Post-Removal Recovery: Addressing Wrist Pain and Numbness After Surgery

Postoperative removal of the right distal radius plate?

Hello Doctor, I had the plate removed from my right radius at the beginning of February (it has been a year since the surgery).
It has been three weeks now, and I still feel numbness in my middle finger, cannot rotate my wrist widely, and there is still some swelling at the incision site.
I would like to ask the doctor: 1.
When can I expect the swelling at the incision site to subside? 2.
How many weeks will it take before I can resume normal activities without any issues? 3.
What can I do to speed up the recovery process (rest or more activity)? 4.
Is the numbness in my middle finger a normal phenomenon, and when can I expect it to improve?

Hong, 20~29 year old female. Ask Date: 2021/02/27

Dr. Shi Guozheng reply Orthopedics

1.
Approximately one month.

2.
Six weeks later.

3.
Rehabilitation activities for the wrist joint can be performed.

4.
There may be compression of the median nerve, which could resolve in about three months.

Reply Date: 2021/02/27

More Info

Post-surgical recovery, especially after the removal of hardware such as a steel plate from the wrist, can be a complex process. Your symptoms of numbness in the middle finger, limited wrist rotation, and swelling at the surgical site are not uncommon. Let’s address your questions one by one, while also providing some additional context regarding recovery and rehabilitation.

1. Swelling Duration: Swelling after surgery can vary significantly from person to person. Generally, post-operative swelling may last anywhere from a few weeks to several months, depending on factors such as the extent of the surgery, your overall health, and how well you follow post-operative care instructions. In your case, since it has been three weeks since the removal of the steel plate, it is reasonable to expect that the swelling should start to decrease gradually over the next few weeks. However, if the swelling persists or worsens, it would be advisable to consult your surgeon.

2. Return to Normal Activity: The timeline for returning to normal activities can also vary. Typically, after hardware removal, patients may begin to engage in light activities within a few weeks, but full recovery can take several months. It is crucial to listen to your body and avoid pushing through pain. If you experience significant discomfort or limitations, it may be beneficial to consult with your healthcare provider for a tailored rehabilitation plan.

3. Accelerating Recovery: To promote healing, a balanced approach of rest and gradual activity is often recommended. Initially, you should avoid heavy lifting or strenuous activities that could strain the wrist. Gentle range-of-motion exercises can be beneficial, as they help maintain flexibility and prevent stiffness. Physical therapy may also be an option to explore, as a therapist can guide you through specific exercises tailored to your recovery needs. Ice application can help manage swelling, and elevation of the wrist can also be beneficial.

4. Numbness in the Middle Finger: Numbness or tingling in the fingers after surgery can be attributed to several factors, including nerve irritation or compression during the surgical procedure. This sensation is not uncommon and may improve over time as the nerves heal. However, if the numbness persists beyond a few weeks or worsens, it is essential to follow up with your healthcare provider. They may recommend nerve conduction studies to assess the function of the nerves in your wrist and hand.

In addition to addressing your specific questions, it is important to consider the overall context of your recovery. Post-surgical rehabilitation is a critical component of regaining function and minimizing complications. Engaging in physical therapy can provide you with a structured program to enhance your recovery. Therapists can offer modalities such as ultrasound or electrical stimulation to reduce pain and swelling, as well as targeted exercises to improve strength and mobility.

Furthermore, maintaining a healthy lifestyle, including proper nutrition and hydration, can support your healing process. Adequate protein intake is essential for tissue repair, while staying hydrated helps maintain joint health.

In summary, while some swelling and numbness can be expected after the removal of a steel plate from the wrist, it is essential to monitor your symptoms and engage in appropriate rehabilitation. If you have concerns about your recovery, do not hesitate to reach out to your healthcare provider for guidance tailored to your specific situation. Your proactive approach to recovery will be instrumental in achieving the best possible outcome.

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