Hello, doctor?
Hello, doctor.
I am 18 years old and had a motorcycle accident on November 2nd, resulting in a closed fracture of my right clavicle (three-part fracture, with the anterior end not displaced, the posterior end displaced and slightly protruding).
It has been almost a month since the injury.
I have been doing weight training and would like to know when I can return to training.
The fracture site is no longer painful, but sometimes the surrounding skin feels slightly tingling.
Could this indicate nerve damage? I have been using a figure-eight shoulder brace, and the doctor mentioned that I can have another X-ray in two weeks.
If everything looks good, I can remove the brace.
My right arm has regained strength, but I am cautious about exerting too much force since I know it hasn't fully healed.
If I return to training, is it okay to use light weights?
Huang Guanwei, 10~19 year old female. Ask Date: 2016/11/22
Dr. Wang Shouji reply Orthopedics
Hello: It has not been a month since the fracture, and you must avoid weight-bearing until X-rays confirm that the fracture has healed.
Otherwise, there is a risk of displacement and deformity, which may lead to complications.
It is normal to experience sharp pain at the fracture site; nerve injury may cause numbness, but the likelihood of issues with hand mobility is low.
Fracture healing typically requires at least three months, so please do not rush the process.
Thank you!
Reply Date: 2016/11/22
More Info
When it comes to recovering from a clavicle fracture, especially in a young individual like your sister, it is crucial to approach the timeline for resuming weight training with caution. A clavicle fracture, particularly one that is classified as a closed fracture, can vary in healing time based on several factors, including the severity of the fracture, the individual's overall health, and adherence to rehabilitation protocols.
Typically, the healing process for a clavicle fracture can take anywhere from 6 to 12 weeks. In your sister's case, since she sustained a three-part fracture with some displacement, the healing might take longer than a simple fracture. It is essential to follow the guidance of her orthopedic surgeon and physical therapist closely.
As of now, since it has been nearly one month since the injury, it is understandable that she is eager to return to weight training. However, the recommendation is to avoid any weight-bearing activities until the fracture has shown signs of healing on an X-ray, which is scheduled for two weeks from now. The fact that she is experiencing some tingling or "prickly" sensations around the fracture site could indicate nerve irritation or damage, which is not uncommon in fractures. This symptom should be monitored closely, and if it worsens or is accompanied by weakness or numbness, it should be reported to her physician immediately.
Once the X-ray shows adequate healing, her doctor may allow her to gradually resume activities. It is generally advisable to start with light weights and focus on exercises that do not put excessive strain on the clavicle. Resistance bands or bodyweight exercises may be a good starting point. The key is to listen to her body; if she experiences pain during any activity, she should stop immediately.
In terms of the timeline for resuming weight training, if her X-ray shows good healing in two weeks, she might be able to start light training shortly thereafter, but this should be done under the supervision of a physical therapist. They can provide a tailored rehabilitation program that focuses on regaining strength and mobility without risking re-injury.
In summary, while your sister may feel ready to return to weight training, it is crucial to prioritize healing and follow medical advice. Resuming weight training too soon can lead to complications such as malunion or nonunion of the fracture, which could prolong recovery and lead to chronic pain or dysfunction. Therefore, patience and adherence to a structured rehabilitation program will be key to her successful recovery.
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