lydy: (Lilith)
[personal profile] lydy
So, my finger has gotten better. I have a much greater range of motion than I did a month ago, although I still need to warm up a bit. It's stiff, and that range of motion takes real work to achieve. It's nowhere near what it used to be, but it's pretty damn serviceable. It doesn't hurt, except when I do my exercises. It no longer hurts when it is slightly bumped or jarred. My grip strength is about the same as my left hand, which means it's probably less than it was before the accident, but again, pretty damn serviceable. Yay for all of that.

It doesn't straighten so good. It's at about a 30 degree angle, unless the OT pulls on it a bunch, at which point she can get it down to about 20 degrees. Sigh. So, I have this lovely little splint that I'm supposed to wear to bed, and at other times during the day. It puts pressure on the knuckle, and kinda pulls the damn thing straighterer. Not actually straight, just straighterer. Sometimes, it hurts and I take it off. Sometimes it doesn't, and I leave it on. I evidently took it off in my sleep yesterday during the day, because I went to bed with it on, and woke up with it off. The general idea appears to be that it's like a little bonsai tree, and I'm training it up in the way it should go. (Sorry about the Biblical reference, there, got lost.) There's also a finger-as-origami thing that I'm supposed to do, to increase flexion, which involves taping the finger at an odd, bent angle for long periods of time. I don't do that one because it renders the hand essentially useless. I probably should, though. Come to think of it, that one looks even more like bonsai, since it's unnaturally bent and all.

I totally forgot to make appointments with the OT for this week, so I guess I'm taking a week off from getting my finger pulled about and generally manhandled by a very cheerful, knowledgeable young lady who thinks that this is all vast fun and that my hand is the greatest toy ever. I like her quite a bit, actually, and I find her habit of arguing with herself about the best way to approach the problem quite charming. She tends to toss two or three contradictory theories about, I ask her how to combine these contradictory therapies, she argues with herself briefly, and comes up with some weird compromise. It's cute. I think she's relatively new to her position, she said something about not yet being certified. It's possible that someone more experienced would be better, but I don't really think so. Of course, I have no good gauge by which to judge. But, you know, finger getting better, so she must be at least adequate.

Date: 2014-03-28 11:50 pm (UTC)
From: [identity profile] graydon saunders (from livejournal.com)
If it hurts -- I mean, check amounts, but -- if it hurts, it's probably working. Like orthodontia. Taking the brace off when it hurts is not in your best interest if you're trying to maximize hand functionality.

(Stretching connective tissue is slow and it hurts.)

Also, not doing your exercises cannot possibly help you.

Date: 2014-03-29 11:56 am (UTC)
From: [identity profile] lydy.livejournal.com
One of the things the other OT I worked with said that is that the natural resting state of the hand is with the fingers slightly curled, so even if it's not tight and not hurting, just holding it straighterer does help stretch it. And when it hurts, it hurts in a very focused way which feels not like stretching but like damage. Now, I take that with a grain of salt, because when I first started exercising the finger, it all felt like damage and not like progress. Since what I'm dealing with are tendons and nerves, and not muscles, the sensations of stretching are both unfamiliar and a bit scary. Unfortunately, no one is able to tell me how to tell the difference between good pain and bad pain. I'm sure there is one, but fuck if I know what the difference is.

In the mean time, I do stuff, and some of it helps but the progress is frighteningly slow. Which is discouraging, and so many things here are a disincentive.

One really good thing is that the sensation on the side of the finger is more normal. It's not normal, yet, possibly never will be, but there is significant improvement, which suggests that the nerves are either healing or re-routing. Probably both.

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