Tendon Surgery: What to expect and how to recover safely

Tendon surgery sounds scary, but knowing when it helps and what comes after makes it less overwhelming. Tendons join muscle to bone and sometimes they tear, get stuck, or wear out. Surgery fixes the structure so you can move without pain or re-injury. This page gives straight, useful advice: who needs surgery, what recovery usually looks like, and how massage can fit into rehab without causing harm.

When surgery is needed

Not every tendon problem needs an operation. Surgeons usually suggest surgery when a tendon is fully ruptured, when a tendon is trapped or pinched, or when long-term pain won’t improve after weeks of conservative care. Conservative care means rest, targeted physical therapy, simple injections, or a brace. If symptoms don’t improve after a reasonable trial — often several weeks to a few months — your doctor may recommend repair or release. Before you agree, ask what type of surgery is planned, what the risks are, and what rehab will involve. Also ask about non-surgical options and the expected recovery timeline for your specific tendon.

Recovery and massage tips

Expect recovery to come in stages. First comes protection: the tendon needs time to mend, so your joint may be braced or in a sling for days to weeks. Next is gentle motion: controlled range-of-motion exercises usually start when the surgeon clears them. Strengthening follows once the tissue shows healing. Full activity often takes months, not days.

Massage can help, but timing matters. Early on, light lymphatic drainage and gentle stroking can reduce swelling and ease discomfort without stressing the repair. Once your wound is fully closed and your surgeon or physical therapist says it’s okay (often a few weeks), scar mobilization and gentle myofascial work can improve mobility and reduce tightness. Deep, aggressive pressure too soon can harm a healing tendon. Always get clearance from your surgical team and choose a therapist experienced with post-op care.

Practical recovery tips: follow weight-bearing rules, keep the wound clean and dry, ice and elevate to control swelling, and do prescribed exercises daily. When you start scar massage, use clean hands, a small amount of lotion, and short sessions that don’t hurt. Keep expectations realistic — strength and full function can take three to twelve months depending on the tendon and repair.

Watch for warning signs: fever, increasing redness, pus, severe pain that won’t calm with medication, numbness, or sudden loss of movement. Call your surgeon if any of these happen. Plan ahead for downtime: arrange help with chores, get clear instructions from your therapist, and set small rehab goals. With the right care, many people regain function and get back to the things they love. Stay patient, follow the plan, and use gentle therapies like approved massage to support healing, not rush it.