An extensor pollicis longus (EPL) tendon injury is when the tendon that extends the thumb is harmed. Below are 50 common questions about EPL tendon injuries, with answers:
The EPL tendon goes from the forearm to the thumb, allowing thumb extension at the interphalangeal joint.
Injuries can occur due to wrist trauma, repetitive use, rheumatoid arthritis, or problems from fractures, especially in the distal radius.
Symptoms include problems straightening the thumb, weakness, pain, swelling, and sometimes a snapping feeling.
Diagnosis is usually done through a physical exam, which can be supported by imaging like ultrasound or MRI.
Treatment options can include rest, splinting, physical therapy, or surgery, depending on how severe the injury is.
Surgery might be needed for a complete tear or if other treatments do not work to regain function.
Recovery time can vary from a few weeks for minor injuries to several months for surgical cases.
Often, physical therapy is suggested to regain strength, flexibility, and function.
Partial tears may heal with rest and immobilization, but full tears usually require surgery.
Surgery may involve repairing the tendon or using a graft for replacement, followed by immobilization.
Typically, surgery is performed with regional or general anesthesia.
Yes, splints are usually utilized post-surgery to support the repair and aid healing.
Risks include permanent loss of thumb extension, weakness, and poorer hand function.
Light activities may resume in a few weeks, but full activity could take several months.
Swelling is typical and can be eased with rest, ice, and elevation.
Recovery includes gradual rehab, starting with rest, then passive motion exercises, and finally strength training.
You may need to adjust activities or take time off, mainly if your job requires heavy hand use.
Rehab comprises exercises to enhance range of motion, strength, and dexterity, supervised by a physical therapist.
Stay away from activities straining the thumb extension until cleared by a healthcare professional.
Signs of healing include better movement, increased strength, and less pain; follow-ups with your provider can help track recovery.
Yes, rheumatoid arthritis can result in tendon degeneration and tears.
Icing can help lessen swelling and pain shortly after the injury occurs.
Recurrence is possible if proper care is not taken. is achievable, particularly if rehabilitation is not complete or similar stresses continue to affect the tendon.
Most people recover full use, but results depend on how bad the injury is and how well treatment is followed.
Treatments like ultrasound and laser therapy might help with traditional methods but should be talked about with your doctor.
Keep your hands flexible and strong, use good posture in hand activities, and take breaks to prevent overuse.
Cortisone can lessen swelling and pain but does not fix a torn tendon.
A tear is a full or partial break, while tendinitis is when the tendon is inflamed.
You should get immediate help if you have intense pain, a clear deformity, can’t move your thumb, or see signs of infection.
Yes, feeling a snap or pop can happen if the tendon is partly torn or moved out of place.
Scars from surgery are usually small and lessen over time, but how visible they are can differ from person to person.
The recovery outlook is mostly positive, especially with prompt care and appropriate rehabilitation.
Yes, repeating the same motion or overusing the tendon can cause it to weaken or become injured.
Non-surgical treatments include resting, using a splint, taking anti-inflammatory meds, and undergoing physical therapy.
It’s very important to follow the rehab plan to regain function and avoid problems.
Yes, diabetes can slow down healing and raise the risk of problems during recovery.
Tendon grafting takes a tendon from another part of your body to replace a badly damaged EPL tendon.
You might need to limit typing at first; talk to your healthcare provider about what activities are safe.
The time you need to wear a splint varies but is usually for several weeks to help healing.
Eating a diet high in protein, vitamins C and D, and calcium can support tissue and bone repair.
Using bad form or too much weight can put strain on the tendons and cause injury.
An MRI gives detailed images of soft tissues to help assess how bad the injury is.
You may need to adjust daily activities to avoid putting too much strain on the healing tendon.
Older people may recover more slowly because of less healing ability and possible other health issues.
Driving may need to be limited, especially if movement is restricted or the dominant hand is hurt.
Conservative management is non-surgical and may include rest, keeping the area still, and physical therapy.
You should return to sports only after complete healing, usually with a doctor’s go-ahead.
Use protective equipment for tasks that involve the thumb, adhere to splint guidelines, and refrain from overusing it.
A certain level of weakness is typical at first but should get better with rehab.
Early action helps healing, lowers the chances of issues, and enhances recovery results.
Always check with your healthcare provider for advice specific to your injury and case.