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Thumb IP blocking

Isolated thumb IP flexion/extension with MCP stabilized

Tendon glideThumbflexionextensionglideModerate riskPhases 2, 3, 4

Goal

Isolates IP motion to bias FPL and EPL excursion when global thumb motion is too provocative.

Motion taxonomy (reference)

Also called: isolated thumb tip flexion

Structures:

Muscles — extensor pollicis longus, flexor pollicis longus

Tendons — EPL tendon, FPL tendon

Bones / joints — distal phalanx, thumb IP joint, thumb MCP joint

Indexed benefits: addresses tip stiffness · improves tendon glide · isolates thumb tip control

Common contexts: isolated motion · post-op rehab · thumb stiffness

Best for

  • FPL/EPL differential glide
  • Thumb tip stiffness

Default dose

Reps8
Frequency3× daily
Sets / time

8 reps • 3×/day

Avoid when

  • Unstable thumb IP
  • Acute EPL/FPL repairs without clearance

Measurement targets

  • Active IP flexion/extension (visual)

Setup

  • Support thumb MCP with the other hand or a soft block.

Steps

  1. 1Keep the thumb MCP steady.
  2. 2Bend only the thumb tip joint within tolerance.
  3. 3Straighten the tip fully.
  4. 4Move slowly; no sharp pinch pain.

Cues

  • MCP stays quiet.
  • Quality over range.

Common mistakes

  • Letting the whole thumb collapse into the palm.

Stop if you feel

Stop rules

  • Sharp pain (≥ 4/10)
  • Increasing swelling during or after
  • New or worsening numbness or tingling
  • Color change in fingers (pale, blue, red)
  • Wound opens, drains, or feels hot
  • Next morning is worse than the day before

Progressions

  • Tiny holds at end range if cleared.

Regressions

  • Passive-assist with the index finger only.
Continue your rehab

What to do next — not a dead end

Suggestions use body region, goal, motion type, and allowed phases — not your medical record. After surgery or a flare, follow your clinician first.

Estimated time

~2–5 min as a focused practice block

8 reps · 3×/day

Equipment

None required — table or bodyweight only.

Rehab stage

Phases 2, 3, 4

Higher load or coordination — scale range and speed.

When to stop

Sharp pain (≥ 4/10)

Increasing swelling during or after

Full stop rules ↑

Avoid if this sounds like you

Unstable thumb IP

Acute EPL/FPL repairs without clearance

Reread best-for context ↑

Where this shows up clinically

How phases map to healing

Keep momentum without overdoing it

Log a short check-in to protect your streak — even one quality set counts.

Scaling in plain language: Easier — Passive-assist with the index finger only. · Harder — Tiny holds at end range if cleared.Full cues ↑