Distal radius fracture
Hello, Doctor.
I slipped and fell on May 28 of this year, resulting in a distal radius fracture in my left hand.
I have been undergoing conservative treatment and only wearing a splint.
I regularly consume tea, coffee, milk, and calcium supplements.
I had follow-up appointments on June 16 and July 14, where X-rays showed that the fracture still has a crack but no displacement.
There is pain near the wrist where the bone protrudes during arm movement.
My next appointment for an X-ray is on August 25.
During my July 14 visit, the doctor advised me to stop using the triangular sling, and after two weeks, I will be able to remove the splint since it will be two months.
The doctor has not mentioned when to start rehabilitation.
I would like to know if starting rehabilitation after my August 25 appointment would be too late, and should I schedule an earlier appointment to consult with the doctor? Thank you.
david, 40~49 year old female. Ask Date: 2019/07/14
Dr. You Dianqi reply Orthopedics
Hello, the general guideline for when a physician allows you to remove the protective brace is when you can start engaging in some light range of motion exercises.
Additionally, since you are undergoing conservative treatment, it is normal for the rehabilitation timeline to be slightly extended.
There's no need to be overly anxious about this.
Reply Date: 2019/07/14
More Info
Understanding distal radius fractures and their recovery process is crucial for ensuring optimal healing and regaining functionality. A distal radius fracture typically occurs near the wrist and can result from falls, especially in older adults or those with weakened bones. Your case, where you sustained a distal radius fracture on May 28 and have been under conservative treatment, is common and often leads to good outcomes if managed properly.
From your description, it seems you have been following a conservative treatment plan, which is often the first line of management for non-displaced fractures. The use of a splint or brace is essential in immobilizing the wrist to allow for proper healing. The fact that you have been consuming calcium-rich foods and supplements is beneficial, as calcium plays a vital role in bone healing.
Regarding your follow-up appointments, it is encouraging that you have had X-rays taken on June 16 and July 14, which showed no displacement but still indicated some cracks. This suggests that while the fracture is healing, it may not be fully consolidated yet. Pain during wrist movement is also a common symptom during the healing phase, especially if the fracture is still in the process of healing.
You mentioned that your next appointment is on August 25, and you are concerned about whether starting rehabilitation after this date might be too late. Generally, rehabilitation for a distal radius fracture can begin once the fracture is stable and there is no risk of displacement. This is often assessed through clinical evaluation and imaging studies. If your doctor has indicated that you can remove the splint after two months, it is likely that the fracture is healing adequately.
However, if you are experiencing significant pain or functional limitations, it may be prudent to reach out to your physician before your scheduled appointment. Early rehabilitation can help improve range of motion, strength, and overall function of the wrist. If you wait too long to start rehabilitation, you might experience stiffness or decreased mobility, which can prolong your recovery.
In terms of rehabilitation, once you are cleared to begin, it typically involves a combination of gentle range-of-motion exercises, strengthening exercises, and possibly modalities like heat or ultrasound therapy to reduce pain and swelling. Your therapist will guide you through exercises tailored to your specific needs, focusing on regaining wrist mobility and strength.
In summary, while it is essential to follow your doctor's advice and wait for the appropriate time to start rehabilitation, do not hesitate to communicate any concerns you have regarding pain or functionality. If you feel that your recovery is not progressing as expected, an earlier consultation may provide you with peace of mind and potentially allow for an earlier start to rehabilitation. Your proactive approach to your recovery is commendable, and with the right care and rehabilitation, you can look forward to regaining full function of your wrist.
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