Recovery After Clavicle Fracture: When to Start Rehab and Remove Support - Orthopedics

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Recovery after a clavicle fracture can be a gradual process, and it's essential to approach rehabilitation carefully to ensure optimal healing and regain function. Given that you sustained a clavicle fracture approximately 70 days ago and have been using a figure-eight brace and a sling for support, it’s encouraging to hear that you have some range of motion and minimal pain. However, there are several factors to consider before starting rehabilitation and removing your support.


When to Start Rehabilitation
Typically, rehabilitation can begin once the initial healing phase has progressed, which usually takes about 6 to 12 weeks for a clavicle fracture. Since you are around the 70-day mark, you may be nearing the point where rehabilitation can be initiated, especially if you are experiencing minimal pain and have some range of motion. However, it is crucial to consult with your orthopedic surgeon or physical therapist before starting any rehabilitation exercises. They will likely assess your fracture healing through physical examination and possibly additional imaging studies (like X-rays) to ensure that the bone is healing properly.


Signs You Can Start Rehab
1. Pain Level: If you are experiencing only mild discomfort and no significant pain during movement, this is a positive sign.

2. Range of Motion: The ability to raise your arm above shoulder level is a good indicator that you may be ready to start rehabilitation.

3. Stability of the Fracture: Your doctor will assess whether the fracture has stabilized enough to allow for movement without risking further injury.


When to Remove the Figure-Eight Brace
The figure-eight brace is typically used to stabilize the clavicle and promote proper alignment during the healing process. If your doctor determines that the fracture is healing well, they may allow you to remove the brace. Signs that you might be ready to remove it include:
- Decreased Pain: If you can move your arm without significant pain.

- Improved Function: If you can perform daily activities without the brace.

- Doctor's Assessment: Ultimately, your physician will make the final decision based on their assessment of your healing progress.


Rehabilitation Exercises
Once cleared for rehabilitation, your physical therapist may guide you through a series of exercises designed to restore strength and range of motion. These may include:
1. Pendulum Exercises: Leaning forward and allowing your arm to swing gently can help improve mobility without putting too much strain on the shoulder.

2. Shoulder Shrugs and Rolls: These can help to strengthen the shoulder muscles and improve flexibility.

3. Wall Climbing: Using your fingers to "climb" up a wall can help increase your range of motion gradually.

4. Resistance Exercises: Once you have regained some strength, your therapist may introduce resistance bands to help strengthen the shoulder girdle.


Conclusion
In summary, while you are showing positive signs of recovery, it is essential to consult with your healthcare provider before starting rehabilitation or removing your support. They will provide personalized recommendations based on your specific situation. Remember, the goal of rehabilitation is to restore function while ensuring that the fracture heals correctly, so patience and adherence to your healthcare provider's advice are crucial during this recovery phase.