Clavicle fracture
Doctor, I had surgery on April 12 and had a follow-up appointment on April 18.
The nurse said I could start doing arm lifting exercises and that I should lift my arm as high as I can.
Is that correct? It's only been 6 days post-surgery, and I can lift my arm already? Also, she mentioned that I only need to wear the triangular sling when going out and that I don't need to wear it at home.
Is that true?
Wang, 10~19 year old female. Ask Date: 2016/04/18
Dr. Wang Shouji reply Orthopedics
Hello: As long as the clavicle fracture is non-displaced and well stabilized, activity training is possible, but weight-bearing should be avoided.
Using a triangular sling mainly helps to reduce the load on the fracture site.
For non-displaced fractures that are well stabilized, it is generally recommended to use the sling for at least 2 to 4 weeks.
Thank you!
Reply Date: 2016/04/18
More Info
Recovery from a clavicle fracture, especially after surgical intervention, is a critical process that requires careful attention to guidelines and recommendations from healthcare professionals. Your inquiry about the appropriateness of starting shoulder movements just six days post-surgery and the use of a sling is quite relevant.
Firstly, it is important to understand the nature of clavicle fractures. These injuries can vary significantly in severity, from simple, non-displaced fractures to complex, displaced fractures that may require surgical intervention. The surgical procedure often involves the use of plates and screws to stabilize the bone fragments, allowing for proper healing.
Regarding your question about starting shoulder movements, it is generally true that early mobilization can be beneficial in preventing stiffness and promoting recovery. However, the timing and extent of these movements should be guided by your surgeon's specific recommendations. In many cases, gentle range-of-motion exercises can begin within the first week post-surgery, but these should be performed cautiously and within a pain-free range. The advice you received about lifting your arm as high as you can is likely aimed at encouraging mobility, but it is crucial to listen to your body and avoid any movements that cause significant pain or discomfort.
As for the use of a sling, the purpose of this device is to immobilize the shoulder and clavicle area to facilitate healing and prevent excessive movement that could jeopardize the surgical repair. While it is common for patients to be advised to wear the sling at all times, including during the day and while sleeping, some surgeons may allow patients to remove the sling at home for short periods to perform gentle exercises. This can help maintain mobility and prevent stiffness. However, it is essential to follow your surgeon's specific instructions regarding sling use, as they will tailor their recommendations based on your individual case.
In the early stages of recovery, it is also important to monitor for any signs of complications, such as increased pain, swelling, or changes in sensation. If you experience any of these symptoms, you should contact your healthcare provider immediately.
In summary, while early mobilization can be beneficial, it is crucial to adhere to your surgeon's specific guidelines regarding the timing and type of movements you should perform. The use of a sling may vary based on individual circumstances, and it is essential to follow your surgeon's recommendations closely. If you have any doubts or concerns about your recovery process, do not hesitate to reach out to your healthcare provider for clarification and guidance. They are best positioned to provide you with personalized advice based on your surgical outcome and overall health status.
As you progress in your recovery, consider incorporating physical therapy into your rehabilitation plan. A physical therapist can provide you with a structured program tailored to your needs, helping you regain strength and mobility while ensuring that you do not overexert yourself during the healing process. Additionally, maintaining a healthy diet rich in calcium and vitamin D can support bone healing, so consider discussing nutritional support with your healthcare provider as well.
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