Delayed Recovery in Distal Radius Fractures: Key Insights

Distal radius fracture

Hello, doctor.
I am the inquirer regarding issue 138880.
First, I would like to thank you for your previous response.
It has been six weeks since my fracture, and during my last follow-up appointment, my attending physician mentioned that my bone healing is somewhat slow.
He asked if I smoke, and after removing the cast, I was fitted with a splint that extends from above the thumb to the mid-forearm.
The doctor instructed me to wear it 24 hours a day for one month, except when bathing, and to return for a follow-up.
He indicated that as long as there is no displacement of the fracture site, there shouldn't be any major issues.
When I inquired about my recovery status, the doctor replied that it is still within an acceptable range.
I asked about activities I could do while wearing the splint and any precautions regarding the slow recovery, to which the doctor advised against lifting heavy objects and to maintain normal daily activities.
I would like to ask the following:
1.
I do not smoke or drink alcohol, but I often consume caffeine and need to stay up late due to work.
What lifestyle changes should I consider to improve my recovery speed?
2.
The doctor mentioned that as long as there is no displacement at the fracture site, is there still a risk of displacement now? Why is the follow-up interval extended if that is the case? Is it because the splint provides inadequate protection?
3.
Since switching to the splint, I sometimes experience muscle soreness in my forearm, which subsides after a short period.
Additionally, some finger joints are slightly painful.
Is this a cause for concern?
4.
Currently, I can flex and extend my fingers and bend and straighten my elbow with my palm facing myself.
Are there any other activities I can perform?
Thank you for your response.

Danxin de ren, 30~39 year old female. Ask Date: 2018/09/18

Dr. Shi Guozheng reply Orthopedics

1.
A normal diet and routine are sufficient.

2.
A splint is used to maintain the current position of the fracture and prevent displacement.
Bone healing takes time, so a postponed appointment may be necessary to assess whether the bone continues to grow.

3.
Soreness is normal.

4.
Current activities are acceptable.

Reply Date: 2018/09/18

More Info

Understanding the recovery process from a distal radius fracture can be complex, especially when considering various factors that may influence healing. Based on your situation, it seems that you are experiencing a slower recovery than expected, which can be concerning. Here are some insights and recommendations regarding your questions:
1. Lifestyle Factors Affecting Recovery: While you mentioned that you do not smoke or drink alcohol, which are significant risk factors for delayed healing, other lifestyle choices can also impact recovery. Caffeine consumption, especially in high amounts, can affect calcium absorption, which is crucial for bone healing. Additionally, lack of sleep due to late-night work can hinder the body's natural healing processes. It is essential to prioritize a balanced diet rich in calcium and vitamin D, maintain hydration, and ensure adequate sleep to support your recovery. Consider incorporating foods like dairy products, leafy greens, and fatty fish into your diet. If possible, try to manage your work schedule to allow for more rest.

2. Concerns About Fracture Stability: Your physician's comment about the fracture not moving downwards is reassuring, as it indicates that the fracture remains stable. However, the extended follow-up period may be due to the need for careful monitoring of the healing process. The use of a splint or brace is intended to provide support and limit movement, reducing the risk of displacement. If there is any concern about the splint's effectiveness, it would be prudent to discuss this with your doctor, as they may consider adjusting the splint or providing additional support if necessary.

3. Muscle Discomfort and Joint Pain: It is not uncommon to experience some muscle soreness or discomfort in the forearm and fingers after a fracture, especially when transitioning from a cast to a splint. This discomfort can be attributed to muscle atrophy from disuse during immobilization and the reactivation of muscles as you begin to use your hand again. However, persistent or severe pain in the joints should be evaluated by your physician to rule out any complications. Gentle stretching and range-of-motion exercises can help alleviate some of this discomfort, but it is crucial to avoid overexertion.

4. Recommended Activities: The activities you are currently performing, such as finger flexion and extension, as well as elbow movements, are excellent for maintaining mobility and promoting circulation. You can also incorporate wrist movements, such as gentle flexion and extension, as tolerated. Gradually increasing the range of motion while avoiding heavy lifting or strenuous activities will be beneficial. If you feel comfortable, you might also consider using therapy putty or a stress ball to strengthen your grip and improve dexterity.

In summary, while your recovery may be slower than anticipated, it is essential to remain patient and adhere to your physician's recommendations. Focus on maintaining a healthy lifestyle, managing discomfort, and engaging in appropriate exercises to support your healing process. If you have any concerns or notice changes in your symptoms, do not hesitate to reach out to your healthcare provider for further evaluation and guidance.

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