Post-Surgery Rehabilitation for Humerus Fractures: Common Concerns and Solutions

Questions about rehabilitation after humeral fracture surgery!

Dear Dr.
Hsu/Director,
My spouse underwent surgery for a fracture, and it has been nearly four months since starting rehabilitation in March.
However, there are still some issues that we cannot overcome, and I would like to seek your guidance on the following:
1.
There is often a tight sensation from the upper arm to the forearm, and the thumb frequently feels numb.
Is this normal? How can we address this issue?
2.
The surgical site experiences tightness, and there is pain when pressure is applied to the incision.
Could this be due to incomplete healing of the soft tissue, or is there another reason?
3.
What type of supplements or vitamins would you recommend to promote healing?
I appreciate your time and assistance, Dr.
Hsu/Director.
Thank you!

Xiao Bi, 40~49 year old female. Ask Date: 2018/06/22

Dr. Xu Zhenrong reply Rehabilitation

Without knowing the specific fracture site and surgical method for Mr.
Xiao Bi, I can only provide a general response.
It is common to experience tightness or numbness in the area post-surgery while the fracture is healing properly, often due to soft tissue scarring and adhesions.
Typically, local heat application, massage, or appropriate mobilization techniques can help improve these symptoms.
However, if there are persistent chronic pain, hypersensitivity, swelling, or changes in skin color or temperature, it is important to consider the possibility of other complications.
Adequate nutrition is essential for recovery after a fracture surgery, and the efficacy of dietary supplements may not always be reliable.

Reply Date: 2018/06/22

More Info

Post-surgery rehabilitation for humerus fractures can be a challenging journey, especially when patients experience persistent discomfort or complications. Your concerns are valid and reflect common issues faced by many individuals recovering from such injuries. Let's address your questions one by one and provide some insights into effective rehabilitation strategies.

1. Tightness and Numbness in the Arm: Experiencing tightness in the upper and lower arm, along with numbness in the thumb, can be indicative of several factors. After a humerus fracture, it is not uncommon for patients to experience muscle tightness due to immobilization during recovery. This tightness can lead to restricted range of motion and discomfort. Additionally, numbness may suggest nerve involvement, possibly due to swelling or compression from surrounding tissues. To alleviate these symptoms, gentle stretching exercises and physical therapy can be beneficial. A physical therapist can guide you through specific exercises designed to improve flexibility and reduce tightness. If numbness persists, it may be worth consulting with your physician to rule out any nerve damage or complications.

2. Tightness and Pain at the Surgical Site: It's not unusual to feel tightness and tenderness around the surgical site several months post-operation. This sensation can be attributed to the healing process of soft tissues, including muscles, tendons, and ligaments, which may still be recovering from the trauma of surgery. Scar tissue formation can also contribute to discomfort and a feeling of tightness. If pressing on the incision site elicits pain, it may indicate that the underlying tissues are still sensitive or that there is some inflammation present. To manage this, consider gentle massage around the scar area (once cleared by your physician), heat therapy, and continued physical therapy to promote healing and reduce sensitivity. If the pain is severe or worsening, it’s essential to consult your healthcare provider for further evaluation.

3. Nutritional Support for Healing: Nutrition plays a crucial role in recovery from fractures. Certain vitamins and minerals can aid in bone healing and overall recovery. Calcium and vitamin D are essential for bone health; calcium helps build and maintain bone structure, while vitamin D enhances calcium absorption. Foods rich in these nutrients include dairy products, leafy greens, and fortified foods. Additionally, vitamin C is vital for collagen formation, which is crucial for tissue repair. Foods like citrus fruits, strawberries, and bell peppers are excellent sources of vitamin C. Omega-3 fatty acids, found in fish and flaxseeds, can help reduce inflammation and promote healing as well. If you are considering supplements, consult with your healthcare provider to determine the appropriate dosage and ensure they do not interact with any medications you may be taking.

In conclusion, rehabilitation after a humerus fracture can be a gradual process, and it’s essential to remain patient and committed to your recovery plan. Regular follow-ups with your healthcare provider and physical therapist will help monitor your progress and address any concerns that arise. Engaging in a structured rehabilitation program, maintaining a balanced diet rich in essential nutrients, and listening to your body are key components to achieving a successful recovery. If you have any further questions or concerns, do not hesitate to reach out to your healthcare team for personalized guidance.

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