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Can you feel a reattached finger?

Published in Hand Surgery 3 mins read

Yes, you can often regain feeling in a reattached finger, but it's a gradual process and rarely returns to 100% of its original capacity.

Factors Affecting Feeling After Finger Reattachment

The extent to which feeling returns to a reattached finger depends on several factors:

  • Severity of the Injury: A clean cut is more likely to result in better nerve regeneration than a crush or avulsion injury.
  • Level of Amputation: The closer the amputation is to the fingertip, the longer it typically takes for nerve regrowth to reach the end.
  • Surgical Technique: Meticulous microsurgical repair of the nerves is crucial for restoring sensation.
  • Patient Factors: Age, overall health, and adherence to rehabilitation all influence the recovery process.
  • Time Since Injury: The sooner the finger is reattached, the better the chances of nerve regeneration and functional recovery.

Nerve Regeneration and Recovery

Nerve regrowth is a slow process. As the provided reference suggests, the number of inches from the injury to the fingertip roughly corresponds to the minimum number of months it will take to potentially feel something with the fingertip. This highlights that sensation recovery is a long-term commitment.

Expected Outcome

While it's possible to regain feeling, it's important to understand that complete restoration of sensation is uncommon. Most doctors consider 60-80% of the original use an excellent outcome after finger reattachment. The sensation that returns may also feel different than it did before the injury. For example, a patient may experience:

  • Numbness: A reduced ability to feel touch, temperature, or pain.
  • Tingling: A pins-and-needles sensation.
  • Hypersensitivity: Increased sensitivity to stimuli, such as light touch.
  • Pain: Chronic pain in the reattached finger.

Rehabilitation

Post-operative rehabilitation is crucial for maximizing functional recovery, including regaining sensation. Therapy may involve:

  • Sensory Retraining: Exercises designed to improve the brain's ability to interpret sensory input from the finger.
  • Range-of-Motion Exercises: To prevent stiffness and improve movement.
  • Strengthening Exercises: To restore strength and dexterity.

In conclusion, while you can feel a reattached finger, the extent and quality of sensation depend on various factors, and it usually involves a lengthy recovery process and dedicated rehabilitation. Expecting a realistic outcome and adhering to the prescribed therapy are key to achieving the best possible result.

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