Reconstructive · Hand
Finger Stiffness
Treatment of joint contractures and adhesions through tenolysis and capsulotomy to improve range of motion.
What it is
Finger stiffness can follow injuries, fractures, surgery or prolonged splinting, when scar tissue tightens joints or causes tendons to stick. When therapy alone is not enough, surgery can release the joint capsule (capsulotomy) or free stuck tendons (tenolysis).
Who it’s for
- People with stiff fingers that have not improved with months of hand therapy
- Those whose stiffness limits gripping or daily tasks
- People with tendons stuck in scar after a previous injury or repair
- Patients willing to commit to intensive therapy after surgery
How it’s done
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Step 01
Surgery is done under local, regional or general anaesthesia; sometimes you are kept awake to test movement.
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Step 02
Incisions are made over the affected joint or tendon.
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Step 03
Scar tissue around the tendon is released (tenolysis) or the tight joint capsule is released (capsulotomy).
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Step 04
Movement is checked before the skin is closed.
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Step 05
Hand therapy starts early to maintain the movement gained.
Recovery time
Therapy usually starts within days and often continues for several weeks to months. Your surgeon will advise based on your assessment.
Results
Range of motion may improve, with gains maintained through regular exercises. Some stiffness can return, and results depend on the underlying cause and therapy.
Results vary from person to person.
Questions about Finger Stiffness
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Therapy is usually tried first. Surgery may be considered when progress has stopped despite therapy. Your surgeon will advise.
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It often is when therapy is continued, but some stiffness can recur. Regular exercise helps maintain movement.
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Some pain is expected, especially during early therapy. Pain relief is used to help you exercise comfortably.
Results vary from person to person. The information on this website is for general education and is not a substitute for a personal consultation. Procedures carry risks, which will be discussed with you before any treatment. Page copy pending medical review