A wrist fracture that has not healed properly after a year and is unable to function normally?
Last year in May, I had a wrist fracture and underwent surgery to insert a pin while abroad.
By the end of the year, when I returned to my home country, the orthopedic doctor said the surgery went well, with the only minor issue being that the pin had grown a little longer, but it wasn't a major concern.
I have been doing rehabilitation and can slowly press to 90 degrees, but I still can't bend it directly to 90 degrees in my daily activities.
Since it's inconvenient for me to go to the hospital abroad, how can I rehabilitate at home?
Mr. Zheng, 20~29 year old female. Ask Date: 2020/06/01
Dr. Xie Hongjia reply Orthopedics
Mr.
Zheng: Hello, based on your description alone, it is difficult to determine what kind of rehabilitation you need.
I recommend that you take the time to visit the outpatient clinic for further examination.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.
Reply Date: 2020/06/01
More Info
Recovering from a wrist fracture, especially after surgery, can be a challenging process. It is essential to follow a structured rehabilitation program to regain strength, flexibility, and functionality in the wrist. Here are some home rehabilitation tips for wrist fracture recovery after surgery, along with an explanation of the underlying principles of rehabilitation.
1. Follow Your Doctor's Advice
Before starting any rehabilitation exercises, it is crucial to consult with your orthopedic surgeon or physical therapist. They can provide personalized recommendations based on your specific condition and recovery progress. Adhering to their guidance ensures that you do not risk further injury.
2. Gentle Range of Motion Exercises
Start with gentle range of motion (ROM) exercises to improve flexibility. These exercises can be performed several times a day:
- Wrist Flexion and Extension: Sit comfortably and rest your forearm on a table with your wrist hanging off the edge. Slowly bend your wrist upwards (extension) and downwards (flexion) within a pain-free range. Repeat this 10-15 times.
- Wrist Circles: With your elbow bent at 90 degrees, move your wrist in circular motions, first clockwise and then counterclockwise. This helps to improve mobility.
3. Strengthening Exercises
Once you have regained some flexibility, you can begin strengthening exercises. These should be introduced gradually and only when you feel comfortable:
- Wrist Curls: Use a light weight (such as a water bottle or a small dumbbell). Rest your forearm on a table with your wrist hanging off the edge, palm facing up. Curl the weight towards you and then lower it back down. Perform 10-15 repetitions.
- Reverse Wrist Curls: Similar to wrist curls, but with your palm facing down. This targets the extensor muscles of the wrist.
4. Functional Activities
Incorporate functional activities into your rehabilitation to mimic daily tasks. This can include:
- Gripping Exercises: Squeeze a soft ball or putty to strengthen your grip. Start with light resistance and gradually increase as your strength improves.
- Wrist Stabilization: Practice holding your wrist in different positions while performing tasks like typing or using utensils. This helps to improve coordination and stability.
5. Ice and Elevation
After performing exercises, it is common to experience some swelling or discomfort. Applying ice to the wrist for 15-20 minutes can help reduce inflammation. Additionally, keeping your wrist elevated can also minimize swelling.
6. Consistency is Key
Rehabilitation requires consistency and patience. Aim to perform your exercises daily, gradually increasing the intensity and duration as your wrist becomes stronger and more flexible. Keeping a journal of your progress can help you stay motivated.
7. Listen to Your Body
It is essential to listen to your body during rehabilitation. If you experience significant pain or discomfort, stop the exercise and consult your healthcare provider. Pain is a signal that something may not be right, and pushing through it can lead to setbacks.
8. Nutrition and Overall Health
Proper nutrition plays a vital role in recovery. Ensure you are consuming a balanced diet rich in calcium and vitamin D to support bone healing. Foods like dairy products, leafy greens, and fish can be beneficial. Staying hydrated is also important for overall health.
Conclusion
Recovering from a wrist fracture requires a combination of patience, proper exercise, and adherence to medical advice. By following these home rehabilitation tips and maintaining open communication with your healthcare providers, you can optimize your recovery process. Remember, every individual's recovery journey is unique, and progress may vary. Celebrate small victories along the way, and stay committed to your rehabilitation plan for the best outcomes.
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