Post-Cast Wrist Pain: Recovery and Rehabilitation - Orthopedics

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After the cast is removed from the wrist, there may be pain in the joint when bending and applying force?


A little over a month ago, I had a car accident that resulted in a dislocation and fracture of the bones in my left wrist.
After being in a cast for more than a month, I had it removed today.
My wrist joint hurts when I try to bend it with force, and I cannot bend it fully.
Is this normal? The doctor mentioned that it is normal, but did not provide guidance on how to improve it.
What should I do in this situation?

Xiao Xin, 10~19 year old female. Ask Date: 2017/05/06

Dr. Xie Hongjia reply Orthopedics


Hello, Xiao Xin: After the removal of the cast, it is common to experience stiffness, and rehabilitation is necessary.
It is recommended to visit the hospital for further examination.
The Hualien Hospital of the Ministry of Health and Welfare cares about you.

Reply Date: 2017/05/06

More Info


Post-cast wrist pain is a common experience for individuals who have undergone immobilization due to fractures or dislocations. After a period of being in a cast, it is not unusual to encounter pain, stiffness, and limited range of motion in the affected wrist. This is primarily due to the immobilization of the joint, which can lead to muscle atrophy and joint stiffness.
When a cast is removed, the body needs time to readjust and regain strength and flexibility. The pain you are experiencing when trying to bend your wrist is a normal part of the recovery process. However, it is essential to take proactive steps to facilitate healing and restore function. Here are some recommendations based on medical knowledge and rehabilitation practices:
1. Physical Therapy: Engaging in physical therapy is crucial for recovery. A physical therapist can design a personalized rehabilitation program that includes exercises to improve range of motion, strength, and flexibility. This may involve gentle stretching and strengthening exercises tailored to your specific needs.
2. Gradual Mobilization: Start with gentle movements of the wrist. You can begin with passive range of motion exercises, where you use your other hand to help move the wrist gently. Gradually progress to active range of motion exercises as tolerated.
3. Pain Management: If you experience significant pain, over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort. However, consult with your healthcare provider before taking any medication, especially if you have other health conditions or are on other medications.

4. Heat and Cold Therapy: Applying heat can help relax the muscles and improve blood flow to the area, while cold therapy can reduce inflammation and numb pain. You can alternate between heat and cold packs based on what feels best for your wrist.

5. Gradual Return to Activities: As your wrist begins to feel better, gradually reintroduce activities that require wrist use. Start with light tasks and progressively increase the intensity and duration of activities as your strength and flexibility improve.

6. Avoiding Overexertion: While it is important to engage in rehabilitation exercises, be cautious not to overdo it. Listen to your body and avoid pushing through severe pain, as this can lead to setbacks in your recovery.

7. Follow-Up Appointments: Regular follow-ups with your healthcare provider or orthopedic specialist are essential to monitor your progress. They can assess your recovery and make any necessary adjustments to your rehabilitation plan.

8. Patience and Consistency: Recovery from a wrist injury takes time. It is important to be patient and consistent with your rehabilitation efforts. Improvement may be gradual, but with dedication, you can regain function and reduce pain.

In summary, while experiencing pain and limited mobility after cast removal is normal, taking proactive steps through physical therapy, gradual mobilization, and pain management can significantly aid in your recovery. If you have any concerns about your progress or if the pain persists or worsens, do not hesitate to reach out to your healthcare provider for further evaluation and guidance.

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