Recovery Tips for Distal Radius Fracture: When to Start Rehab?

Left radial fracture?

About a month ago, I sustained an injury that resulted in a fracture of the left radius.
At that time, the doctor mentioned that young people do not need surgery and that the bone can heal on its own.
Recently, during a follow-up appointment, the doctor suggested that I could start rehabilitation at the end of July.
However, I would like to ask Dr.
Shi if I can begin rehabilitation now, as my hand is still unable to straighten.
Today, I started trying to remove the splint, making sure not to bend my hand.
Is this advisable? Also, how often should I undergo rehabilitation? Lastly, do I need to supplement with calcium-rich nutrients?

Xiong, 20~29 year old female. Ask Date: 2016/07/09

Dr. Shi Guozheng reply Orthopedics

A radius fracture typically heals in about two months.
Usually, after the fracture, there will be limited mobility at the joint.
Once the splint is removed, wrist flexion exercises should begin (around one and a half months post-injury).
It is advisable to attend physical therapy sessions daily; otherwise, there is a risk of not regaining normal range of motion.

Reply Date: 2016/07/09

More Info

When it comes to recovering from a distal radius fracture, timing and the approach to rehabilitation are crucial for optimal healing and regaining function. Based on your situation, it seems you are eager to start rehabilitation, which is a positive sign, as early intervention can often lead to better outcomes.
Firstly, regarding your question about starting rehab now versus waiting until the end of July, it's important to follow your doctor's advice. If your physician has indicated that you can begin rehabilitation at the end of July, it is likely based on their assessment of your healing progress. However, if you feel ready and your hand is not experiencing significant pain or discomfort, you might consider starting gentle range-of-motion exercises at home. These exercises can help maintain flexibility and prevent stiffness, but they should be done cautiously and without forcing any movements that cause pain.

As for the use of the splint, if your doctor has advised you to remove it, you should be able to do so, provided that you are not experiencing any pain or instability in the wrist. It is essential to avoid bending the wrist excessively during this time, as it could hinder your recovery. Gentle stretching and mobility exercises can be beneficial, but they should be within a pain-free range.

Regarding the frequency of rehabilitation sessions, it is generally recommended to engage in rehab exercises daily, especially in the early stages. Consistency is key to regaining strength and mobility. If you are attending formal rehab sessions, your therapist will guide you on the appropriate exercises and how often to perform them at home.

In terms of nutritional support, calcium is vital for bone health, especially during the healing process. If your diet lacks sufficient calcium, considering a calcium supplement could be beneficial. Additionally, vitamin D is crucial for calcium absorption, so ensure you are getting enough of it, either through sunlight exposure or dietary sources. High-protein foods can also support muscle recovery, so maintaining a balanced diet rich in these nutrients is advisable.

In summary, while it is essential to adhere to your doctor's recommendations, you can start gentle rehabilitation exercises if you feel ready and without pain. Daily practice of these exercises will help maintain mobility and flexibility. Ensure you are also focusing on your nutrition to support bone healing. If you have any concerns or experience increased pain, do not hesitate to reach out to your healthcare provider for further guidance.

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