Definition
Tenolysis is surgery to release a tendon affected by adhesions. A tendon is a type of tissue that connects muscle to bone. An adhesion happens when scar tissue forms and binds tendons to surrounding tissue. This can make it difficult for the affected body part to work correctly. For example, adhesion in the fingers can cause the tendons to become stuck. This prevents the fingers from being able to move properly.
This surgery is often done on hands and wrists.
Reasons for Procedure
You may have tendon adhesions if you had an injury to the area or if you had surgery that affected the tendon. Tenolysis is done when other therapies, like physical therapy, are unsuccessful.
In addition to tenolysis, the doctor may need to do other procedures. The goal is to have full movement of the affected body part.
Possible Complications
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
- Damage to nerves or other nearby structures
- Inability to have full movement of the affected body part
- Pain and stiffness
- Infection
- Amputation
Factors that may increase the risk of complications include:
What to Expect
Prior to Procedure
Your doctor may do the following:
- Physical exam
- Blood and urine tests
- MRI to see images of the affected tendon
Talk to your doctor about any medications, herbs, or supplements you are taking. You may be asked to stop taking some medications up to one week before the procedure, like:
- Aspirin or other anti-inflammatory drugs
- Blood-thinning drugs, such as warfarin
- Anti-platelet drugs, such as clopidogrel
Do not eat or drink anything after midnight the day before your surgery, unless told otherwise by your doctor.
Anesthesia
Anesthesia will keep you pain-free and comfortable during the procedure. Anesthesia methods include:
- Spinal or epidural anesthesia—a region of your body will be numbed from an injection into the back
- General anesthesia—you will be asleep
Description of the Procedure
A tourniquet will be tied near the area where the surgery will occur. This will prevent blood flow to that area. The doctor will make an incision in the skin to expose the tendon and surrounding tissue. The tissue will be cut to release the tendon. During surgery, the doctor will check your ability to move the affected body part. Based on your abilities, the doctor can assess if the procedure is working or if additional procedures need to be done. This may include reconstructing the tendon. The incision will be closed with stitches.
How Long Will It Take?
This depends on which tendon is affected and how bad the adhesions are. For example, if you injured the flexor tendon in your finger, it can take 45-60 minutes to repair.
How Much Will It Hurt?
Anesthesia will block pain during the procedure. You will have pain after the procedure. Ask your doctor about medication to help manage pain.
Average Hospital Stay
This procedure is done in a hospital setting. The usual length of stay is 1-2 days. If you have any problems, you will need to stay longer.
Post-procedure Care
Right after the procedure, you will be taken to recovery and monitored closely. The staff may give you:
- Pain medication
- Antibiotics to prevent infection
- Medication to prevent blood clots
When you return home, do the following to help ensure a smooth recovery:
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Your stitches will be removed about 2 weeks after surgery. You will be able to return to light activities once your stitches are removed. Avoid strenuous activities for at least four weeks.
- You will continue physical therapy once you are home. The physical therapist will work with you on exercises to help you regain motion and strength. This will start the day after surgery.
- If you are wearing a splint, your doctor will let you know how long you should wear it.
- Do not drive until your doctor tells you it is safe.
- Be sure to follow your doctor’s instructions.
Call Your Doctor
Call your doctor if any of the following occurs:
- Pain that you cannot control with the medications you have been given
- Signs of infection, such as fever or chills
- Swelling, redness, or pain from the incision site
- Numbness or tingling
- New or worsening symptoms
If you think you have an emergency, call for medical help right away.
Revision Information
- Reviewer: John C. Keel, MD; Brain Randall, MD
- Review Date: 05/2013 -
- Update Date: 05/06/2013 -