Recovery from Left Wrist Radius Fracture: Treatment Options Explained

Fracture of the left radius?

On December 25 of last year, I fell off my bicycle and underwent surgery for a left distal radius fracture, where titanium alloy was implanted.
During my follow-up appointment on January 16, the doctor instructed me to perform rehabilitation exercises at home, specifically finger extension exercises in a supinated position.
However, I was unable to achieve a 180-degree angle.
On January 27, I sought help from a rehabilitation specialist, who took X-rays and recommended out-of-pocket shockwave therapy, along with two sessions of manual therapy.
After undergoing one session of shockwave therapy, I experienced significant pain.

My question is, am I currently suitable for shockwave therapy and manual therapy? Additionally, can I undergo electrical stimulation therapy? My left thumb still feels numb, and I am unable to lift all my fingers upward or press them down like my right hand.
The surgical site continues to be painful.

Meizi, 50~59 year old female. Ask Date: 2017/02/12

Dr. Shi Guozheng reply Orthopedics

It is normal for joints to feel a bit stiff after surgery, and it is essential to actively engage in rehabilitation activities to restore joint function.

Reply Date: 2017/02/12

More Info

Recovering from a left wrist radius fracture can be a challenging process, especially after surgical intervention. It’s essential to understand the treatment options available and the recovery timeline to ensure optimal healing and regain full function of the wrist.

Treatment Options
1. Surgical Intervention: You mentioned that you underwent surgery to fix the fracture with titanium alloy. This is a common approach for unstable fractures, as it allows for proper alignment and stabilization of the bone, which is crucial for healing.

2. Physical Therapy: After surgery, physical therapy is a critical component of recovery. It typically begins with gentle range-of-motion exercises to prevent stiffness. As you progress, your therapist will introduce strengthening exercises. It’s concerning that you are experiencing difficulty achieving a full range of motion (180 degrees) and that your thumb feels numb. This could indicate nerve involvement or stiffness in the joint.

3. Shockwave Therapy: You mentioned undergoing shockwave therapy, which is often used to promote healing in musculoskeletal injuries. While it can be painful, it is generally considered safe and effective for certain conditions. If the pain is too intense, discuss this with your therapist; they may adjust the intensity or frequency of the treatment.

4. Manual Therapy: This hands-on technique can help improve mobility and reduce pain. It’s beneficial for breaking down scar tissue and improving circulation in the affected area. If you are still experiencing significant pain, it might be wise to communicate this to your therapist so they can tailor the treatment to your comfort level.

5. Electrical Stimulation: Electrical stimulation can be used to help reduce pain and promote muscle contraction. If you are considering this treatment, consult with your physical therapist or physician to ensure it’s appropriate for your current condition.

Recovery Timeline
Recovery from a wrist fracture can vary significantly based on the severity of the fracture, the surgical technique used, and individual healing rates. Generally, the following timeline can be expected:
- Initial Healing (0-6 weeks): During this phase, the focus is on protecting the fracture site and beginning gentle range-of-motion exercises. Pain and swelling should gradually decrease.

- Rehabilitation Phase (6-12 weeks): As healing progresses, physical therapy becomes more intensive, focusing on restoring strength and function. You should start to see improvements in your range of motion and strength during this time.

- Full Recovery (3-6 months): Most patients can expect to return to normal activities within three to six months, but this can vary. Some may experience lingering stiffness or discomfort, which can take additional time to resolve.

Recommendations
1. Communicate with Your Healthcare Provider: Given your ongoing symptoms, it’s crucial to keep an open line of communication with your healthcare provider. They may want to conduct further imaging studies to assess the healing process and rule out complications.

2. Adhere to Rehabilitation Protocols: Follow the rehabilitation plan provided by your physical therapist closely. Consistency is key to regaining function.

3. Manage Pain and Discomfort: If certain treatments are causing excessive pain, discuss alternatives with your therapist. Pain management is essential for effective rehabilitation.

4. Monitor Symptoms: Keep track of any changes in sensation, pain levels, or mobility. If you notice worsening symptoms or new issues, seek medical advice promptly.

5. Patience and Persistence: Recovery can be slow, and it’s essential to be patient with yourself. Celebrate small victories in your progress, and stay motivated to continue your rehabilitation.

In conclusion, while the journey to recovery from a wrist fracture can be arduous, with the right treatment plan and support, you can regain full function of your wrist. Always consult with your healthcare provider before making any changes to your treatment plan.

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