Dan: how does physio work? Remove cast, painful exercise, reapply cast? Repeat weekly?
You are only in the cast because you haven't had your first session. That will go as soon as you get there. You don't have broken bones, or not serious ones at least, so you don't need support just immobilisation. Unless they are doing something different because you cut through your thumb bone, in my case the only cast I had went the next morning. Broken fingers heal well on their own, they did nothing for my breaks. Just the nerves and tendons. You will probably get a nice, NHS coloured plastic splint. I now have something of a collection. They take the plaster cast off and get you to hold your injury still with the other hand (take them seriously when they say not to flex it at all while it's not immobilised) then they mould the plastic to fit you and strap it on. They will adjust it now and then during the next few weeks, and you might get a whole new one in a few weeks if they need to start getting you moving or hold the would differently, but basicaly this splint is with you for a couple of months and never comes off except in the physio room. If you need it adjusted, go to the hand unit. Don't try it yourself even though it looks simple, they will be angry and you might make your injury worse again. Sometimes if you are a sensible type they will eventually let you take it off yourself for cleaning, but that's up to them and not you!
Your initial painful excercises are going to be limited to what you can do inside the splint, and it's just to keep it moving. Once a week? Oh no son, the painful excercises have to be done several times an hour if you are going to keep your hand working properly. It's simple suff to start with but you won't believe how difficult it is to get your hand to obey you even with these simple tasks. The real pain comes later, when the splint is off and they start doing proper range of movement and strength excercises. Don't think about it, just do it. It's really important to do exactly what the hand physio and then later the OT tell you. It will hurt, way more than the injury did, but only briefly and you will get your hand back if you stick with it.
Scar massage, don't neglect it. Fingers are small and a little bit of scar tissue inside there will gum it all up. Do the massage they tell you about and do it regularly, so the scars in the various tissues won't form in to one lump then and everything will move better in the long run. The ultrasound machine will hurt where they press it into you, but let them do it.
When you get there they will show you a big chart all about how your hand works, and what you've done, and how they have fixed it, and why not to do it again. Believe me it's a LOT more embarrassing the second time aound, with the same physios. You will sweat more in a 20 minute hand physio session than an hour at the gym and it will be tiring but it has to be done.
Basically, for the next few weeks don't mess with their work. Don't stretch or stress or bend your wound. Do exactly what they say and keep up the excercises and massage. It does work, it is worth it and you can get a good recovery. I still type with both hands.
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6 downloadsSome of my lovely splints. I had more for fingers only, don't know where they are. And several big blue foam slings. Sleeping in these puppies is not hassle free.
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15 downloadsStill fits!