houses and protects the median nerve, running from the hands all the way up the arm. When this tunnel becomes inflamed, pressure is placed on this nerve and pain, numbness and tingling can occur. Some people are genetically more prone to this condition; others can develop it over time from repetitive motions involving the wrists and fingers.

Trigger Finger or Trigger Thumb

Again caused by inflammation, in this case the tendons in the fingers, this condition causes a finger or the thumb to become “stuck” in a bent position, and then to snap back when it releases, much like a trigger releasing. Early signs of trigger finger can include stiffness when you move the finger, your joint “popping” when you move it, or a bump at the base of the finger. Repetitive grasping or gripping motions are usually the source of this condition. If not treated properly, the digit can become permanently bent.

The most important step to take when you are experiencing numbness or tingling in the hands is to start with a proper diagnosis of the cause of the condition. It is best to consult a doctor who specializes in treating the hands and the upper body, as these are delicate structures involving complicated interactions between the tendons, ligaments, nerves, bones and muscles.

Most causes of tingling and numbness can be treated with a variety of non-invasive techniques, and will successfully resolve with proper treatment and time. Sometimes a surgical intervention is necessary, and in this case you definitely want a hand surgeon; an orthopedic doctor with specialization in the hands, wrists and upper body.

If you or someone you know is experiencing hand, finger, wrist or upper extremity pain, contact Dr. Rehman today. She will perform a thorough evaluation to determine the root of the problem, and will design a comprehensive treatment plan to help you attain a full recovery.

Call the office today at 586-532-0803.

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Reduce Repetitive Motion Injuries When Working On Your Computer

 

Protect your hands and wrists when working on the computer

The ubiquitous computer.

Some of us are chained to it, as we spend  8 or more hours a day peering at the screen and typing cogent replies to superiors, customers and team members. Sitting at a computer typing for hours on end is not a “natural” thing for humans, so take precautions to avoid repetitive motion injuries that can stem from this activity.

Repetitive motion injuries occur from too many uninterrupted repetitions of an activity or a motion. They can also be caused by repetitive awkward motions such as twisting the arm or wrist, overexertion or incorrect posture. They frequently occur in the hands, wrists, elbows or shoulders, and can result in numbness, tingling or pain.

A few simple steps can help you lessen the chance of developing a repetitive motion condition from working at your computer:

Take Frequent Breaks

This is the Golden Rule for preventing most repetitive motion injuries. For every ten minutes you work on the computer, try to schedule in mini-breaks for 30 to 60 seconds. Take a few moments to rest your eyes: let your gaze fall across the room in an unfocused way for a count of ten. Rest your hands and wrists by bending the hands down gently, and by using a hand washing motion to rub the hands and wrists. This helps bring fresh blood to these areas so tissue that is damaged can begin to repair. Rest your back by flexing your spine forward and backward gently. This also brings fresh blood to this critical area. Do shoulder rolls by rolling the shoulders up and around, in both directions, to release tension in the upper back and neck.

Type in a Neutral Position

Also called touch typing, this approach helps you keep your wrists straight, thus putting less stress on them. Keep your wrists elevated and off the surface of the desk or keyboard. The keyboard should lay flat on the desk; don’t angle it up. The tips of your fingers should be the only part of your hand touching the keyboard.

Sit Up Straight

Your mother was right. Proper alignment of the spine helps reduce problems with the neck, shoulders and lower back. Roll your shoulders back, and allow for a slight arch in your lower back. Keep your elbows and knees bent at near-right angles to support the position.

Evaluate Your Monitor Placement

Your screen should be between 20 to 40 inches from your eyes and should be directly in front of you. The top of the monitor should be at eye level, or slightly below. Don’t tilt the screen more than 10 to 20 degrees, for the best viewing and least eye strain.

Adjust Your Mouse Placement

Your mouse should be right next to the keyboard; you should not have to reach or stretch to use it. Invest in a mouse wrist rest so that your wrist can remain straight. Consider replacing your mouse with a trackball. These devices are better designed to fit the hand, and don’t require you to bend your wrist or to grip.

Tingling, numbness or pain in the hand, wrist, elbow or shoulder should be evaluated by a specialist in orthopedic medicine. Schedule an appointment today with Dr. Rehman for a comprehensive evaluation and an individualized treatment program to get you on the road to recovery. Many repetitive motion injuries can be treated with minimally-invasive procedures. Dr. Rehman’s team of hand rehabilitation therapists can help you reduce pain and regain mobility, so your work is enjoyable and you are pain-free for the fun activities of life.

Call today: 586-532-0803

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Simple Steps To Make Living With Arthritis Easier

Making life easier with arthritis

Arthritis is inflammation in the joints. Most joints in the body have the potential to develop arthritis, which causes swelling, stiffness, pain, a reduction in mobility of the joint, and sometimes deformity.

There are generally two types of arthritis: osteoarthritis and rheumatoid arthritis. Osteoarthritis is the more common, and tends to worsen over time. It can be the result of a traumatic injury or a defect in the cartilage; the smooth white tissue that cushions bones in the joint where they come together. Osteoarthritis affects the large weight-bearing joints in the body, such as the knees, hips, shoulder and spine, but it can also affect the small joints of the hand, most commonly the thumb. Gripping, grasping or pinching objects may become painful with this condition.

Rheumatoid arthritis is a chronic disorder that can affect any part of the body, including large or small joints, the heart, circulatory system, the lungs, the muscles used for breathing and even the digestive system.

Oftentimes joint replacement surgery is recommended if the condition becomes too painful, and interferes with the activities of daily living or the patient’s occupation. But prior to that, there are steps you can take to make your daily life more comfortable if you have arthritis.

To reduce pressure in your hands when holding or gripping objects:

Wrap foam, cloth or tape around the handles of everyday objects like knives, pots and pans, to cushion the grip. Look for household or gardening tools with larger, ergonomically-designed handles. These are available in many retail stores. Keep a pair of gardening gloves with rubberized palms in the kitchen, to help grip and hold, and use common tools like jar openers to help with household tasks.

To reduce pain or pressure before or after activities, and while sleeping:

Apply either heat or cold to the affected joints before and after activities, and before bed. Elevate and support your arms and legs on pillows when sleeping.

Reduce pain and stress on your joints:

Use carts or carriers with wheels to move heavy items like garbage bags, laundry, or grocery bags, so you don’t need to lift them. Replace round doorknobs with lever-style handles.

An entire profession, known as Occupational Therapy, is devoted to helping people with disability issues perform their jobs and household tasks more easily. They can recommend personalized adaptive equipment that will put less weight on the joints.  They can also instruct patients on how to use compression garments and thermal agents (heat and cold), and can make custom splints to support or properly position your joints during activities or while sleeping. These professionals can evaluate your home environment and suggest changes or modifications that will make it easier for you to perform your activities. They can also address both the physical and emotional effects of arthritis. They can recommend therapeutic exercises and activities designed to decrease stiffness and improve endurance and strength. And they can address the emotional stress that results from lack of sleep or being in constant chronic pain.

If someone you know is struggling with arthritis, or numbness, tingling or pain in the hands, wrists, elbows or shoulders, contact Dr. Rehman and her team of Occupational Therapists today for help! Dr. Rehman is a specially-trained orthopedic doctor who specializes in conditions and injuries affecting the upper body. She will conduct a thorough evaluation and design a comprehensive, individualized treatment program to correct the problem and return the affected area to health, strength and full range of mobility.

Call Dr. Rehman and her team today for more information: 586-532-0803

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Ulnar Nerve Neuropathy

Many different activities can result in ulnar nerve neuropathy

Neuropathy is any disease condition of the nervous system. The ulnar nerve is the longest unprotected nerve in the human body; it is not shielded by bones or muscles as most other nerves are. This nerve runs from the neck, all the way down the arm, and is responsible for sensation in the fourth and fifth fingers of the hand, the palm of the hand and the underside of the forearm.

This sensitive nerve can become damaged from repetitive jarring motions. Individuals who work with jackhammers or other hydraulic equipment, and even long-distance cyclists and baseball pitchers can be at risk for developing this condition. When the ulnar nerve becomes compressed or “pinched” near the elbow, it is said to be “entrapped.”

Patients with this condition report symptoms of weakness or tenderness in the hand, tingling in the palm and fourth and fifth fingers, sensitivity to cold and tenderness in the elbow joint. Sometimes these symptoms will resolve on their own, but often, if the damage is more severe or the activities causing it are ongoing, medical intervention may be required.

A thorough examination by a specialist trained to heal the hands, arms and upper extremities of the body is the best person to diagnose this condition. The orthopedic doctor will examine the arm and hand, possibly tapping lightly on the ulnar nerve to determine sensitivity. She will take a detailed account of when the condition began and how it has progressed. Other tests may be ordered such as X-Rays, MRI or Nerve Conduction Velocity tests.

Often, Ulnar Neuropathy or Ulnar Nerve Entrapment can be treated through minimally-invasive methods. Non-steroidal anti-inflammatory drugs may be prescribed, and corticosteroid injections may be considered. Bracing or splinting, especially at night, may be undertaken. Occupational therapy exercises, when done faithfully, will help to rebuild flexibility and strength.

Occasionally, the condition is more serious and Cubital Tunnel surgery is required. Surgery is typically done on an out-patient basis, and the patient can go home that same day. In this situation, the cubital tunnel is cut to allow more space for the ulnar nerve. Splinting of the arm will be required for several weeks, and occupational therapy with home follow-up exercises will be utilized.

If ulnar neuropathy goes untreated, complications can result:

  • Partial or complete loss of feeling in the hands or fingers
  • Partial or complete loss of hand or wrist movement
  • Chronic pain
  • Emotional depression stemming from the pain or lack of ability to engage in sports or other life activities

If you or someone you know is experiencing tingling, numbness or pain in the hand, arm, wrists or shoulder, contact Dr. Rehman . She is a specialist in treating disorders, conditions and injuries related to the upper extremities, and will conduct a thorough evaluation and design a comprehensive plan to return you to full functionality. Her team of experienced hand therapists will follow up with exercises and other treatment modalities for a return to full strength and range of motion. Don’t endure pain for even one more day – contact Dr. Rehman today!  586-532-0803

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Hand Injuries: Baseball Finger or Mallet Finger

 

 

Finger Injury: Baseball or Mallet Finger

What is it?
As this injury can often occur when catching a baseball, it is sometimes called baseball finger or mallet finger. It is an injury that occurs to the fingertip that is caused by a sharp blow, or a jamming injury, to the fingertip. In this condition, the tendon that is responsible for straightening the tip of the finger is damaged, and you may not be able to straighten your finger.

What are the symptoms?
Pain and swelling at the end of the finger are the most common symptoms, coupled with an inability to straighten the finger completely. This could become a permanent condition if treatment is not sought early enough.

How is it diagnosed?
A doctor who specializes in the hands, wrists and shoulders is the best person to diagnose this condition. The doctor will examine your finger and review your symptoms. An X-ray may be taken to rule out the presence of a fracture. Frequently, the tendon will pull off a piece of the bone to which it is attached at the end of your finger. Most injuries of this nature can be healed through rehabilitation. But if a large fracture of the bone has occurred, or the joint is misaligned, surgical repair may be required.

How is it treated?
Assuming there is no fracture, the finger will need to be straightened and placed into a split to keep it stabilized. This splint may need to be worn up to 6 weeks. This will allow the tendon to reattach to the finger or, if a piece of bone has been pulled off, to allow the bone to heal. The finger will most likely be swollen, so ice packs should be applied for 20 to 30 minutes 3 to 4 times per day, or until the pain is gone. Your hand should be elevated on a pillow when you are lying down, or placed on the back of a chair or couch if you are sitting. Most injuries of this nature can be healed through rehabilitation.

When can I return to my sport or activity?
In general, the longer you have symptoms before you begin rehabilitation, the longer the time period of recovery. Returning to your sport or activity will be determined by your rate of healing, rather than a set number of days or weeks. If you return too soon you may worsen the injury, which could lead to permanent damage. Each person recovers at a different rate. The goal of rehabilitation is to get you back to full function as soon as it is safe for you to do so.

It is important for you to wear the splint for your mallet finger for at least 6 weeks after the injury. If you wear the splint as the doctor has recommended, you may be able to return to your activities sooner. Not wearing the splint could lead to permanent damage and deformity to the finger.

How can I prevent this injury?
Usually the direct blow that causes mallet finger is accidental, so often these types of injuries are not preventable.

If you or someone you know is experiencing pain, stiffness, numbness or tingling in the hands, wrist, arm or shoulder, seek a consultation from Dr. Rehman. She will provide a full evaluation and workup to determine the exact cause of the problem, and her team of hand therapists will implement a comprehensive program to help you attain full recovery, range of motion and strength in the affected area. Contact Dr. Rehman today for more information. 586-532-0803

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