Post-Clavicle Fracture Surgery: Safe Lower Body Strength Training Tips - Orthopedics

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What strength training can be done during the recovery period after a clavicle fracture surgery?


Hello, doctor.
I underwent a right clavicle fracture reduction and fixation surgery three weeks ago.
Today's X-ray still shows a visible fracture line that has yet to heal.
Since I will be participating in a marathon in five weeks, I would like to ask the doctor what lower body strength training I can do during the recovery period.

1.
For example, can I perform activities like cycling (with the upper body stationary and just moving my legs) or squats?
2.
Will sweating during exercise affect my recovery?
The attending physician assessed that I could resume running practice approximately six weeks post-surgery, but I would still like to maintain low-intensity strength training during the recovery period.
I would appreciate your suggestions on what exercises I can do.
Thank you very much.

Marathoner, 30~39 year old female. Ask Date: 2020/01/21

Dr. Shi Guozheng reply Orthopedics


1.
Activities that can be performed.
2.
Activities that will not be affected.
3.
Lower body strength training can be done.

Reply Date: 2020/01/21

More Info


After undergoing surgery for a clavicle fracture, it's understandable that you want to maintain your fitness, especially with a marathon coming up in five weeks. Here are some recommendations for safe lower body strength training during your recovery period.


Lower Body Strength Training Recommendations
1. Cycling: Riding a stationary bike (like a spin bike) is an excellent option. Since your upper body will remain stable, it minimizes the risk of stressing your healing clavicle. Start with low resistance and gradually increase as you feel comfortable. Aim for short sessions initially, around 15-20 minutes, and monitor how your body responds.

2. Leg Press: If you have access to a leg press machine, this can be a safe way to strengthen your quadriceps, hamstrings, and glutes without putting undue stress on your upper body.

3. Bodyweight Exercises: Exercises like glute bridges, calf raises, and lateral leg raises can be performed safely. These movements engage your lower body muscles while keeping your upper body stable.

4. Squats: Bodyweight squats can be performed, but ensure that you maintain proper form to avoid any strain. If you feel any discomfort in your upper body, stop immediately.

5. Resistance Bands: Using resistance bands for exercises such as seated leg extensions or lateral band walks can help strengthen your lower body without putting pressure on your clavicle.

6. Core Stability: Engaging in core stability exercises that do not involve lifting or straining your upper body can also be beneficial. Consider exercises like pelvic tilts or isometric holds.


Considerations Regarding Sweating and Recovery
Regarding your concern about sweating during exercise, moderate sweating itself should not significantly impact your recovery from a clavicle fracture. However, it’s essential to stay hydrated and listen to your body. If you feel any unusual pain or discomfort, it’s best to stop and consult your physician.


Monitoring Your Progress
As you engage in these exercises, keep an eye on your overall comfort level. If you experience any pain in your shoulder or clavicle area, it’s crucial to stop the activity and consult your healthcare provider. They may provide you with specific guidelines based on your healing progress.


Importance of Communication with Your Physician
Since your physician has indicated that you may resume running in about six weeks, it’s essential to maintain open communication with them regarding your training. They can provide personalized advice based on your healing process and any imaging results.

Conclusion
In summary, you can safely engage in various lower body strength training exercises while allowing your clavicle to heal. Focus on low-impact activities that do not strain your upper body, and always prioritize your comfort and safety. Remember to consult your physician for tailored advice and to ensure that your recovery is on track. Good luck with your training and your upcoming marathon!

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