Can a wrist bone dislocation heal completely in two to three months? What is the effective treatment?
Hello doctor, my wrist was injured from lifting heavy objects, and initially, only the outer side of my wrist (the side extending from the little finger) hurt.
I had an X-ray taken, and the doctor said there was no issue with the bones and diagnosed it as a ligament strain.
I then went to a traditional Chinese medicine clinic for physical therapy.
At first, I felt some improvement and continued the treatment, but after two or three months, I noticed that even the area above my wrist (the area extending from the ring finger) would hurt significantly when exerting force.
Currently, my wrist can rotate normally, but I feel a twitching sensation in the tendons inside.
I can turn doorknobs and pick up small items, but exerting force causes significant pain.
I went to another clinic for an examination, and they said there was a bone misalignment (above the wrist, at the area extending from the ring finger).
After they realigned the bone, they advised me to use a splint for a few days, but soon after, I found that the pain persisted and went back for a consultation.
They told me the bone had misaligned again and suggested I use the splint for a few more days to see if it helps.
However, I am worried that the bone might misalign again accidentally.
Repeatedly realigning the bone doesn't seem like a solution.
I am concerned that because it has been two or three months, the prolonged misalignment might make the bone more prone to shifting.
I am unsure if it can heal completely and am worried about potential long-term effects.
Should I keep my wrist immobilized for a longer period? What would be the best treatment approach? Thank you, doctor.
Nìmíng, 20~29 year old female. Ask Date: 2020/11/27
Dr. Wang Shouji reply Orthopedics
Hello, if you have instability in the distal radioulnar joint that does not improve despite repeated attempts, further evaluation is necessary to determine if surgery is required.
Please consult with a hand surgeon.
Changhua Hospital cares about your health.
Wang Shou-ji.
Reply Date: 2020/11/27
More Info
Wrist bone dislocations, particularly in the distal radioulnar joint, can indeed be a challenging issue to manage, especially if they are recurrent or if there has been a delay in treatment. Based on your description, it seems that you have been experiencing ongoing pain and instability in your wrist, which may suggest that the initial injury was not fully addressed or that there are underlying issues that need to be resolved.
Healing Timeline
In general, the healing time for a wrist dislocation can vary significantly depending on several factors, including the severity of the dislocation, the presence of any associated injuries (such as ligament tears), and how well the injury is managed. Typically, if treated appropriately, a wrist dislocation can heal within 6 to 12 weeks. However, if there are complications or if the dislocation is recurrent, it may take longer for the wrist to stabilize and for full function to return.
Effective Treatment Options
1. Immobilization: Initially, immobilization with a splint or cast is crucial to allow the ligaments and surrounding tissues to heal. This is especially important if there is any instability in the joint. The duration of immobilization can vary, but it is often recommended for at least 4 to 6 weeks, depending on the severity of the injury.
2. Physical Therapy: Once the initial healing has occurred, physical therapy can be beneficial. A physical therapist can guide you through exercises to improve strength, flexibility, and stability in the wrist. This is essential for regaining full function and preventing future injuries.
3. Pain Management: Over-the-counter pain relievers, such as NSAIDs (if you are not allergic), can help manage pain and inflammation. If you have a history of allergies to NSAIDs, discuss alternative pain management strategies with your healthcare provider.
4. Surgical Intervention: If conservative treatments fail and the dislocation recurs or if there is significant instability, surgical intervention may be necessary. Surgery can help stabilize the joint and repair any damaged ligaments. This option should be discussed thoroughly with an orthopedic surgeon who specializes in wrist injuries.
5. Regular Follow-ups: It is crucial to have regular follow-ups with your healthcare provider to monitor the healing process. If you notice persistent pain or instability, further imaging studies (like an MRI) may be warranted to assess the integrity of the ligaments and the alignment of the bones.
Concerns About Recurrence
Your concern about the bones "slipping" out of place again is valid. If the wrist is not adequately stabilized during the healing process, there is a risk of recurrent dislocations. This can lead to chronic pain and potential long-term complications, such as arthritis. If you find that your wrist continues to be unstable despite conservative measures, it may be time to consider a more aggressive treatment approach, including surgical options.
Conclusion
In summary, while it is possible for a wrist bone dislocation to heal completely in 2-3 months, this is contingent upon appropriate treatment and management. If you are experiencing ongoing pain and instability, it is essential to seek further evaluation from a specialist. They can provide a tailored treatment plan that may include immobilization, physical therapy, and possibly surgery if necessary. Early and effective intervention is key to preventing long-term complications and ensuring a full recovery.
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