Rehabilitation After Humerus Fracture Surgery: When to Start? - Orthopedics

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Rehabilitation after a humerus fracture surgery is a crucial aspect of recovery that can significantly influence the overall outcome and functionality of the arm. Generally, the timing for starting rehabilitation can vary based on several factors, including the type of fracture, the surgical procedure performed, and the individual’s healing progress.

In your case, you underwent surgery on April 10 for a humerus fracture that occurred on April 4. Typically, after surgical intervention for a humerus fracture, the initial phase of recovery involves immobilization to allow for proper healing of the bone. This immobilization is usually achieved through the use of a sling or splint, which helps to stabilize the arm and prevent movement that could disrupt the healing process.

The general recommendation for initiating rehabilitation exercises often begins around 2 to 4 weeks post-surgery, depending on the specific circumstances of the fracture and the surgical technique used. It is essential to consult with your orthopedic surgeon or the physician who performed the surgery to get personalized advice based on your X-ray results and clinical evaluation.

Starting rehabilitation too early can lead to complications such as improper healing or re-injury, while delaying rehabilitation can result in stiffness, muscle atrophy, and decreased range of motion. Therefore, it is crucial to find a balance and follow the guidance of your healthcare provider.

Once your doctor gives the green light to start rehabilitation, the focus will typically be on gentle range-of-motion exercises to prevent stiffness and promote circulation. These exercises may include:
1. Passive Range of Motion (PROM): Initially, you may perform exercises where someone else moves your arm for you. This helps maintain mobility without putting stress on the healing bone.

2. Active Range of Motion (AROM): As healing progresses, you will gradually start to move your arm on your own. This phase is crucial for regaining mobility and function.

3. Strengthening Exercises: Once your doctor confirms that the bone is healing well, you can begin strengthening exercises to rebuild muscle strength and endurance.

4. Functional Activities: Eventually, rehabilitation will include activities that mimic daily tasks to help you return to your normal routine.

In addition to these exercises, physical therapy can be beneficial. A physical therapist can design a personalized rehabilitation program tailored to your specific needs and monitor your progress, ensuring that you are performing exercises safely and effectively.

It is also important to pay attention to any signs of complications during your recovery, such as increased pain, swelling, or any unusual sensations. If you experience any of these symptoms, it is essential to contact your healthcare provider promptly.

In summary, the timing for starting rehabilitation after humerus fracture surgery typically falls within 2 to 4 weeks post-operation, but it is crucial to follow your surgeon's recommendations based on your specific case. Engaging in a structured rehabilitation program can significantly enhance your recovery, improve your range of motion, and restore strength, ultimately allowing you to return to your normal activities. Always prioritize communication with your healthcare team to ensure a safe and effective recovery process.