Rehabilitation Tips for Clavicle Fracture Recovery After Non-Surgical Treatment - Orthopedics

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Rehabilitation for Clavicle Fracture


Hello, doctor.
I would like to ask about my right clavicle fracture.
I have not undergone surgery and have been using a figure-eight shoulder strap and a triangular bandage for fixation.
It has now been 2 months and 8 days.
I had a follow-up appointment on Monday, and the doctor said the bone has healed well, there is no pain, and I can remove the triangular bandage and shoulder strap to start gentle movements.
However, I was advised to avoid lifting heavy objects until three months have passed.
The doctor suggested using my left hand to lift my right arm and to practice wall climbing.
I have been following these instructions, but my shoulder and arm are very sore and it's difficult to lift them.
I would like to know if I can go to a rehabilitation clinic for physical therapy?

Gong, 10~19 year old female. Ask Date: 2017/12/15

Dr. Li Yongheng reply Orthopedics


Hello, it has been over two months since your fracture, and the doctor has said that the bone is healing well.
You should promptly visit a rehabilitation clinic for physical therapy to prevent adhesive capsulitis of the right shoulder, which could affect the range of motion in the future.
Wishing you a speedy recovery.

Reply Date: 2017/12/15

More Info


Recovering from a clavicle fracture can be a challenging process, especially after a non-surgical treatment. It’s great to hear that your doctor has given you the green light to start moving your shoulder and arm again. Here are some rehabilitation tips and insights to help you navigate your recovery effectively.


Understanding Your Recovery
After a clavicle fracture, the healing process typically takes about 6 to 12 weeks, depending on the severity of the fracture and individual healing rates. Since you’ve been in a sling for over two months, your body has adapted to limited movement, which can lead to stiffness and discomfort when you start to mobilize your shoulder again.

Rehabilitation Tips
1. Start Gradually: Since your doctor has advised you to begin gentle movements, it’s essential to start slowly. Begin with passive range-of-motion exercises, where you use your left hand to assist your right arm in moving through its range without straining. This can help reduce stiffness without putting too much stress on the healing bone.

2. Wall Climbing: The wall climbing exercise your doctor suggested is excellent for regaining mobility. Stand facing a wall and use your fingers to "climb" up the wall, which encourages shoulder flexion. Start low and gradually increase the height as your comfort allows.

3. Pendulum Exercises: Lean forward slightly and let your right arm hang down. Gently swing your arm in small circles or back and forth. This can help maintain mobility without putting too much strain on your shoulder.

4. Strengthening Exercises: Once you feel comfortable with range-of-motion exercises, you can start incorporating light strengthening exercises. Use light resistance bands or small weights to perform exercises like shoulder shrugs, external rotations, and scapular squeezes. Always prioritize form over weight to avoid injury.

5. Physical Therapy: Yes, it is highly beneficial to visit a physical therapy clinic. A physical therapist can provide personalized guidance, ensuring that you perform exercises correctly and safely. They can also employ modalities such as ultrasound or electrical stimulation to help manage pain and promote healing.

6. Pain Management: It’s normal to experience some discomfort as you start moving your shoulder again. However, if the pain is severe or persists, it’s crucial to communicate this with your healthcare provider. They may recommend ice therapy or over-the-counter pain relief options.

7. Consistency is Key: Rehabilitation requires commitment. Aim to perform your exercises daily, gradually increasing the intensity as your strength and mobility improve. Keeping a log of your exercises and progress can be motivating.

8. Listen to Your Body: Pay attention to how your body responds to the exercises. If you experience sharp pain or significant discomfort, stop the activity and consult your healthcare provider. It’s important to differentiate between normal soreness from exercising and pain that could indicate a problem.


Timeline for Recovery
Typically, you can expect to see significant improvements in mobility and strength within a few weeks of starting rehabilitation exercises. However, full recovery can take several months. Your doctor’s advice to avoid heavy lifting until three months post-injury is wise, as it allows your clavicle to heal adequately and reduces the risk of re-injury.


Conclusion
In summary, starting rehabilitation after a clavicle fracture is a crucial step toward regaining full function. By following your doctor’s advice, incorporating gentle exercises, and possibly seeking physical therapy, you can enhance your recovery process. Remember, patience and consistency are vital, and it’s perfectly acceptable to seek help from professionals to guide you through your rehabilitation journey. Good luck, and take care!

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