Display Patient Information Leaflets

Date issued: June 2024 

Review date: June 2026

Ref: C-575/JT/Occupational Therapy/Zone T2 to T5 EPL (Thumb) Extensor Norwich EAM

PDF:  Zone T2 to T5 EPL (Thumb) Extensor Norwich EAM.pdf [pdf] 139KB

Introduction

You have had the tendon(s) that straighten your thumb repaired. In the short term, this will need to be protected in a splint; it will take several months to become strong.

Wearing your splint

• The splint is fitted to stop your thumb bending and to protect your tendon repair.
• Your splint should not be removed unless instructed to do so by your therapist – that includes showering / bathing.
• Keep the splint away from anything hot (hot water / fire / radiator) as it will become soft and lose its shape.

Remember:

• Keep your hand elevated to reduce the swelling
• Keep your uninjured joints moving to prevent stiffness.
• If your splint is rubbing or is uncomfortable please contact us.
• Do not use your hand unless advised to do so by your therapist.

Exercise & Splint Regime:

You will need to do regular exercises to prevent your thumb becoming stiff and to allow the tendon to glide when it is strong enough to do so.

Exercise in your splint every 2 hours by removing the straps over your fingers. Do each exercise 5-10 reps

1. Lift thumb off the splint with your other hand, as shown below. Let go and keep the thumb straight holding for 5-10 seconds and then relax back onto the splint.
2. Lift the thumb off the splint by itself. Keeping straight at all times. Hold each finger up for 5 to 10 seconds and then relax it back onto the splint.
3. Use your other hand to bend your wrist backwards slightly, away from the splint, as shown. Keep your knuckle up straight but bend the tip your thumb down, as shown. Then straighten your thumb again.

If you are unable to straighten your fingers stop exercising, contact your therapist and remain in your splint

If there is a sudden decrease in your movement, or the splint is causing you discomfort or is damaged, please contact your therapist.

If you have any questions / concerns please do not hesitate to contact us.