Radial Bone Fractures and Wrist Rehabilitation After Surgery - Orthopedics

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Hello! It sounds like you've been through quite a challenging experience with your radial bone fracture and wrist ligament injury. I appreciate your questions regarding your recovery and rehabilitation process after surgery.
First, let’s discuss the need for a cast after the removal of the wrist screws. Typically, once the screws are removed, the need for a cast depends on the stability of the fracture and the overall healing process. If your doctor determines that the bone has healed adequately and there is no significant risk of re-injury, you may not need a cast. However, if there is still some instability or if you are experiencing pain, your doctor might recommend a splint or a brace instead of a full cast to provide support while allowing some movement. It's essential to follow your surgeon's advice on this matter, as they will assess your specific situation best.

Regarding the inflammation at the site of the screws, it is not uncommon to experience some redness and swelling after surgery. This can be part of the normal healing process, especially if there is irritation from the hardware. However, the absence of discharge is a good sign, as it suggests that there is no infection. Your doctor’s reassurance that this is normal is encouraging, but you should continue to monitor the area. If the redness worsens, if you develop a fever, or if you notice any discharge, you should contact your healthcare provider immediately.

Now, let’s talk about rehabilitation. Rehabilitation after a radial bone fracture and wrist surgery is crucial for restoring function and strength. The rehabilitation process usually begins with gentle range-of-motion exercises as soon as your doctor approves it. These exercises help to prevent stiffness and maintain mobility in the wrist.
Once the initial healing has taken place, typically around 6-8 weeks post-surgery, you can gradually introduce strengthening exercises. These may include wrist flexion and extension exercises, grip strengthening with a soft ball, and resistance band exercises. It’s essential to start slowly and increase the intensity and duration of your exercises as tolerated.
Physical therapy can be incredibly beneficial during this phase. A physical therapist can provide you with a tailored rehabilitation program that focuses on restoring strength, flexibility, and function to your wrist. They can also guide you on proper techniques to avoid re-injury and ensure that you are progressing safely.

In addition to physical therapy, consider incorporating activities that promote overall wrist health, such as maintaining a balanced diet rich in calcium and vitamin D, which are vital for bone healing. Staying hydrated and avoiding smoking can also positively impact your recovery.

Lastly, it’s important to be patient with your recovery process. Healing from a fracture and surgery can take time, and everyone’s recovery timeline is different. Regular follow-ups with your healthcare provider will help monitor your progress and make any necessary adjustments to your rehabilitation plan.

In conclusion, after the removal of the screws, whether you need a cast will depend on your specific healing status. The inflammation you’re experiencing is likely normal, but keep an eye on it. Engage in a structured rehabilitation program to regain strength and function in your wrist, and don’t hesitate to reach out to your healthcare team with any concerns. Wishing you a smooth recovery and a Happy New Year!