What are the rehabilitation myths of hand and foot surgery patients

  In clinical practice, there are many patients and their families who emphasize treatment rather than rehabilitation. They can spend a lot of money on saving the lives of their loved ones, but have a conservative attitude towards rehabilitation after the disease. The result is limited joint movement, unsatisfactory function, and even the need for reoperation. This was a successful surgery, but why did it result in that outcome? It is because of the lack of knowledge about rehabilitation, and the patient did not undergo rehabilitation as early as possible after the surgery. In fact, many patients, including some doctors, have some misconceptions about rehabilitation: 1. Most people think that hand trauma treatment mainly relies on surgery, and everything will be fine after surgery. The function of the upper extremity is mainly in the hand, which has a complex anatomy and fine tissue structure, with dozens of interrelated tendons, internal and external muscles, joint capsule, ligaments, bones and other tissues located in a small area, which is superficial and precise compared to other parts of the body, and is easily damaged. Surgery is the first step to achieve a satisfactory treatment effect, but the rehabilitation treatment is also extremely important. Surgery is the basis of treatment, and then the integrated use of systematic and complete rehabilitation treatment, can make the hand trauma to achieve the best treatment effect.  2, the lack of hand rehabilitation treatment often makes hand trauma treatment effect is greatly reduced, no doubt is very unfortunate, but most patients only stay to focus on how the doctor how to carry out surgery, how to use drugs, etc., on the post-operative rehabilitation training is ignorant, know that the doctor performed surgery, only 50% of the whole treatment process, the remaining 50% depends on the functional rehabilitation training. Surgery is a kind of traumatic treatment, no matter big or small surgery, post-operative complications such as scar growth, tissue adhesions and joint stiffness are likely to occur, only by minimizing the occurrence of complications or reducing their impact to a minimum can the treatment effect be guaranteed. Some patients recognize the necessity of rehabilitation therapy, but they think that rehabilitation therapy is just a “baking lamp and electricity”, which has little effect and misses the opportunity to recover. As a matter of fact, rehabilitation therapy in the general sense includes exercise therapy, physical therapy, occupational therapy, psychotherapy, hand braces, and traditional Chinese medicine rehabilitation therapy. For patients with traumatic hand injury, early effective and appropriate rehabilitation treatment methods need to be applied together in order to restore hand function as soon as possible.  4, the allocation of medical costs is not reasonable Many patients, due to early eagerness to seek medical treatment, take the initiative to request some tests that have little significance for treatment guidance. Some patients do not have fractures, but due to postoperative pain, repeatedly request X-ray examinations; some patients do not have infections, but request the use of expensive antibiotics; some patients do not bleed much, but repeatedly request blood transfusions. All these situations will cause waste of medical expenses and inevitably reduce the investment in comprehensive rehabilitation.  5, eager to progress, ignoring the correct method of sports training Sports training for patients with traumatic hand injury, especially early sports training, must be carried out under the supervision of a rehabilitation physician or therapist with the assistance of the principle of not affecting the stability of the trauma and surgical site. The rehabilitation physician or sports therapist will decide on different exercise training time and intensity and frequency according to the different degrees of injury and surgery of the patient. Some patients privately premature or excessive exercise, or even use violence to move the affected limb, resulting in repair of tendons or nerve re-rupture, or other injuries.  6. Neglect training outside the clinic As rehabilitation treatment proceeds, training outside the clinic gradually increases. Most patients are guided by therapists in the office and can complete the training program. For training outside the office, such as building block training and health ball training, which are used to exercise finger dexterity, patients are less active and find the training boring and cannot stick to it.  7, unreasonable expectations Hand trauma patients have different recovery of hand function depending on the injury, surgery and rehabilitation. Generally speaking, complex injuries, recovery is poor. Many patients will have some sequelae, some can be recovered through the later for a longer period of rehabilitation, and some will be with the patient for life. To their objective situation, patients should have reasonable expectations.  8, excessive concern for the affected limb Excessive concern for the affected limb is an inevitable problem for almost every patient, which is detrimental to the postoperative pain control and psychological adjustment. Some patients treat the affected limb as the center of their lives, and worry about the tendon (or nerve) rupture when there is a slight pain, and worry all day long, and may even have delusion or even mental symptoms. If this happens, please contact your physician promptly.