The first goal of the treatment protocol is the recovery of the physiological joint ROM through passive and active mobilization of the shoulder, elbow and fingers first in flexion/extension and pronation/supination progressively. In this phase it is important draining and stress relieving massage therapy for arm and forearm, muscle stretching and the use of analgesic if necessary (laser therapies, ice).
After reaching the full range of motion you can progress to the next phase of the rehabilitation program characterized by reinforcement of the muscles of flexion/extension and pronation/supinaton of the wrist, by manual resistance and progressively with weights and elastic, shoulder stabilizers and by the recovery of the tropism of thenar and hypothenar of the hand. In parallel you will perform exercises to regain control of the hand through proprioceptive exercises and preparation for the resumption of the fine and coarse dexterity and coordination of grasping forceps.
The treatment protocol ends with the last phase on the sports field through sport specific exercises with particular attention to new onset of complications, especially compartment syndromes, residual deformity, stiffness and pain for a gradual recovery and safe return to physical activity.
