Ligament Injuries: Recovery and Rehabilitation Insights - Rehabilitation

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Ligament issues


I would like to ask the doctor that on June 30, 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 on surgery.
I work at a convenience store and asked the doctor if I could return to work as long as I didn't lift heavy objects.
I plan to go back to work next week, and my hand feels much better now, but lifting heavy items still causes some pain.
I have a follow-up appointment in a week and would like to get another X-ray.
The doctor mentioned that it would be better to wait a while before getting another X-ray.
I want to ask the doctor why the injured hand still appears swollen compared to the other hand, and whether I should continue to monitor it or get another X-ray for safety.
Additionally, do I need rehabilitation?

Lin, 10~19 year old female. Ask Date: 2021/07/09

Dr. Li Yanheng reply Rehabilitation


If there are no fractures or severe pain, there is generally less necessity for immediate X-rays.
Rehabilitation can expedite healing, and rehabilitation therapy may be considered.

Reply Date: 2021/07/09

More Info


Injuries to ligaments, such as those affecting the wrist, can significantly impact daily activities and require careful management to ensure proper healing and recovery. Based on your description of the injury sustained while riding your motorcycle, it appears that you may have experienced a sprain or tear of the ulnar collateral ligament in your wrist. This type of injury can lead to pain, swelling, and limited range of motion, which can be concerning, especially for someone who relies on their hands for work.


Understanding Ligament Injuries
Ligaments are tough bands of connective tissue that connect bones to other bones at joints. When a ligament is injured, it can range from a mild sprain (where the ligament is stretched) to a complete tear. The severity of the injury will dictate the treatment approach and recovery timeline. In your case, since the doctor indicated that the injury is not severe, it is likely that you are dealing with a mild to moderate sprain.


Recovery and Rehabilitation
1. Initial Management: The initial treatment you received, including ice therapy and acupuncture, is beneficial for reducing inflammation and pain. Resting the injured wrist is crucial, especially in the first few days following the injury. Avoiding activities that put stress on the wrist, such as lifting heavy objects, is essential to prevent further damage.

2. Monitoring Symptoms: It’s good to hear that you are experiencing improvement in your wrist's condition. However, if you notice that the injured wrist appears "凸凸" (bulging) compared to the uninjured wrist, this could indicate swelling or a potential structural issue that may need further evaluation. It’s wise to keep monitoring this symptom, and if it persists or worsens, a follow-up X-ray or MRI may be warranted to rule out any significant injuries.

3. Rehabilitation: Rehabilitation is a critical component of recovery from ligament injuries. Even if your doctor has not prescribed formal physical therapy, engaging in gentle range-of-motion exercises can help restore function and prevent stiffness. Once the acute pain subsides, you can gradually introduce strengthening exercises to support the wrist and improve stability.
4. Return to Work: Since your job involves manual tasks, it’s important to listen to your body. If you can perform your duties without exacerbating the pain, it may be acceptable to return to work. However, if lifting or certain movements cause discomfort, it may be wise to modify your activities or seek assistance until you have fully recovered.

5. Follow-Up Care: Your plan to return for a follow-up appointment is crucial. During this visit, the doctor can assess the healing process and determine if additional imaging is necessary. If there is still pain or functional limitations, they may recommend a more structured rehabilitation program or even consider surgical options if the ligament is significantly compromised.


Conclusion
In summary, ligament injuries like the one you’ve described can take time to heal, and the recovery process often involves a combination of rest, rehabilitation, and gradual return to activity. It’s essential to remain vigilant about your symptoms and communicate openly with your healthcare provider about any concerns. By following a structured approach to recovery, you can optimize your healing and return to your regular activities with confidence. Always remember that patience and adherence to medical advice are key components of successful rehabilitation.

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