Tenolysis is a surgical procedure in which tendons are released from adhesions. It is usually performed after a hand or wrist injury or after a previous tendon surgery where the scar tissue binds to the tendon. This can obstruct normal tendon movement.
When patients experience prolonged stiffness in the hand, it can inhibit activities of daily living. Hand therapy is often recommended after injuries or surgeries to help break down scar tissue. However, improper therapy can result in adhesions forming and attaching to the tendons. At this point, surgery is recommended to separate the adhesions.
Dr. Azouz will release the tendons from the scar tissue. He can also remove excess scar tissue to prevent reoccurrence.
With most hand surgeries, Dr. Azouz uses sedation and local anesthesia. Patients are sedated in a deep sleep to help them feel calm. Dr. Azouz will then inject an axillary block which numbs the arm and helps prolong pain control for up to 24 hours after the procedure.
Most patients can return to their activities within 4-6 weeks, depending on the extent of scar tissue. Hand therapy will be recommended to prevent recurrence and maximize hand function. Dr. Azouz sees his patients for routine follow-up visits to monitor healing after surgery.
The cost of surgery can range broadly and has many factors. Dr. Azouz will obtain a medical history and perform a physical examination to help determine the cost. If the scar tissue is associated with a work-related injury, workers’ compensation carriers cover medical costs that relate to the injury.
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