Proximal Row Carpectomy
erapy Instructions
Laith Al-Shihabi, MD
2-6 weeks
Focus on recovery of nger motion within the early postoperative period.
Splint:
-Fashion removable short-arm volar wrist splint in neutral to be used at all times except for
therapy and motion exercises.
Motion:
-Focus on AROM/AAROM/PROM of the ngers and elbow.
-No wrist motion for weeks 2-4.
-Begin AROM/AAROM to wrist/forearm motion at week 4.
-2 lbs lifting restriction.
Edema Control:
Coban, digit sleeves, ACE wrap, edema modalities per therapist.
6 -10 weeks
Gentle strengthening is incorporated at this time.
Splint:
-Wean from splint by 8 weeks after surgery.
Motion:
-Begin gentle nger and wrist strengthening using putty or other modalities per therapist.
-Begin wrist PROM and continue wrist AROM/AAROM.
-5 lbs lifting restriction starting at 8 weeks.
-15 lbs lifting restriction at 10 weeks.
-Transition to home exercise program at 8-10 weeks.
Edema Control:
Per therapist.
10-12+ weeks
Splint:
-No longer necessary.
Motion:
-Continue home program vs. work conditioning program PRN at 10 weeks.
-No restrictions after 10 weeks.
