“Had surgery and a year of PT and I was battling depression because my shoulder just kept getting worse. My PT recommended Dr Leiber as my last resort. I had the stem cell procedure in April 2017. Doc asked my what my plans were when I recovered. I said my dream was to play basketball again but I’d settle for golf. It is now August 2017 and I’m in a men’s basketball league at the Y. My improvement has been a tremendous blessing. Dr Leiber is leading edge in this field and he has a great staff around him as well. If surgery didn’t work or you would prefer to go the non-surgical route then I would HIGHLY recommend you go see Dr Leiber.”
Local anaesthetic will be injected into the wound at the end of the operation. This area and the fingers will remain numb for up to six hours after surgery. Before the effect wears off, you should take painkillers which have been prescribed on a regular basis. Your hand will initially be placed in a plaster splint. Swelling causes stiffness and pain which is made worse by hanging the arm down at your side or resting it on your lap. Swelling is best prevented by keeping the hand above the level of the heart for the first 48 hours.
You will be seen within a few days by the Hand Therapist. The dressings will be removed and the wound will be checked. You will be fitted for a bespoke splint, given advice and exercises to start immediately. Hand elevation remains important to prevent swelling and stiffness of the fingers. Please remember not to walk with your hand dangling, or sit with your hand held in your lap. If the hand becomes red, hot and very swollen you must go to your GP or the Accident and Emergency Department
An appointment will be made for the following week to check your exercises. You will be given a splint to wear at night which will rest the fingers in a safe position. You will also be given a day splint to help you start bending the fingers. The surgeon will see you in the outpatient clinic around 2 weeks. Any stitches present will be removed then. Your rehabilitation will be guided by the hand therapist. At this stage it is safe to get the hand wet. The wound and the surrounding skin often become very dry and will be more comfortable if a moisturiser is applied, including on the wound itself. Initially the scar will be thickened and tender to touch. This must be massaged firmly with a moisturising cream to reduce sensitivity and swelling.
After two weeks you can usually drive a car as long as you are comfortable and have regained full finger movements. Timing of your return to work varies with your occupation and this should be discussed with your therapist.
It will take 3-6 months for the swelling to completely settle.
Platelet Rich Plasma (PRP) and Platelet Lysate Injection Treatments contain healing growth components from your own blood that increase your body’s natural ability to repair itself. The use of PRP to repair joint, tendon, ligament, and muscle injuries is becoming well known, thanks to exposure from professional athletes. Platelet injection treatments are effective because they have a stimulating effect on the stem cells within the targeted area, making those stem cells work harder to heal damaged tissues. Our Advanced Platelet Procedures are more pure and concentrated than those created by the automated machines used at most regenerative medicine clinics. Platelet procedures are commonly used for soft tissue injuries, mild arthritis and spine conditions.