Medical Forum / Diseases and Disorders / Arthritis / March 2007
Hand/Wrist Surgery
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KJ - 27 Feb 2007 19:03 GMT Hey gang!! I know, I know, I never call unless I need something!!! ;- P But I have been keeping tabs on everyone!
I'm having left hand/wrist surgery next Tuesday. A few tenosynovectomys, (yes, a few!) some joint synovectomys, some tendon repair and I dunno what else. He said I'd have two large (6-7 inch) incisions, one on each side of my hand/wrist.
It's been ten years since I've had any hand surgery and I've never had wrist surgery. So I need some help from the experts! Any tips to help me deal with being one handed while I recover? Any advice to help speed my rehab time?
Still Smilin! ~KJ
Karen P - 27 Feb 2007 20:34 GMT Hi KJ, sorry you are having surgery. Right now I am recovering from surgery on my right wrist. I had some of the bone of the ulna removed.
The time period that you are still in the surgical dressing is the most difficult. Do you know how much use of your fingers you will have? When I had my non dominant hand out of commission the biggest issue I had was not having it to stabilize things for my right hand. If you have no use of your fingers then dressing is a bit more difficult. Getting on a bra is a pain..I just went without unless I absolutely had to go out. Glad press and seal works great to wrap the cast in so you can shower. I transferred my shampoo and soap to dispensers that had push down nozzles so I didn't have to pick them up to squeeze.. I could drive but had trouble reaching the door to close it. I used a cane, I just hooked the handle onto the arm rest and pulled until I could reach it. As long as you aren't lifting anything too heavy the cast provides a solid surface to balance things with as you carry with your other arm. You might want to precook some casseroles and such so you don't have to worry about cutting and cooking things for several days.
After the cast comes off really just push the movement as much as you can as quickly as you can. I love moist heat before doing my exercises. I found that my fingers really stiffened so keep them moving as much as you can while you are casted or splinted.
Who is doing your surgery? I know a couple hand doctors up your way
Karen
> Hey gang!! I know, I know, I never call unless I need something!!! ;- > P [quoted text clipped - 12 lines] > Still Smilin! > ~KJ Diane - 27 Feb 2007 20:44 GMT hi kj, good to see you! well, your wrist surgery sounds more extensive than mine, which i didn't think was possible, but i only have one incision on the back of my wrist. it was described kindof like yours--cleaning up a bunch of junk. since our surgeries were different, it's hard to equate them in terms of recovery, but mine was very easy. as a matter of fact, i was typing a day or two after it with the doctor's encouragement. he said that was the best PT for it. i DID request PT also which helped me build strength. i can't even remember how long i had the wrist bandaged. all i know was, it was not long. (my wrist was already autofused).
the one negative--my scar is ugly. melinda sent me some great mother's belly butter which helped a lot.
hugs, diane
Harvey R. Stone - 28 Feb 2007 00:54 GMT > Hey gang!! I know, I know, I never call unless I need something!!! ;- > P [quoted text clipped - 12 lines] > Still Smilin! > ~KJ Well,,,, I guess that walking on your hands is out for sure now. Tips ya say,, be calm, cool, and collected. I know you have the best doctors and nurses. So just let it all happen as it will. I also know that you are in the prayers of most everyone that has read your words. Harv
Squirrely - 28 Feb 2007 16:51 GMT Hey KJ,
great to hear from you again. You take care and heal quickly. Will be praying for you.
 Signature Love and hugs Jo
(\__/) .~ ~. )) /O O ./ .' {O__, \ { / . . ) \ |-| '-' \ } )) Warning: squirrels. .( _( )_.' '---.~_ _ _&
> Hey gang!! I know, I know, I never call unless I need something!!! ;- > P [quoted text clipped - 12 lines] > Still Smilin! > ~KJ A/B/C/E Floro - 28 Feb 2007 19:45 GMT <snip>
> It's been ten years since I've had any hand surgery and I've never > had wrist surgery. So I need some help from the experts! Any tips to > help me deal with being one handed while I recover? Practice using the "other" hand before surgery - taking care of feeding, bathroom stuff, etc. A little practice can help a lot. Make sure you've got an electric or battery toothbrush. Have somebody loosen all the jar lids in the house. Best of luck to you!
/Beth <Lefty for all of summer '05>
 Signature to reply, dig out the potatoes
Donald Whitely - 28 Feb 2007 22:33 GMT Hey KJ glad to hear from you, but wish it as w/o the surgery.
I had both sides done at Cleveland Clinic because I had so many finger and wrist issues with each side they fused the fingers and wrists at the same time. I was bandaged to the tips of fingers and about four inches above the wrist line. I was able to use the free hand to help steady things. There was surprisingly very low pain involved. As everyone has all ready stressed get all of your clothing, beauty aids, food, kitchen utensils arranged to be used by one handed person. Practice is advised.
I had excellent Docs (Thomas Hunt). When I was younger (surgeries 6/98 and 11/99) The incisions were soooo fine you needed a magnifying glass to see them I can see them to this day, however, most people cannot find them.
Rehab was easy and comprehensive. I am able to use all of my fingers including the thumb on my left hand that has a rood in it. Even though my wrists are fused I am able to do most things. Opening lids, using tools and anything requiring fine motor skills are problematic.
Don W
> Hey gang!! I know, I know, I never call unless I need something!!! ;- > P [quoted text clipped - 12 lines] > Still Smilin! > ~KJ d'huit - 01 Mar 2007 03:07 GMT hi kj! it's great to see you again!
bummer that you have to go through this, kj, but it sounds like your hands will feel much better after that's cleaned up.
ok, so you already know all the stuff about me having wrecked my wrist about a year and a half ago. my fingertips, to the second knuckle, were exposed and semi-usuable, despite the hurkin' bandages and/or the casts. so, i could do some things, with a bit of effort. couldn't type with my left hand though, cuz the bandaging and cast got in the way of the keyboard.
i'd recommend elevating your hand constantly for the first week at least, cuz it helps with the swelling, pain and with that hand functioning sooner. keep a pillow handy, even when you're doing nothing special.
if you're remotely like me, who can't stand lounging around in a robe 24/7--if you or your dh has a pair of boot hooks (these hooks help pull their boots up/on), one of these will come in handy for pulling up, or down, your jeans and panties, from across your bod with your good hand. slip-on shoes.
before surgery, BUY or find a coat with expecially large sleeves, that is an absolute MUST!!! you'll freeze this time of the year not being able to get your bandage or cast through a coat sleeve--i learned that the hard way. not even one of my dozen coats and jackets fit over the bandages.
before surgery (at least i thought of this beforehand), i cut the sleeve seams, from cuff up, on a couple of over-sized sweatshirts, so i could re-stitch them later, same goes for long-sleeved jammies. also, it helps to have a warm sleeveless fleece cape for indoors, in case it gets chilly and sweatshirts aren't warm enough. they are way cheap and can be found online.
the waterless shampoo is good to have on hand, in case you don't have help washing your hair. but somehow, i think you will have help for that.
i used a heavy and large flower arranging frog to stick and anchor a bar of soap onto, so i could lather up a washcloth. squeezing a bottle of shower gel was simply too hard for me to do one-handed.
all the rest of the suggestions offered are very good ones, too. but i'll emphasize--do practice doing things one-handed, before surgery, especially buttons or zippers, if you will be wearing clothing that have those fasteners.
wishing you the best possible outcome with this surgery and hoping that your recovery will be swift. hugs, kate
Hey gang!! I know, I know, I never call unless I need something!!! ;- P But I have been keeping tabs on everyone!
I'm having left hand/wrist surgery next Tuesday. A few tenosynovectomys, (yes, a few!) some joint synovectomys, some tendon repair and I dunno what else. He said I'd have two large (6-7 inch) incisions, one on each side of my hand/wrist.
It's been ten years since I've had any hand surgery and I've never had wrist surgery. So I need some help from the experts! Any tips to help me deal with being one handed while I recover? Any advice to help speed my rehab time?
Still Smilin! ~KJ
Nann Bell - 01 Mar 2007 15:07 GMT Wow, you're really going all out at once, aren't you? Hmmm, it's been 18 years since I had any work done on my non-dominant hand/wrist. First recommendation is to celebrate the fact that it isn't your dominant one this time! #2 give yourself at least 4 x the usual amount of time to complete tasks as everything takes longer. Meanwhile, tell folks you can't do much for at least 2 months!
And start now to drive home to the family that they have to do a lot more around the house. It took me TWO weeks to get Mike to sweep the kitchen floor last year when I was restricted! Silly divil!
more directly - naturally make sure you keep that arm well elevated for the first week, which I'm sure the doc will tell you and you know anyway. Generally, I'd say wriggle your fingers around throughout the day from the beginning, but with all the work you're having done you might check with the surgeon on that.
Oh, and based on a mistake I made with my first CTR, think carefully about your clothing! Wear something to the hospital that will be easy to get back on for driving home! And get any slings, ace wraps or ice packs you might need in the first days to a convenient place NOW.
And don't work your PT too hard, but do it - my doc last year made the point to me that I'd have less pain long term if we didn't try to get ALL the movement back, but of course, you're getting so much done, you need to work to avoid scar tissue problems.
 Signature Nann remove the Gator cheer to email me Simply the thing I am shall make me live --- William Shakespeare
Karen P - 01 Mar 2007 17:32 GMT " And don't work your PT too hard, but do it - my doc last year made the point
> to me that I'd have less pain long term if we didn't try to get ALL the > movement back, but of course, you're getting so much done, you need to > work > to avoid scar tissue problems." It was interesting you said that Nann. I was at therapy today for my post op wrist, one of the therapist told another patient that they would rather you have less motion and no pain than full motion that is painful. Of course I haven't managed either option yet...still don't have good motion and it still hurts...oh well
Karen
KJ - 01 Mar 2007 18:20 GMT Thanks everyone!!!!
I have been practicing doing things one handed and I got my hair cut off so it'll be easier to take care of. Got some slip on shoes, pull on pants and wide sleeved shirts.
I am supposed to be sleeping with my hand tied to something like an IV pole for at least a week post op (now that sounds comfy!), so Bob is putting an eye hook in the ceiling over the bed and hanging a bungee cord from it. (might have interesting uses after i heal! <eg>)
Doc told me that if I worked I would be off for at least 8-10 weeks, so I have told and told and told Bob and the kids that they are going to have to do most of the housework for that long. "We know Mom, we know!" Yeah, right!
Thanks for all the advice and keep it coming! You guys are great!!!!!!
~KJ
A/B/C/E Floro - 01 Mar 2007 18:53 GMT <snip>
> I am supposed to be sleeping with my hand tied to something like an IV > pole for at least a week post op (now that sounds comfy!), so Bob is > putting an eye hook in the ceiling over the bed and hanging a bungee > cord from it. (might have interesting uses after i heal! <eg>) <snip>
I had a big foam "pyramid" to wear for 2 weeks. It held my arm at a 90 degree angle, and it was comfortable. We called it Sponge Bob Square Hand. :-D
I can send you a picture if you like. Can't post it here.
Maybe this is an option for you, rather than being tethered! :-D
/Beth F.
 Signature to reply, dig out the potatoes
Sharon & Jack - 02 Mar 2007 01:56 GMT When I had surgery on my right hand in '99, I also got a couple of knit pullover dresses. Nothing with button, snaps, or zippers. When I had back surgery in 2004, I said goodbye to bras for a few weeks. and lived in tee-shirts and baggy sweats. Sharon
Nann Bell - 02 Mar 2007 13:09 GMT > Thanks everyone!!!! > > I have been practicing doing things one handed and I got my hair cut > off so it'll be easier to take care of. Got some slip on shoes, pull > on pants and wide sleeved shirts. Sounds good. When a southerner, I had several lightweight, easy-on cotton dresses that were perfect for such times. Surgery's ben much more complicated here in the frozen north!
> I am supposed to be sleeping with my hand tied to something like an IV > pole for at least a week post op (now that sounds comfy!), so Bob is > putting an eye hook in the ceiling over the bed and hanging a bungee > cord from it. (might have interesting uses after i heal! <eg>) when I busted up my wrist in '94, the doc sent us home from the ER with about 6 feet of stockinette. (I later learned he is KNOWN fo this at area ERs! LOL) It was great for stringing up my wrist both then and after the surgery later in the week. We just kept it tied to the ceiling hook and I slipped it on and off my bandaging when I needed to go pee or something. The only appropriately placed hook for this unplanned stuff was over the couch, so I slept there for 10 days or so and did even more damage to my gback in th process - but it meant that one hook worked for all the activities I was interested in at the time.
(considering our respective weights and the relatively cheap construction of that house, we never tried more... ahem, "interesting" uses for the hooks in the ceiling!)
> Doc told me that if I worked I would be off for at least 8-10 weeks, > so I have told and told and told Bob and the kids that they are going > to have to do most of the housework for that long. "We know Mom, we > know!" Yeah, right! I hear ya, I hear ya! they may say it now, but will they really do it? Well, just let them know you will pester them even more if htey don't!
 Signature Nann remove the Gator cheer to email me Simply the thing I am shall make me live --- William Shakespeare
Kelly - 02 Mar 2007 15:49 GMT Can't think of anything to add to this list - do ditch the bra though and have large shirts and easy to pull up pants (2 loops sewn into the top of the pants to pull them up are helpful - big enough to put your arm in. That was one tip from someone before my surgery and it was great.
Good luck KJ - will be thinking of you - drop by to tell us how it is going. Are you still on Orencia and will they take you off for a bit?
Kelly
> Hey gang!! I know, I know, I never call unless I need something!!! ;- > P [quoted text clipped - 12 lines] > Still Smilin! > ~KJ KJ - 04 Mar 2007 21:15 GMT Hi Kelly, I'm still on Orencia and totally off the dreaded pred BTW! I am scheduled for my infusion 8 days after surgery. If everything looks okay when I get my dressing changed the day before I will go ahead and have the infusion. If the wound isn't healing well or has any signs of infection we'll hold the infusion until things look better.
~KJ
> Good luck KJ - will be thinking of you - drop by to tell us how it is going. > Are you still on Orencia and will they take you off for a bit? Kelly - 04 Mar 2007 23:37 GMT So glad to hear it went well for you - finally a med. I am off the orencia due to no effect on the RA except for an energy spurt and 8 days solid of headaches that would not go away for anything and with anything. So I start Rituxan in a couple of weeks. Keeping fingers crossed you won't miss any infusions.
And to be off the prednisone - whooee!
How is your daughter doing by the way. I often think of her and Robbie.
Take care, kelly
> Hi Kelly, > I'm still on Orencia and totally off the dreaded pred BTW! I am [quoted text clipped - 8 lines] >> going. >> Are you still on Orencia and will they take you off for a bit?
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