The importance of post-operative rehabilitation

  Successful cure = 50% surgery + 50% rehabilitation 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 they are conservative about rehabilitation after the disease, and many people regard rehabilitation as the same as recuperation and physical therapy, and consider rehabilitation optional. 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: [Misconception 1] Most people believe that the treatment of hand trauma mainly depends on surgery, and that everything is fine after surgery.  The function of the upper extremity is mainly performed in the hand, which has a fine tissue structure, tendons, internal and external muscles, joint capsule, ligaments, bones and other tissues located in between, the location is superficial and precise compared to other parts of the body, easy to damage. Surgery can only repair the anatomy of the injury, but only after the comprehensive use of systematic rehabilitation treatment to achieve the healing effect.  Misconception 2] Insufficient understanding of the need for comprehensive rehabilitation treatment.  Some patients think that rehabilitation is just a “baking lamp and electricity”, which has little effect. In fact, there are exercise therapy, physical therapy, occupational therapy, psychotherapy, hand brace, traditional Chinese medicine rehabilitation therapy, etc. For patients with traumatic injuries, effective and appropriate rehabilitation treatment methods should be applied together in order to restore limb function as soon as possible.  Misconception 3] The allocation of medical expenses is not reasonable.  Many patients, because of their eagerness to seek medical treatment in the early stage, take the initiative to request some examinations that have little significance in guiding treatment. Some patients do not have fractures, but repeatedly request X-ray examinations due to postoperative pain; some patients do not bleed much and repeatedly request blood transfusion. All these situations will cause waste of medical expenses and reduce the investment in rehabilitation treatment.  【Mistake 4】 Rushing for progress and ignoring the correct method of exercise training.  Post-operative exercise training for trauma patients must be supervised with the assistance of a rehabilitation physician or therapist, and different exercise training times and training intensities and frequencies should be decided according to the different degrees of injury and surgery of the patient. Some patients privately exercise too early or too much, or even use violence to move the affected limb, resulting in repairing the tendon or nerve re-rupture, or other injuries.  Myth #5: Neglecting the psychological adjustment of oneself.  The occurrence of hand trauma is sudden, causing serious psychological trauma to patients. Patients are often worried and anxious about not being able to resume normal work, life and their own future, depressed mood, low self-esteem and even light-heartedness. Therefore, psychological rehabilitation treatment plays a very important role in hand function rehabilitation, and only when the psychological rehabilitation is complete, the functional rehabilitation can get the proper effect.