Rehabilitation issues related to the scaphoid bone?
About six months ago, I fractured my clavicle while exercising.
At that time, I did not undergo surgery; I only wore a figure-eight brace for two months to allow it to heal on its own.
Now, I have no issues with movement, but there is a noticeable indentation at the fracture site.
I would like to know if there will be any long-term complications from the clavicle fracture, as I have heard it might lead to conditions like arthritis.
Since removing the figure-eight brace, I have been exercising very little, and when I do, I try to avoid using my arm.
How long does it typically take for the bone to fully heal? How can I tell when it has completely healed? Additionally, what types of rehabilitation exercises should I do?
Guo, 20~29 year old female. Ask Date: 2002/12/17
Dr. Zheng Shunping reply Physical Fitness
Hello: In response to your question: Generally, a clavicle fracture does not require surgery, and after healing, there are rarely any complications.
Typically, the injury should heal completely within six months.
If you are concerned, you can have an X-ray to assess the situation.
After six months, if the fracture has healed well, you can resume normal activities with minimal restrictions, but you should avoid heavy lifting exercises, such as weightlifting.
Reply Date: 2002/12/17
More Info
Recovering from a clavicle fracture can be a complex process, and it’s great to hear that you are already experiencing improved mobility after wearing a figure-eight brace for two months. Clavicle fractures are common injuries, especially in active individuals, and they typically heal well with conservative treatment. However, there are several aspects to consider regarding potential long-term effects, rehabilitation, and recovery timelines.
Potential Long-term Effects
1. Deformity or Cosmetic Changes: As you mentioned, the area where the clavicle fractured may appear sunken or deformed. This is often due to the way the bone heals. While this may not cause functional issues, it can be a cosmetic concern for some individuals.
2. Pain or Discomfort: Some people experience persistent pain or discomfort at the fracture site, especially during certain activities. This can be due to the formation of scar tissue or changes in the bone structure.
3. Risk of Arthritis: Although it’s less common, there is a potential risk of developing arthritis in the acromioclavicular joint (where the clavicle meets the shoulder blade) if the fracture was severe or if there was significant displacement.
4. Frozen Shoulder: Limited movement during the healing process can sometimes lead to stiffness in the shoulder joint, known as adhesive capsulitis or frozen shoulder. This condition can be painful and restrict mobility.
Recovery Timeline
The healing process for a clavicle fracture typically takes about 6 to 12 weeks, depending on the severity of the fracture and the individual’s overall health. Since you have already been through the initial healing phase with the brace, you should be transitioning into a rehabilitation phase.
To determine if your bone has fully healed, your healthcare provider may recommend follow-up X-rays. Signs of complete healing include:
- No pain at the fracture site.
- Full range of motion in the shoulder.
- Ability to perform daily activities without discomfort.
Rehabilitation and Exercise
Once your doctor confirms that the bone has healed sufficiently, you can begin a rehabilitation program to restore strength and flexibility. Here are some general recommendations:
1. Range of Motion Exercises: Start with gentle stretching exercises to improve flexibility. Pendulum swings and wall slides can be effective.
2. Strengthening Exercises: Gradually introduce resistance exercises to strengthen the shoulder muscles. Light weights or resistance bands can be used, focusing on exercises that target the rotator cuff and shoulder girdle.
3. Functional Activities: Incorporate activities that mimic daily tasks to help regain functional strength. This could include reaching overhead, lifting light objects, or pushing and pulling movements.
4. Gradual Increase in Activity: As you progress, gradually increase the intensity and complexity of your exercises. Listen to your body and avoid pushing through pain.
5. Consult a Physical Therapist: Working with a physical therapist can provide you with a tailored rehabilitation program that addresses your specific needs and goals.
Conclusion
In summary, while a clavicle fracture can lead to some long-term changes, many individuals recover well with appropriate rehabilitation. It’s essential to stay active and engage in a structured rehabilitation program to regain strength and mobility. If you have concerns about specific symptoms or potential complications, it’s always best to consult with your healthcare provider for personalized advice and treatment options.
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