ECU Stabilisation
Download this rehabilitation protocol (PDF)
For patients and physiotherapists.
Week 0-1
Aims:
- Pain control
- Protect stabilisation
- Allow the wounds to heal
- Maintain overall mobility including fingers
Suggested treatment:
- Arm in sling and plaster
- Pain relief
- Finger ROM
Week 1-4
Aims:
- Wean out of sling
- Transition to moulded thermoplastic splint
Suggested treatment:
- Gradual increase range
- Full finger ROM
Restrictions:
- No pronation/supination
- No wrist flexion/extension
Week 4 and beyond
Aims:
- Minimal pain
- Increased active ROM
- Wean out of sling and thermoplastic splint completely
- Return to most normal activities
Suggested treatment:
- Progression in AROM and commence pronation/supination
- Strengthening exercises
Restrictions:
- No heavy lifting
Some General Questions
What to expect after surgery:
- Most patients will be discharged same day as surgery
- After you wake up, you might notice some numbness to fingers of the operated hand. This may be secondary to local anaesthetic and will wear off over 24-48 hours.
- You will be seen by Mr Lau prior to your discharge, and post operative hand therapy will be arranged for you
- You will be sent home with medications or a script to help with pain relief
Time in Sling:
- Generally your sling should be on most of the time in the first 1-2 weeks
- From then, you can wean out of the sling gradually using it less and less each day. You do not need to use your sling at night/sleeping
- From 4 weeks, you should not need to use your sling at all
Return to Activity
- Work: Depends what you do. Desk based work can be done from 2 weeks post operatively, if you can do these tasks single handedly. Otherwise generally 6 weeks before you can use both hands freely whilst seated.
For manual work, it depends on what kind of lifting/pushing you do, but generally not before 3 months - Drive: In Australia, you can’t drive unless you are in full control of both your arms. Therefore, whilst you’re in a sling or splint, you cannot drive. Generally 4 weeks post operatively.
- Sports/Hobbies:
- Gentle swimming: after 6 weeks
- Gardening (light tasks only): 8-12 weeks
- Bowls: after 3 months
- Golf, tennis, badminton, squash: after 4-6 months
- Weights: commence after 3 months
Concerns or questions?
If you have any concerns post operatively, or you would like further information, please contact Mr Lau through the VBJS on 03 5752 5020 or via email at admin@vbjs.com.au
If you need urgent medical help, call 000 or go to your nearest emergency department.
These notes have been prepared by Mr Simon Lau. They are general overviews and information aimed for use by his patients. They reflect Mr Lau’s views, opinions and recommendations. They do not constitute medical advice. The contents are provided for information and education purposes only. Please seek Mr Lau’s specific advice with any questions regarding medical conditions and treatment.