Wrist fracture
Hello Doctor, I was in a car accident on the 16th and my left hand has been painful and swollen.
I initially thought it was a sprain and consulted a traditional Chinese medicine practitioner for three days.
Later, I went to an orthopedic clinic for X-rays and an ultrasound, where it was discovered that I had a fracture in my wrist bones.
However, the doctor said that I didn't need a cast and that it would heal on its own.
Because I was still concerned, I went to a large hospital's orthopedic department for another check-up on February 1st, and the X-ray showed that the bones were fine and there was no fracture.
I would like to ask the doctor if X-rays can visualize all the bones in the hand, both above and below? Since I am unsure which side of the bone might be fractured, does this mean I am healed? Can a fracture heal this quickly? Am I able to engage in activities like riding a bike? My wrist is no longer swollen, I can move my fingers without pain, and rotation feels normal, but I occasionally experience soreness.
Is this normal? How should I proceed with rehabilitation?
Xiao Ni, 20~29 year old female. Ask Date: 2017/02/03
Dr. Li Yongheng reply Orthopedics
A mild linear bone fracture can be difficult to identify on X-ray diagnosis.
However, since the X-ray on February 1 showed no fractures, you can be reassured.
You may engage in activities within a pain-free range.
Healing is expected to take about four weeks.
Thank you for your question.
Reply Date: 2017/02/03
More Info
Wrist fractures can be a significant concern, especially following an accident. Based on your description, it seems that you initially experienced pain and swelling in your left wrist, which led you to seek treatment from both traditional Chinese medicine and orthopedic specialists. After undergoing X-rays and ultrasound, it was determined that you had a wrist fracture, but later evaluations indicated that your bones were intact, which is a positive sign.
To address your questions and concerns, let's break down the recovery process, rehabilitation, and what you should be aware of moving forward.
Understanding Wrist Fractures
1. X-ray Imaging: X-rays are a standard diagnostic tool used to visualize bone structures. They can show fractures, dislocations, and other abnormalities. However, X-rays may not always capture hairline fractures or stress fractures, especially if they are not in a typical location. If your doctor has performed multiple X-rays and confirmed that there is no fracture, it is likely that your wrist is healing well. If there is still concern, further imaging, such as an MRI, may be warranted to assess soft tissue injuries or subtle fractures.
2. Healing Time: The healing time for wrist fractures can vary significantly depending on the type and severity of the fracture. Generally, minor fractures can heal within a few weeks, while more complex injuries may take several months. Given that your swelling has subsided and you can move your fingers without pain, it suggests that your wrist is on the path to recovery. It is not uncommon for some discomfort or stiffness to persist even after the initial healing phase, as the surrounding soft tissues (muscles, ligaments, and tendons) may still be recovering.
3. Activity Resumption: As for returning to activities such as riding a bike, it is essential to listen to your body. If you can move your wrist without pain and perform daily activities comfortably, you may gradually resume light activities. However, avoid any high-impact or strenuous activities until you have fully consulted with your healthcare provider. They can give you personalized advice based on your specific condition.
Rehabilitation and Recovery
1. Physical Therapy: Engaging in physical therapy can be beneficial for regaining strength and mobility in your wrist. A physical therapist can guide you through exercises tailored to your recovery stage, focusing on flexibility, strength, and functional movements. This can help alleviate any lingering discomfort and improve your wrist's overall function.
2. Home Exercises: You can also perform gentle range-of-motion exercises at home. Start with simple wrist flexion and extension, and gradually incorporate more complex movements as tolerated. It’s crucial to avoid pushing through pain; if an exercise causes discomfort, stop and consult your therapist or doctor.
3. Monitoring Symptoms: Keep an eye on any symptoms that may arise. Occasional soreness can be normal as your wrist adjusts to increased activity, but if you experience significant pain, swelling, or instability, it’s essential to seek medical advice promptly.
4. Gradual Return to Activities: As you feel more comfortable, gradually increase the intensity of your activities. This approach helps prevent re-injury and allows your wrist to adapt to the demands placed upon it.
Conclusion
In summary, it appears that your wrist is healing well, especially since you have regained mobility and reduced swelling. Continue to monitor your symptoms and engage in rehabilitation exercises to support your recovery. Always consult with your healthcare provider before resuming any activities that may strain your wrist. With proper care and attention, you should be able to return to your normal activities in due time.
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