Cut extensor tendon – Kinesiology tape

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Katrien Nackaerts shares a practical case with us of a client who, while working, severed the extensor tendon and nerve from the index finger to the bone. The finger and tendon were stitched up in hospital, followed by a 2-week plaster cast and then 4 weeks of immobilization.

Problems at the start of therapy

After this period, the client started physiotherapy with Katrien. At the start of the therapy the client could not move the index finger. Active flexion and extension in the distal part of the finger was not possible due to scarring. The pain score was 9/10 when touching and flexing the finger.

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Description of applied therapy and the Kinesiology Taping application

During the treatment Katrien mainly mobilises the distal joint. She also applies fascia therapy with the FASCIQ® IASTM Tool ‘Mustache‘ in combination with FASCIQ® Cream. Additional exercise therapy with hand clay and a flex web. The scar is cleaned and treated with pure NAQI Scar Oil.

 

Applying CureTape®:

  1. Cut two narrow strips of tape approx. 1 cm wide x 4 cm long from the length of a roll of CureTape®.
  2. Apply the small tapes to the sides of the finger using a ligament technique.
  3. Cut a longer strip of approx. 1 cm x 10 cm and apply it circularly (not in a continuous line!) from the fingertip towards the hand.
  4. This tape provides support and particularly supports the last phalange during the flexion movement.
  5. Then measure the tape from the fingertip to the attachment of the extensor digitorum in the elbow.
  6. Cut the tape narrowly (approx. 1.5 cm) along the length of the fingertip to the hand.
  7. From the center of the tape to the remaining part, the tape remains 5 cm wide.
  8. Apply this relaxing tape (detonating) without stretching.
  9. Start from the fingertip and let the tape run over the muscle belly of the extensor digitorum over a bent wrist up to the attachment.
Cut extensor tendon
(Katrien has also tried to apply this tape as an activating tape (elbow to fingertip), but this had less effect than the relaxing tape). The tape provides less tension on the scar and pain relief, which improves the flexion movement considerably (as can be seen in the video).

 

Tips for this kinesiology Taping application:

  • For this application, the client has chosen the cool Tattoo print, one of the 7 designs from the CureTape Art collection. CureTape Sports is also a good choice for hand therapy.
  • Cut the ends of the tape round for better adhesion.
  • Rub the tape application well, to ensure for a better adhesion.

Instructional video: taping a cut tendon

Result after two weeks of therapy:

Pain score when touching index finger during therapy: 5/10

Flexion gain of at least 10 degrees without tape. The client can actively use the taped finger at work. Without the tape application this is not possible at all. Katrien continues to treat her weekly in the

More information:

Please note that applications provided on our website are not clinically proven. All mentioned applications are based on extensive evaluation and case studies with licensed physiotherapists and/or other health professionals.

Attention: Mentioning source is mandatory, when using the content on this page.

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