Post-Operative Concerns After Clavicle Fracture Surgery: What to Expect - Orthopedics

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Post-operative recovery after clavicle and scapula fracture surgery can be a challenging process, and it is essential to understand what to expect during this period. After your surgery, it is normal to experience some discomfort, limited range of motion, and tightness in the shoulder and upper arm. Here’s a breakdown of your concerns and what you can do to facilitate your recovery.


1. Pain and Limited Range of Motion
Experiencing tightness and pain when lifting your arm is common in the first few weeks post-surgery. The surgical procedure involves manipulation of the bones and surrounding tissues, which can lead to inflammation and stiffness. The pain you feel when trying to lift your arm above 70 degrees is likely due to muscle tightness, swelling, and the healing process of the soft tissues around the shoulder joint.
It is important to distinguish between normal post-operative pain and pain that may indicate complications. If the pain is severe, persistent, or accompanied by other symptoms such as swelling, redness, or fever, you should contact your surgeon immediately.


2. Use of a Sling
Wearing a triangular sling is typically recommended for the first few weeks after surgery to immobilize the shoulder and allow for proper healing. The sling helps to support the arm and reduce strain on the surgical site. You should follow your surgeon's advice regarding how long to wear the sling. Generally, it is advised to wear it continuously for the first few weeks, especially during activities that may put stress on the shoulder.


3. Shoulder Exercises
After one week post-surgery, it is usually too early to engage in active shoulder exercises. However, gentle range-of-motion exercises may be introduced as per your surgeon's recommendations. These exercises are crucial for preventing stiffness and promoting healing. Typically, physical therapy may begin after a few weeks, depending on your healing progress.
You might be advised to perform passive range-of-motion exercises, where someone else moves your arm for you, or you can use your other arm to assist in moving the affected arm gently. Always consult with your surgeon or physical therapist before starting any exercises to ensure they are safe and appropriate for your specific situation.


4. Follow-Up Appointments
Regular follow-up appointments with your orthopedic surgeon are essential to monitor your healing process. During these visits, your doctor will assess your range of motion, pain levels, and overall recovery. They may also adjust your rehabilitation plan based on your progress.


5. Pain Management
Managing pain effectively is crucial for your recovery. Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help alleviate discomfort. However, always follow your doctor's recommendations regarding medication, especially if you were prescribed stronger pain relief post-surgery.


Conclusion
In summary, experiencing tightness and pain after clavicle and scapula fracture surgery is normal, especially within the first week. Wearing a sling is typically recommended to support your shoulder during the initial healing phase. While you may not be ready for active exercises yet, gentle movements and follow-up care are vital for a successful recovery. Always communicate openly with your healthcare provider about your symptoms and follow their guidance for rehabilitation. Your proactive approach to understanding your recovery will help you navigate this process more effectively.