Physiotherapy after operative treatment focuses mainly on keeping the other joints mobile and thus preventing stiffness.
Cryotherapy can be useful to relieve pain in the early stages, it can be used 10 -15 minutes 2 to 3 times a day.
Ultrasound can be used to hasten the recovery process.
The proximal joints are mobilized to gradually decrease the stiffness and increase the movement in the tip of the finger and after removing the splint the active and passive range of movements are started.
Passive range of motion
Passively bend the injured joint gently to maintain the joint range of motion then straighten back the joint. Each position is held for 5 secs with 10 repetitions 3 to 4 times a day.
Passive finger flexion
Using the other hand to stretch the stiff finger at the tip and middle joints, roll it into a full fist. Repeat for all fingers individually. This exercise can also be done by stretching all 4 fingers at the same time. Hold this position for 5 secs and repeat 10 times.
Palms flat on the able hold the finger one at a time and lift each finger at a time, hold this position for 5 secs and repeat 10 times.
Active finger flexor tendon glides
Begin with the wrist and fingers straight. Bend at the first knuckles then touch the fingertips to the base of the palm, making a flat fist. Bring the fingers back into a claw position, maintaining the tension in the fingers, roll them into a full, tight fist. Hold this position for 5 secs and repeat 10 times.
Practice picking up small objects like pins, buttons, coins, etc.
Grip strengthening exercises
Strengthening exercises can also be useful to restore normal hand and finger strength.
Strengthening exercises like holding a squeeze ball, rubber ball or a therapeutic putty can be very helpful to regain mobility and strength. Hold this position for 5 secs and repeat 10 times.