Radial Head Fractures: Recovery and Rehabilitation Insights

Radial fracture

Hello Doctor, I have a collapse of the right radial head.
After seeing a doctor, I was told that surgery is not necessary and that it will heal on its own.
I wore a brace for two weeks, and then the doctor said I could remove it.
I have started rehabilitation, but I can only extend my arm to about 170 degrees and bend it to about 95 degrees.
Is it normal to experience pain during rehabilitation? Also, how long will it take to recover?

Niming, 20~29 year old female. Ask Date: 2016/03/20

Dr. Shi Guozheng reply Orthopedics

Fractures typically take about six to twelve weeks to heal, and pain may persist during this period.
Full recovery usually takes around three months.

Reply Date: 2016/03/20

More Info

Radial head fractures are a common type of elbow injury, often resulting from falls or direct trauma. The recovery process can vary significantly based on the severity of the fracture, the treatment approach, and individual factors such as age and overall health. In your case, it seems you have experienced a radial head fracture with some collapse, and your doctor has opted for a conservative treatment approach without surgery.

Understanding Recovery and Rehabilitation
1. Initial Healing Phase: After sustaining a radial head fracture, the initial healing phase typically lasts about 4 to 6 weeks. During this time, it is crucial to immobilize the elbow to allow the bone to heal properly. The use of a brace or splint, as you mentioned, is standard practice. After this period, your doctor likely assessed the fracture's stability and determined that surgery was not necessary.

2. Rehabilitation Phase: Once the immobilization is removed, rehabilitation begins. This phase focuses on restoring range of motion, strength, and function to the elbow. It is common to experience pain during rehabilitation, especially when attempting to regain movement. Pain can be a normal part of the healing process, but it should not be excessive. If the pain is severe or worsening, it is essential to communicate this with your healthcare provider.

3. Range of Motion Goals: The range of motion you mentioned—170 degrees of extension and 95 degrees of flexion—indicates that you are making progress, but there is still room for improvement. Full range of motion in the elbow is typically around 0 degrees of extension and 145 degrees of flexion. Your physical therapist will likely work with you on specific exercises to gradually increase your flexion and extension.

4. Timeline for Recovery: The timeline for full recovery can vary. Generally, patients can expect to see significant improvements within 6 to 12 weeks post-injury, but complete recovery may take several months. Factors such as age, activity level, and adherence to rehabilitation protocols can influence recovery time.
5. Pain Management: Managing pain during rehabilitation is crucial. Over-the-counter pain relievers, ice application, and gentle stretching can help alleviate discomfort. Your physical therapist may also incorporate modalities such as ultrasound or electrical stimulation to assist with pain management.

6. Long-term Considerations: After recovery, some individuals may experience lingering stiffness or discomfort, particularly if the fracture was severe. It is essential to continue with strengthening exercises even after the initial rehabilitation phase to maintain elbow function and prevent future injuries.

Conclusion
In summary, experiencing pain during rehabilitation after a radial head fracture is normal, but it should be manageable. Continue to follow your rehabilitation program and communicate openly with your healthcare team about your pain levels and progress. With consistent effort and proper care, you can expect to regain function in your elbow over the coming weeks and months. If you have any concerns about your recovery or if your pain intensifies, do not hesitate to reach out to your doctor or physical therapist for further evaluation and guidance.

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