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This study evaluates whether delaying therapy initiation to 3 days post-op is safe and effective. Methods: Ten patients begin therapy at day 3; pain, edema, and range of motion are measured at baseline, day 3, day 12±2, and weeks 3, 4, 8, and 12. Functional limits and anxiety are assessed at initial post-op visit, week 4, and week 12. Results show major motion gains in the first 2–3 weeks, maintained through follow-up.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/reduced-pain-and-edema-following-delayed-therapy-for-flexor-tenolysis/432327/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/reduced-pain-and-edema-following-delayed-therapy-for-flexor-tenolysis/432327.png","ImageObject",300,407,{"name":92,"@type":93},"McGucket","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-31","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":29},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why did the study delay therapy initiation after flexor tenolysis?","Question",{"text":112,"@type":113},"Traditionally, therapy begins 1 day post-op, but pain and edema can limit patients’ ability to start and carry out an effective home therapy program. The study tested delaying initiation to 3 days to improve tolerability while maintaining outcomes.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What measurements were taken to evaluate pain, edema, and hand function?",{"text":117,"@type":113},"Pain, edema, and range of motion were measured at baseline, day 3 post-op, day 12±2, and at weeks 3, 4, 8, and 12.",{"name":119,"@type":110,"acceptedAnswer":120},"What were the key findings about range of motion and clinical results?",{"text":121,"@type":113},"Most range of motion improvements occurred in the first 2–3 weeks, with interphalangeal joint total active motion increasing from 64.0°±24.9° at baseline to 142.5°±24.6° at 3 weeks. Improvements were maintained through the 8-week follow-up, and outcomes by the Original Strickland Classification were favorable for most patients.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},432327,1790765297,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":29,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":39,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":46,"preview_page_count":4},1236954412713,"https://us-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","Journal of Hand Surgery Global Online 8 (2026) 100895  \nContents lists available at ScienceDirect  \nJournal of Hand Surgery Global Online  \njournal [homepage:](homepage: www . J HS GO . org)[ www . J HS GO . org](homepage: www . J HS GO . org)  \nOriginal Research  \nReduced Pain and Edema Following Delayed Therapy for Flexor Tenolysis  \nSarah Mart, MS, OTR, * Nancy M. Cannon, OTR, * Danielle Sparks, DHS, OTR, * Courtney D. Jensen, PhD †  \n* Indiana Hand to Shoulder Center, Indianapolis, IN  \n† University of the Pacific Health & Exercise Science, Stockton, CA  \na r t i c l e i n f o  \nArticle history:  \nReceived for publication September 10, 2025  \nAccepted in revised form October 27, 2025 Available online xxx  \nKey words: Edema  \nFlexor tenolysis Pain  \nRange of motion Therapy  \nPurpose: Traditionally, therapy has been initiated 1 day after surgery following flexor tenolysis to prevent the development of early adhesions. Pain and edema are limiting factors in the initial days after surgery and can interfere with the opportunity to effectively initiate a home therapy program. The purpose of this study was to demonstrate the safety and effectiveness of delaying the initiation of therapy to 3 days post-op following flexor tenolysis.  \nMethods: 10 patients undergoing flexor tenolysis initiated therapy at 3 days post-op. Pain, edema, and range of motion were measured at baseline, day 3 post-op, day 12 ± 2, and weeks 3, 4, 8, and 12. Functional limitations and level of anxiety were assessed at the initial post-op visit, as well as week 4 and week 12.  \nResults: Most range of motion improvements occurred in the first 2—3 weeks. Mean total active motion of the interphalangeal joints increased from 64.0◦ ± 24.9◦ at baseline to 142.5◦ ± 24.6◦ at 3 weeks postop. Differences in interphalangeal joint total active motion were significant between baseline and 3 weeks, and these improvements were maintained through the 8-week follow-up visit. At 8 weeks postop, five patients had excellent results, three had good, and two had fair, according to the Original Strickland Classification system.  \nConclusions: Early and effective management of pain and edema is critical to ensuring a positive outcome. Patients with less initial postoperative edema had better range of motion at 3 weeks post-op. Results were maintained through 8 weeks, and the patients required fewer therapy visits. Delaying the initiation of therapy to 3 days post-op following flexor tenolysis can yield favorable results and is safe for clinical practice.  \nClinical relevance: This case series demonstrates that delaying initiation of therapy to 3 days post-op following flexor tenolysis can yield favorable results. Delaying therapy can mitigate the ill effects of surgery and allow reduction of pain and edema for improved range of motion and overall outcome.  \nCopyright © 2025, THE AUTHORS. Published by Elsevier Inc. on behalf of The American Society for Surgery of the Hand. This is an open access article under the CC BY-NC-ND license ([http://creativecommons.org/licenses/by-nc-nd/4.0/](http://creativecommons.org/licenses/by-nc-nd/4.0/)).  \nFor decades, surgeons have performed flexor tenolysis procedures to restore maximum active flexion and function of the hand. The procedure has been recommended when the passive range of motion far exceeds active flexion. Patients considered tobe favorable candidates fully understand the postoperative course of therapy and the time commitment to the home therapy program, and they have a strong desire to improve motion.1—3  \nCorresponding author: Danielle Sparks, DHS, OTR, Indiana Hand to Shoulder Center, 8501 Harcourt Road, Indianapolis, IN 46260.  \nE-mail address: [dsparks@orthoindy.com](dsparks@orthoindy.com) (D. Sparks).  \nThe most common indication for flexor tenolysis is the presence oftendon adhesions, typically following flexor tendon repairs or fractures of the hand. Fortunately, advances in flexor tendon repair strength that can permit early","cbCailZMbV54F3PG","https://ap.wps.com/l/cbCailZMbV54F3PG","pdf",8661235,"English","# Purpose\n# Methods\n# Results\n# Conclusions\n# Clinical relevance","[{\"question\":\"Why did the study delay therapy initiation after flexor tenolysis?\",\"answer\":\"Traditionally, therapy begins 1 day post-op, but pain and edema can limit patients’ ability to start and carry out an effective home therapy program. The study tested delaying initiation to 3 days to improve tolerability while maintaining outcomes.\"},{\"question\":\"What measurements were taken to evaluate pain, edema, and hand function?\",\"answer\":\"Pain, edema, and range of motion were measured at baseline, day 3 post-op, day 12±2, and at weeks 3, 4, 8, and 12.\"},{\"question\":\"What were the key findings about range of motion and clinical results?\",\"answer\":\"Most range of motion improvements occurred in the first 2–3 weeks, with interphalangeal joint total active motion increasing from 64.0°±24.9° at baseline to 142.5°±24.6° at 3 weeks. Improvements were maintained through the 8-week follow-up, and outcomes by the Original Strickland Classification were favorable for most patients.\"}]","Reduced Pain and Edema Following Delayed Therapy for Flexor Tenolysis | PDF",1790659121]