The main goal of physiotherapy is to restore the normal movement and full mobility of the hand.
The wrist is immobilized by using a brace, or compression bandage.
Ultrasound therapy can be used to decrease inflammation.
Laser therapy is used to decrease pain and inflammation.
Active range of motion exercise
Active range of motion exercises are given after surgical treatment to reduce edema relief and scar tissue reduction. Metacarpal, proximal interphalangeal, distal interphalangeal joints, and the wrist joints i.e. radiocarpal and mediocarpal joint are given exercised.
Passive range of motion exercises
Passive range of motion exercises for the hand and wrist are given to initialize the movement of the hand.
Resisted exercises are used to strengthen the muscles of the fingers, this can be done by using squeeze ball, rubber bands, etc.
Proprioceptive neuromuscular facilitation (PNF) exercises:
The finger is kept in a flexion position by the therapist. The patient is then asked to maintain the same position for a few seconds and then asked to relax the finger. He is then asked to repeat.
Tendon gliding exercises:
The patient is asked to do tendon gliding exercises from wrist flexion with finger extension to wrist extension with finger flexion.
The patient is asked to perform blocking exercises by laying the hand palm side up on a table. With the opposite hand, he is asked to grasp and hold the affected finger at the middle section just below the end joint. Then he bends and straightens the finger at the end joint while holding the rest of the finger straight. He is asked to repeat the same exercises for all joints and fingers.
Scar tissue mobilization is used to restore functional mobility, it improves range of motion and also decreases pain. Stretching is done to realign the collagen fibers allowing them to return to normal. This realignment of the collagen fibers helps the tissue to tolerate the forces that are placed on it during the day.
Massage can also be given to mobilize the scar tissue. This can also loosen the adhesions between the scar and the underlying tissue and fascia. Both stretching and massage increases flexibility and ensures proper remodeling takes place.