![]() When you begin your Physical Therapy after surgery, we'll begin with gentle range-of-motion exercises. The bandage can be removed fairly soon after surgery, aand is usually only required for the first 24 to 48 hours. This is to provide gentle compression and reduce the bleeding and swelling that occurs immediately after surgery. You'll probably wear a fairly large padded bandage on your hand over the area after surgery until the stitches are removed. If you wear a splint, the nodule may shrink temporarily, but patients often end up needing surgery for this problem. You may get some relief of symptoms with a cortisone injection. When triggering has been present for more than four months, nonsurgical treatment is usually short-lived. This can help relieve the triggering, but the results may be short lived. Your doctor may recommend a cortisone injection into the tendon sheath to decrease the inflammation and shrink the nodule. This treatment is especially helpful for patients who can't tolerate injections. Our therapy sessions sometimes include iontophoresis, which uses a mild electrical current to push anti-inflammatory medicine to the sore area. Your Miller PT Physical Therapist will show you ways to change your activities to prevent triggering and to give the inflamed area a chance to heal. ![]() We will have you do special exercises to encourage normal gliding of the tendon. Our Physical Therapists may build a splint to hold and rest the inflamed area. Miller PT programs of Physical Therapy or occupational therapy are most effective when triggering has been present for less than four months. ![]()
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