Post-Trauma Recovery: Managing Severe Hand and Foot Injuries - Orthopedics

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Follow-up treatment for hand and foot injuries?


Hello, doctor.
It has been almost two years since I had a major car accident.
I suffered from comminuted fractures in my right knee and thigh, as well as comminuted fractures in my right arm, and my right wrist was dislocated.
I apologize for having so many issues.
I have plates in both my hand and foot that do not need to be removed.
I am taking the necessary medications and undergoing rehabilitation, but I still experience soreness in my arm when lifting heavy objects.
I have tried walking longer distances, but I am unable to do so, and running is also not possible.
The injuries have persisted for nearly two years.
I would like to ask you, doctor, if there is any possibility for improvement in my hand and foot injuries at this point.
Thank you very much for your guidance.
Thank you!

A Xin, 40~49 year old female. Ask Date: 2016/12/09

Dr. Shi Guozheng reply Orthopedics


Recovery from multiple fractures may take longer, and it is important to continue rehabilitation to improve muscle strength, which will gradually progress over time.

Reply Date: 2016/12/09

More Info


Post-trauma recovery, especially after severe injuries such as those you've described, can be a long and challenging process. It is understandable to feel frustrated after nearly two years of recovery with limited progress. However, it's important to remember that recovery from significant injuries, particularly those involving multiple fractures and joint dislocations, can vary greatly from person to person.
In your case, you mentioned having a comminuted fracture in your right knee and thigh, as well as similar injuries in your right arm and wrist. These types of injuries often require extensive rehabilitation and can lead to complications such as stiffness, muscle atrophy, and chronic pain. The fact that you are experiencing discomfort when lifting heavy objects and difficulty walking long distances is not uncommon.

Understanding Recovery
1. Healing Timeline: Bone healing typically takes about 6 to 12 weeks for most fractures, but this can be extended significantly for complex injuries like yours. Factors such as age, overall health, and the presence of any complications (like infections or improper healing) can influence recovery time.
2. Physical Therapy: Engaging in a structured physical therapy program is crucial. A physical therapist can tailor a rehabilitation plan that focuses on improving strength, flexibility, and range of motion. They can also help you with pain management techniques and functional training to regain your ability to perform daily activities.

3. Pain Management: Chronic pain can be a significant barrier to recovery. It may be beneficial to discuss pain management strategies with your healthcare provider. This could include medications, physical therapy modalities (like ultrasound or electrical stimulation), or even alternative therapies such as acupuncture.

4. Surgical Considerations: If you have not already done so, it may be worth discussing with your orthopedic surgeon whether any surgical interventions could help improve your situation. Sometimes, hardware removal or corrective surgery can alleviate pain and improve function.

5. Mental Health: The psychological impact of severe injuries should not be underestimated. Many individuals experience anxiety, depression, or frustration during their recovery. Seeking support from mental health professionals or support groups can be beneficial.


Future Progress
Regarding your concern about whether further improvement is possible, it is essential to maintain hope. While some individuals may experience a plateau in their recovery, many continue to see gradual improvements over time, especially with ongoing rehabilitation efforts.
1. Setting Realistic Goals: Work with your therapist to set achievable short-term and long-term goals. Celebrate small victories, as these can motivate you to continue your rehabilitation journey.

2. Consistency is Key: Regularly performing your prescribed exercises and following your rehabilitation plan is crucial. Consistency can lead to gradual improvements in strength and function.

3. Listening to Your Body: While pushing yourself is important, it is equally crucial to listen to your body. If certain activities cause significant pain, it may be a sign to modify your approach or consult with your healthcare provider.


Conclusion
In summary, recovery from severe hand and foot injuries after a traumatic event like a car accident is a complex process that requires patience, persistence, and a comprehensive approach to rehabilitation. While it may feel discouraging at times, many individuals continue to improve even years after their initial injuries. Engaging with healthcare professionals, adhering to rehabilitation protocols, and maintaining a positive outlook can significantly influence your recovery journey. If you have not already, consider seeking a second opinion or consulting a specialist in rehabilitation medicine to explore all available options for your recovery.

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