Radial and ulnar fractures
Hello Doctor, I fractured my right radius and ulna on May 16, 2018, and underwent surgery on May 18, where two plates and twelve screws were inserted.
1.
During my follow-up on September 5, I was informed that the bones have fully healed.
I would like to know how long it will take before I can resume high-intensity physical training, specifically exercises like push-ups, dips, and pull-ups.
Is six months sufficient? 2.
Can I start with light training now (such as kneeling push-ups and using 5-10 kg dumbbells)? I kindly request your assistance in answering these questions.
🙏🏻
Jie, 20~29 year old female. Ask Date: 2018/09/11
Dr. Shi Guozheng reply Orthopedics
1.
It can take six months.
2.
If the fracture has completely healed well, then it is permissible.
Reply Date: 2018/09/11
More Info
Recovering from fractures, especially of the radial and ulnar bones, is a critical process that requires careful attention to timelines and rehabilitation strategies. Based on your situation, where you sustained fractures on May 16, 2018, and underwent surgery with the insertion of plates and screws, it’s essential to understand the recovery phases and when you can safely resume intense training.
1. Healing Timeline: Generally, bone healing can take anywhere from 6 to 12 weeks, depending on various factors such as the type of fracture, the surgical procedure, and individual healing rates. Since you mentioned that your bones have healed by your follow-up appointment on September 5, it indicates that you are in the later stages of recovery. However, while the bones may be healed, the surrounding soft tissues (muscles, tendons, ligaments) may still require additional time to regain strength and flexibility.
2. Resuming Intense Training: For high-intensity training, such as push-ups, dips, and pull-ups, it is advisable to wait until you have regained full range of motion and strength in your wrist and forearm. This can typically take an additional 3 to 6 months post-healing. Therefore, aiming for a return to high-intensity workouts around the 6-month mark could be reasonable, but it is crucial to listen to your body and consult with your healthcare provider or physical therapist. They can provide specific assessments to ensure that your wrist can handle the stress of these exercises without risking re-injury.
3. Lightweight Training: Engaging in light training, such as kneeling push-ups or using light dumbbells (5-10 kg), can be beneficial during your recovery. These exercises can help maintain muscle tone and promote blood flow to the area, which is essential for healing. However, it is vital to perform these movements with proper form and to avoid any exercises that cause pain or discomfort in your wrist. Start with low resistance and gradually increase as your strength improves.
4. Rehabilitation Exercises: Incorporating rehabilitation exercises focusing on wrist mobility and strength is crucial. These may include wrist flexion and extension exercises, grip strengthening, and forearm rotations. A physical therapist can guide you through a tailored rehabilitation program that aligns with your recovery goals.
5. Monitoring Progress: Keep track of your progress and any discomfort you experience during exercises. If you encounter persistent pain or limitations, it is essential to consult your physician or therapist. They may recommend imaging studies to ensure that there are no complications with the healing process.
6. Conclusion: In summary, while you may be able to start light training now, it is advisable to wait until around the 6-month mark for high-intensity workouts. Always prioritize your body’s signals and seek professional guidance to ensure a safe and effective return to your training regimen. Recovery is a gradual process, and patience is key to achieving long-term success and preventing future injuries.
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