Wrist Injuries: Recovery Tips and Concerns After a Fall - Orthopedics

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Wrist issues


I would like to ask the doctor that on June 30th, I accidentally fell off my motorcycle, causing my left wrist to be unable to rotate.
On the same day, I first visited a traditional Chinese medicine practitioner who applied ice.
The next day, I received acupuncture and massage.
Later, I became concerned and got an X-ray, which seemed to show a tear in the ulnar collateral ligament.
The doctor said it wasn't very serious and suggested monitoring it for a few days to see if I could apply force before deciding whether surgery is necessary.
I work at a convenience store and asked the doctor if I could return to work as long as I don't lift heavy items.
I plan to go back to work in two weeks.
Will this affect my wrist recovery? Will it heal on its own? Is it correct to continue applying ice? Are there any potential long-term effects? Thank you for your help, doctor.

hao, 10~19 year old female. Ask Date: 2021/07/05

Dr. Chen Bochen reply Orthopedics


1.
Follow-up X-rays will be needed to check for any dislocation.

2.
A wrist brace or splint should be worn.

3.
There may be some residual effects from the ligament injury.

Reply Date: 2021/07/05

More Info


Injuries to the wrist, particularly those resulting from falls or accidents, can be concerning and require careful management to ensure proper healing and recovery. Based on your description of the injury sustained while riding a motorcycle, it appears that you may have experienced a ligament injury, specifically to the ulnar collateral ligament, which is crucial for wrist stability and function.


Understanding Your Injury
When you mentioned that the X-ray indicated a possible tear in the ligament, it is important to understand that ligament injuries can vary in severity. A partial tear may heal on its own with conservative treatment, while a complete tear might require surgical intervention, especially if it significantly affects wrist stability or function. The fact that your doctor suggested monitoring the injury for a few days before deciding on surgery is a common approach, as many ligament injuries can heal with rest and rehabilitation.


Recovery Tips
1. Rest and Activity Modification: It is essential to avoid activities that put stress on your wrist, especially lifting heavy items, as this could exacerbate the injury. Since you work in a convenience store, be cautious about tasks that require wrist movement or lifting. If possible, consider asking for lighter duties during your recovery period.

2. Ice Therapy: Continuing to apply ice to the injured area is beneficial, especially in the initial stages of the injury. Ice helps reduce swelling and pain. Apply ice for 15-20 minutes every few hours, ensuring you have a barrier (like a cloth) between the ice and your skin to prevent frostbite.

3. Compression and Elevation: Using a compression bandage can help minimize swelling. Elevating your wrist above heart level when resting can also assist in reducing swelling.

4. Physical Therapy: Once the initial pain and swelling decrease, engaging in physical therapy can be highly beneficial. A physical therapist can guide you through exercises that promote flexibility, strength, and stability in the wrist, which is crucial for a full recovery.

5. Gradual Return to Activities: If your doctor approves your return to work in two weeks, ensure that you gradually increase your activity level. Start with light tasks and progressively take on more demanding duties as your wrist allows.


Concerns About Recovery
- Automatic Healing: Ligaments can heal on their own, but the healing process can take time, often several weeks to months, depending on the severity of the injury. It is crucial to follow your doctor's advice and not rush back into full activity until you have regained strength and range of motion.

- Potential for Long-term Issues: If the injury is not managed properly, there is a risk of long-term complications, such as chronic pain, instability, or reduced range of motion. This is why adhering to rehabilitation protocols and monitoring your symptoms is vital.

- Follow-Up Care: Regular follow-ups with your healthcare provider are essential to assess the healing process. If you notice increased pain, swelling, or any new symptoms, it is important to seek medical advice promptly.


Conclusion
In summary, while your wrist injury may heal on its own, it is crucial to take appropriate measures to support recovery. Avoiding heavy lifting, continuing ice therapy, and considering physical therapy are all important steps. Monitor your symptoms closely and maintain open communication with your healthcare provider to ensure a safe and effective recovery. If you have any concerns about your healing process or if symptoms worsen, do not hesitate to reach out for further evaluation. Your health and well-being should always come first.

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