Can I lift heavy objects after a metacarpal fracture has healed?
Hello doctor, I have a fracture of the fifth metacarpal.
Last week, I had an X-ray, and my attending physician said that my bone has completely healed, and I don't need to return for follow-up.
I had surgery on my metacarpal and had a plate inserted.
Recently, I helped my family move a motorcycle, and I feel like my metacarpal feels a bit strange.
It's not painful, but it feels tight.
Is this normal? Should I avoid lifting heavy objects? Thank you.
Huan, 30~39 year old female. Ask Date: 2021/03/14
Dr. Chen Bochen reply Orthopedics
If the fracture has healed, normal weight-bearing can be resumed without concern.
Reply Date: 2021/03/14
More Info
After healing a metacarpal fracture, particularly one involving surgical intervention with a plate, it is crucial to approach the resumption of heavy lifting with caution. While your doctor has indicated that the bone has healed, there are several factors to consider before you start lifting heavy objects again.
Firstly, even after a fracture has healed, the surrounding soft tissues, including muscles, tendons, and ligaments, may still be recovering. These tissues can be weakened or stiffened due to immobilization during the healing process. If you are experiencing a sensation of tightness or discomfort when lifting objects, it could be a sign that your soft tissues are not yet fully prepared for the stress of heavy lifting. This sensation, often described as a "tight" or "springy" feeling, can indicate that your hand is still adjusting to the increased demands being placed on it.
Secondly, the type of fracture you experienced can also influence your ability to lift heavy objects. Metacarpal fractures, particularly those involving the fifth metacarpal (the bone in your hand that supports the little finger), can impact grip strength and dexterity. Even if the bone has healed, you may not have regained full strength or range of motion. Engaging in heavy lifting too soon can risk re-injury or complications, such as delayed healing or the development of post-traumatic arthritis.
It is generally recommended to follow a structured rehabilitation program that includes gradual strengthening exercises. This program should ideally be supervised by a physical therapist who can tailor the exercises to your specific needs and monitor your progress. They can help you safely increase your strength and flexibility, ensuring that your hand is ready for more demanding tasks.
In terms of lifting heavy objects, it is advisable to avoid doing so until you have regained full strength and function in your hand. This may take several weeks to months, depending on the severity of the fracture and your individual healing process. If you continue to experience discomfort or unusual sensations when using your hand, it is essential to consult your healthcare provider. They may recommend additional imaging studies, such as an X-ray or MRI, to ensure that there are no underlying issues that need to be addressed.
In summary, while your metacarpal fracture may have healed, it is crucial to listen to your body and proceed with caution. Avoid heavy lifting until you have fully regained strength and function in your hand, and consider working with a physical therapist to facilitate your recovery. This approach will help you avoid potential setbacks and ensure a more successful return to your normal activities.
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