Recovery Guide for Humeral Neck Fracture: Rehab Tips and FAQs - Orthopedics

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Recovering from a humeral neck fracture can be a challenging process, especially after surgery. It’s important to follow a structured rehabilitation program to regain strength and mobility in your shoulder. Here’s a comprehensive guide to help you navigate your recovery, addressing your specific questions and providing additional insights into the rehabilitation process.


1. Rehabilitation Methods and Frequency
After your surgery, it’s crucial to start rehabilitation as soon as your doctor allows. Typically, rehabilitation exercises should begin with gentle range-of-motion (ROM) exercises. You can start with pendulum exercises, where you lean forward and let your arm hang down, gently swinging it in circles. Gradually, you can progress to more active ROM exercises, such as wall climbing (using your fingers to climb up a wall) and assisted shoulder flexion (using your other arm to help lift the injured arm).

Frequency is key; aim for rehabilitation exercises at least 3-5 times a week. As you progress, your physical therapist may introduce strengthening exercises, focusing on the rotator cuff and shoulder stabilizers.

2. Activities to Avoid
In the early stages of recovery, avoid any activities that put excessive strain on your shoulder, such as lifting heavy objects, overhead movements, or any high-impact sports. It’s also important to avoid any sudden or jerky movements that could jeopardize the healing process.

3. Impact of Keyboarding on Recovery
Typing on a keyboard generally does not place significant stress on your shoulder, especially if you maintain a neutral wrist position. However, be mindful of your posture. Ensure that your workstation is ergonomically set up to minimize strain on your shoulder. If you experience pain while typing, take breaks and adjust your position.


4. Timeline for Full Range of Motion
The timeline for regaining full range of motion (180 degrees) can vary significantly among individuals. Generally, with consistent rehabilitation, many patients can achieve near-full range of motion within 3 to 6 months post-surgery. However, some may take longer, depending on factors like age, overall health, and adherence to rehabilitation protocols. Regular follow-ups with your orthopedic surgeon or physical therapist will help monitor your progress.


5. Daily Activities
You can gradually resume daily activities like using chopsticks or writing, but it’s essential to listen to your body. Start with light tasks and avoid any movements that cause pain. If you find certain activities challenging, consider using adaptive tools or techniques to assist you.


6. Caring for Your Surgical Wound
Typically, you can start to gently clean the surgical site with water about 3 days after your stitches are removed, but avoid submerging it in water (like baths or swimming) until your doctor gives you the green light, usually around 2 weeks post-surgery. Keeping the area clean and dry is crucial to prevent infection.


Additional Tips for Recovery
- Pain Management: Use prescribed pain medications as needed, and consider ice packs to reduce swelling.

- Nutrition: A balanced diet rich in protein, calcium, and vitamin D can support bone healing.

- Physical Therapy: Consider working with a physical therapist who can tailor a rehabilitation program specific to your needs and monitor your progress.


Conclusion
Recovery from a humeral neck fracture requires patience and dedication. By following a structured rehabilitation program, avoiding activities that could hinder your healing, and maintaining open communication with your healthcare providers, you can optimize your recovery. Remember, every individual heals at their own pace, so focus on your progress and celebrate small victories along the way. If you have any concerns or experience unusual symptoms, don’t hesitate to reach out to your healthcare team for guidance.