Recovery from Left Wrist Radius Fracture: Pain and Concerns - Orthopedics

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Left distal radius fracture?


About a month ago, I fell while playing basketball and dislocated and fractured my left radius.
After seeing a doctor, I did not require surgery; instead, I underwent manual reduction and was placed in a cast.
The cast has now been completely removed and replaced with a simpler removable splint.
Currently, I am hesitant to move my wrist because it still hurts a bit.
Could this be due to prolonged inactivity? Is it beneficial to use heat therapy to improve this? During my follow-up appointment that week, the doctor initially told me that I could return to playing basketball in two months.
Is this accurate? Additionally, I am very concerned about potential long-term complications.
I have a habit of weight training, so I worry about whether I will be able to handle heavy weights in the future or if my wrist will have an unsightly appearance or limited range of motion.
Thank you, doctor, for patiently reading my questions.
I kindly request your response.

Ping, 10~19 year old female. Ask Date: 2017/07/21

Dr. Li Yongheng reply Orthopedics


If there is a dislocation and fracture of the radius in the wrist, it is usually considered a more severe injury.
Since it has only been one month since the injury, it is normal to still experience some pain and to be hesitant to move the wrist.
Heat therapy can be used to alleviate discomfort, but it is still necessary to seek rehabilitation treatment from a physical therapist if needed.
Strength training should not be resumed until three months have passed.
If it is just a fracture without dislocation, there are generally no long-term complications; however, if dislocation is involved, there is a concern about potential ligament damage.
You should focus on recovery and attend regular follow-up appointments, avoiding any rush to return to activities.
Wishing you a speedy recovery.

Reply Date: 2017/07/21

More Info


Recovering from a left wrist radius fracture can be a challenging process, especially when it comes to managing pain and concerns about long-term functionality. Based on your description, it sounds like you have undergone a non-surgical treatment for your injury, which is common for certain types of fractures. Here’s a comprehensive overview of what you might expect during your recovery and some strategies to help you manage your pain and concerns.

Firstly, it’s important to understand that after a fracture, especially one involving the wrist, it is normal to experience pain and stiffness as you begin to regain mobility. The pain you are feeling could indeed be attributed to the prolonged immobilization of your wrist while it was in a cast. When a joint is immobilized for an extended period, the surrounding muscles and tissues can become stiff and weak, leading to discomfort when you start to move it again. This is often referred to as "disuse atrophy," where the muscles weaken due to lack of use.

Using heat therapy can be beneficial in this situation. Applying a warm compress or heating pad to your wrist can help increase blood flow to the area, relax the muscles, and alleviate some of the stiffness and pain. However, it’s essential to ensure that the heat is not applied directly to the skin and that you do not use it for too long to avoid burns. Additionally, gentle range-of-motion exercises, as tolerated, can help improve flexibility and reduce stiffness. It’s crucial to listen to your body and avoid pushing through severe pain, as this could lead to further injury.

Regarding your concern about returning to sports, your doctor’s advice about being able to resume playing basketball in two months is likely based on the typical healing timeline for a radius fracture. Generally, fractures can take anywhere from six to eight weeks to heal sufficiently, but this can vary based on factors such as the severity of the fracture, your age, and overall health. It’s essential to follow up with your physician for regular check-ups to monitor the healing process through X-rays or other assessments. They will be able to provide you with a more personalized timeline based on your specific situation.

As for your worries about long-term effects, such as the ability to lift weights or the appearance of your wrist, it’s understandable to have these concerns, especially if you are accustomed to weight training. Most individuals who recover from a wrist fracture can return to their previous levels of activity, including weightlifting, provided they follow a proper rehabilitation program. Engaging in physical therapy can be particularly beneficial, as a therapist can guide you through exercises designed to strengthen the wrist and improve its range of motion.

In terms of aesthetics, while some individuals may experience changes in the appearance of their wrist post-injury, many factors contribute to this, including the nature of the fracture and the healing process. Scarring and changes in skin texture can occur, but these are often minimal and can improve over time.
Lastly, it’s crucial to maintain open communication with your healthcare provider throughout your recovery. If you experience persistent pain, swelling, or any other concerning symptoms, do not hesitate to reach out for further evaluation. They can provide tailored advice and adjustments to your rehabilitation plan to ensure the best possible outcome.

In summary, while recovery from a wrist fracture can be daunting, with proper care, rehabilitation, and patience, many individuals return to their pre-injury activities, including sports and weightlifting. Focus on gradual movement, utilize heat therapy, and stay in touch with your healthcare provider to ensure a smooth recovery process.

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