Post-Surgery Recovery: Safe Rehab Tips for Humerus Fracture - Orthopedics

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Humerus fracture?


The doctor and nurse advised me to do rehabilitation by using my palm to "climb" the wall to raise my hand to 40 degrees.
However, today is only the 7th day post-surgery, and the bone has not healed yet.
Will this activity cause the bone to break again or become misaligned? If it is safe, how many times a day should I perform the rehabilitation? (I have a bone plate.) Additionally, they mentioned heat therapy and massage; how many times a day should I do these activities?

Mr. Hsieh, 20~29 year old female. Ask Date: 2019/05/10

Dr. Li Yongheng reply Orthopedics


Hello, if there is a humeral fracture with a plate fixation, both the doctor and the nurse have indicated that rehabilitation can proceed, which suggests that the fracture is sufficiently stable.
Therefore, you can continue with wall climbing rehabilitation.
These rehabilitation exercises, along with heat therapy and massage, should ideally be performed about four times a day (after each meal and before bedtime).

Reply Date: 2019/05/10

More Info


Recovering from a humerus fracture, especially after surgery, requires careful attention to rehabilitation and self-care practices. It's understandable to have concerns about the safety of rehabilitation exercises, particularly in the early stages post-surgery. Here are some insights and recommendations based on medical knowledge and best practices for recovery.


Understanding the Healing Process
After a humerus fracture surgery, the bone typically takes about 6 to 12 weeks to heal, depending on the severity of the fracture and the individual's overall health. During the first few weeks, the focus should be on protecting the surgical site and allowing the bone to begin the healing process. The use of a bone plate is common in these cases, and it provides stability to the fracture site, which is crucial for healing.


Rehabilitation Guidelines
1. Gentle Range of Motion Exercises:
- At 7 days post-surgery, it is generally safe to begin gentle range of motion exercises as advised by your healthcare provider. The "wall climbing" exercise you mentioned is a common method to gradually increase shoulder mobility. However, it should be done cautiously.
- Start with small movements and avoid any exercise that causes pain or discomfort. If you feel any sharp pain, stop immediately and consult your doctor.

2. Frequency of Rehabilitation Exercises:
- Typically, rehabilitation exercises can be performed 2 to 3 times a day, depending on your comfort level and the advice of your physical therapist. Each session can last about 10 to 15 minutes.

- It’s essential to listen to your body; if you feel fatigued or experience pain, it may be beneficial to reduce the frequency or intensity of the exercises.

3. Heat Therapy and Massage:
- Heat therapy can help improve blood flow and reduce stiffness in the shoulder area. You can apply a warm compress or heating pad for about 15-20 minutes, 2 to 3 times a day.

- Gentle massage around the shoulder and upper arm (not directly on the surgical site) can also promote circulation and alleviate tension. This can be done once or twice a day, depending on your comfort.

4. Monitoring Progress:
- Keep track of your pain levels and any changes in mobility. It’s important to have regular follow-ups with your orthopedic surgeon or physical therapist to assess your healing progress and adjust your rehabilitation plan as necessary.

5. Avoiding Risky Movements:
- Avoid any heavy lifting or high-impact activities until your doctor gives you the green light. The risk of re-injury or misalignment is higher in the early stages of recovery.


Nutrition and Overall Care
In addition to physical rehabilitation, proper nutrition plays a vital role in bone healing. Ensure you are consuming adequate amounts of calcium and vitamin D, which are essential for bone health. Foods rich in protein can also aid in recovery, as they help repair tissues.


Conclusion
In summary, while it is crucial to engage in rehabilitation exercises to regain mobility after a humerus fracture, it is equally important to do so cautiously and under the guidance of your healthcare team. Follow their recommendations closely, and do not hesitate to reach out to them if you have any concerns about your recovery process. Remember, healing takes time, and being patient with yourself is key to a successful recovery.

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