Mallet finger exercises after splinting

Mallet finger affects the tendon that straightens the fingertip. A splint holds the end joint in a straight position while the injured tissues heal. Bending the fingertip too early, even briefly, can strain the healing area and bring the droop back. The middle joint and the other fingers may often be moved while the fingertip remains protected, but the exact plan depends on the injury and any fracture seen on imaging.

Follow the hand therapist's schedule rather than testing the fingertip repeatedly. When cleared, exercises may involve gentle bending and straightening of the end joint for a short session, followed by returning the splint as directed. Keep the finger supported during washing and dressing until you have been shown a safe method. Move nearby joints to limit stiffness, and stop if the finger becomes newly droopy, sharply painful, or more swollen. Guidance about [Splinting](/treatments/trauma-and-fracture-care/splinting/) can help you understand protection during this phase.

Contact the treating team promptly if the fingertip bends and cannot be restored to its previous straight position, the skin under the splint breaks down, or swelling and pain are worsening. Numbness, pale or blue skin, a cold fingertip, drainage, or fever also needs timely assessment. A clinician may need to adjust the splint or reconsider the rehabilitation plan.

Ask when fingertip motion is appropriate, how many sessions to do, whether the splint stays on between exercises, and what change should make you stop. If progress is limited, ask whether hand therapy or [Tendon Repair Surgery](/treatments/reconstructive-orthopedic-surgery/tendon-repair-surgery/) should be discussed.