Introduction After hand tendon surgery, do you feel like your hand doesn't work the way it used to? Are you bothered by persistent pain, joint stiffness, or the inability to do everyday tasks like writing, driving, or even buttoning your clothes? Hand tendon rupture is one of the most common orthopedic injuries that can challenge daily life, especially if repair surgery has been performed but proper rehabilitation is not followed. The good news is that with occupational therapy after hand tendon surgery and advanced hand therapy approaches, you can restore full function to your hand and prevent long-term complications. **Saba Occupational Therapy and Speech Therapy Center**, as the best hand therapy center in the south of Tehran, under the management of **Maryam Nasiri**, an occupational therapy expert from Shahid Beheshti University of Medical Sciences and a senior occupational therapy expert from Tehran University of Medical Sciences, offers a comprehensive program based on scientific evidence for hand rehabilitation. Since 2013, this center has helped thousands of patients in districts 16, 17, 18, 19, 10 and neighborhoods of Fallah, Abu Dhar, Yaftabad, Shamshiri, Shahrak Valiasr, Shahreri and Islamshahr to return to normal life. If you also need a specialized evaluation after hand tendon surgery, make an urgent consultation today: Urgent call: 09351202087 or landline: 02166209819. In this article, we will examine in detail the role of **hand therapy** and **hand therapy** in rehabilitation after tendon surgery and show how the Saba center can be your partner on the road to recovery. What is hand tendon rupture and why does it happen? Tendons act like strong cords that connect muscles to bones and allow movement of the fingers, wrists, and elbows. In the hand, tendons are divided into two main groups: the flexor tendons, which are responsible for bending the fingers and wrist, and the extensor tendons, which straighten the fingers and wrist. Hand tendon tears can be partial or complete and often require surgical repair. But why does this happen? Common reasons include: - **Traumatic injuries**: deep cuts caused by sharp tools such as knives, glass or industrial machinery, which are common in manual occupations. - **Repetitive and excessive pressures**: Daily activities such as lifting heavy objects, long-term typing or repetitive household tasks (such as washing and cooking), which especially in housewives due to the constant bending and straightening movements of the fingers, increase the risk of flexor tendon rupture. - **Sports injuries**: In sports such as tennis, basketball, rock climbing or weightlifting, where a sudden force is applied to the tendons. - **Underlying diseases**: such as rheumatoid arthritis that causes chronic inflammation, or decreased blood circulation in old age that makes tendons more fragile. - **Factors related to age and lifestyle**: With age, tendons lose their flexibility, and the risk is higher in people with a sedentary lifestyle or a poor diet. Symptoms of tendon rupture include severe pain, swelling, bruising, inability to move the affected finger, and sometimes a "pop" sound at the time of injury. Diagnosis is usually made by physical examination, ultrasound, or MRI. Tendon repair surgery (such as direct suturing or using a graft) is necessary, but without **occupational therapy after hand tendon surgery**, complications such as tendon adhesion, joint stiffness or reduced grip strength occur. For example, if a tendon rupture is accompanied by complications such as carpal tunnel syndrome (CTS), combined rehabilitation is necessary. At the Saba occupational therapy center, the focus is on early diagnosis and prevention of these complications. Possible complications without proper rehabilitation after surgery After tendon repair surgery, the body tries to repair itself naturally, but without specialist intervention, serious problems arise. Tendon adhesions (where the tendon sticks to surrounding tissue) is the most common complication and can reduce range of motion by up to 50%. Other complications include: - **joint stiffness**: premature lack of movement leads to joint stiffness (contracture). - **Reduction of muscle strength**: Atrophy of muscles due to lack of use. **Chronic pain and inflammation**: which can lead to secondary complications such as tennis elbow. - **recurrence of tear**: due to the weakness of the repaired tendon. Studies show that patients without rehabilitation are up to 30% more prone to re-surgery. At the Saba center, with **specialized hand therapy**, these risks are minimized. The key role of hand therapy in rehabilitation after hand tendon surgery Hand therapy or hand occupational therapy is a specialized branch of occupational therapy that focuses on restoring hand function after orthopedic injuries. In the Saba occupational therapy center, this approach is designed based on international protocols such as the Kleinert or Duran protocol and includes the following steps: Detailed assessment and personalized planning Each patient begins with a comprehensive assessment: measuring range of motion (ROM), muscle strength, nerve sensation and daily function with tools such as goniometers and dynamometers. This evaluation helps to develop a program that is suitable for the type of surgery (flexor or extensor). ### Fabrication of custom splints for protection and healing One of the keys to success is the use of custom splints made of Orfit materials that hold the tendon in a secure position and prevent adhesions. For more details, see the article on the benefits of using special Orfit splints in hand therapy. These splints are adjustable and allow passive range of motion for patients after flexor tendon surgery. ### Advanced range of motion and strengthening exercises The exercise program starts from the first week after surgery: - **Initial stage (0-4 weeks)**: Passive movements to prevent stiffness. - **Intermediate stage (4-8 weeks)**: active exercises to strengthen the tendons. - **Advanced stage (8+ weeks)**: Resistance training with tools such as stress balls or elastic bands to return to work activities. These exercises improve performance by focusing on motor skills. For more information, read the article Improving Motor Skills with Hand Therapy and Orfit Splints. ### Management of pain, inflammation and patient education Techniques such as ultrasound, laser therapy, soft tissue massage, and ergonomic training are used to modify activities (such as how to lift objects for housewives). Education includes home exercises and warning signs so that the patient actively participates in recovery. ### Case studies: real successes in the center of Saba For example, a 45-year-old woman from Fallah neighborhood, after tearing her flexor tendon due to a cut in the kitchen, returned her range of motion to 95% with 8 sessions of hand therapy at the Saba center. Or a young man from Islamshahr returned to manual labor after extensor surgery, with custom splints and exercises. Your treatment program at Saba occupational therapy center In the **best hand therapy center in South Tehran**, the treatment program is designed under the direct supervision of Maryam Nasiri: - **initial session**: complete evaluation and custom splint fabrication. - **Treatment sessions**: 2-4 sessions per week, including hand therapy, exercise therapy and progress follow-up. - **long-term follow-up**: monthly assessment to prevent recurrence. These services are provided in areas 16, 17, 18, 19, 10, Fallah, Abu Dhar, Yaftabad, Shamshiri, Shahrak Valiasr, Shahreri and Islamshahr. Specialized rehabilitation at your home If it is difficult for you to move after the surgery, the expert team of the Saba Center offers ** hand occupational therapy ** and hand therapy services at home. From the initial assessment to the manufacture of splints and exercises, everything is done at your place in the south of Tehran, Shahrari and Islamshahr. This is an ideal option for elderly patients or those with limited mobility. For details, visit the home occupational therapy page. Prevention of hand tendon rupture with hand therapy recommendations Warming up before activity, use of ergonomic tools and regular strengthening exercises are recommended. At the Saba center, preventive programs are provided for high-risk groups such as housewives. conclusion Hand tendon rupture and its surgery should not be the end of your performance; With **occupational therapy after hand tendon surgery** and specialized hand therapy, it is possible to return to an active life. At the Saba occupational therapy center, under the management of Maryam Nasiri, the best specialists are waiting for you. Don't postpone pain and limitation; Call today for an expert hand evaluation and free consultation. **Saba Occupational Therapy and Speech Therapy Center** Established: 1393 Management: Maryam Nasiri (occupational therapy expert from Shahid Beheshti University of Medical Sciences and senior expert from Tehran University of Medical Sciences) Address: Saidi Highway, Falah Three Roads, Propheti St., not reaching Shandiz Crossroads, No. 79, 1st Floor, Zang Do Website: https://kardarmanisaba.ir/ Urgent call: 09351202087 Fixed line: 02166209819