Post-Fracture Recovery: Back Pain and Wrist Mobility Issues

Hello, I would like to ask about issues related to fractures after recovery?

Hello Dr.
Hsieh, I have a problem with lower back pain.
After an examination at Taichung Lin Shin Hospital, it was found that I have cartilage degeneration.
Does this count as a type of herniated disc? Also, my left wrist has not been able to bend flexibly since it was fractured four years ago.
The range of motion in my back is about 30 degrees, and I cannot support weight with the base of my palm.
Is there still a chance for recovery? Thank you, Dr.
Hsieh.

Xu, 20~29 year old female. Ask Date: 2003/04/22

Dr. Xie Tianjie reply Orthopedics

Lower back pain is a common condition among modern individuals, often stemming from poor posture, improper lifting, and trauma.
Symptoms of a herniated disc include lower back pain and numbness or weakness in the lower extremities, which require thorough examination.
After a left wrist fracture, there is a limitation in wrist extension, and it is recommended to consult an orthopedic or rehabilitation clinic.

Reply Date: 2003/04/22

More Info

Hello, thank you for your question regarding your back pain and wrist mobility issues. Based on your description, it seems that you are experiencing two distinct but potentially related problems: degenerative changes in your spine and limited mobility in your left wrist following a fracture.

Firstly, regarding your back pain and the diagnosis of cartilage degeneration, this condition is often associated with age-related changes in the spine, including degenerative disc disease. While degenerative changes can lead to symptoms similar to those of a herniated disc (such as pain, numbness, or weakness), they are not the same. A herniated disc occurs when the inner gel-like core of the disc protrudes through the outer layer, potentially pressing on nearby nerves. In contrast, cartilage degeneration typically refers to the wear and tear of the cartilage that cushions the vertebrae, which can lead to pain and stiffness but does not necessarily involve a disc herniation.

To clarify, if you have been diagnosed with degenerative changes, it does not automatically mean you have a herniated disc. However, both conditions can coexist, and it is essential to have a thorough evaluation, possibly including imaging studies like an MRI, to determine the exact nature of your spinal issues.

As for your left wrist, it is concerning that you have not regained full mobility since your fracture four years ago. Limited wrist mobility can result from several factors, including joint stiffness, scar tissue formation, or even post-traumatic arthritis. The inability to flex your wrist fully and support weight could indicate that the fracture did not heal properly or that there is ongoing inflammation or degeneration in the joint.

In terms of treatment options, physical therapy is often beneficial for both back pain and wrist mobility issues. A physical therapist can design a rehabilitation program tailored to your specific needs, focusing on strengthening the muscles around your spine and wrist, improving flexibility, and enhancing overall function. For your back pain, exercises that strengthen the core muscles can provide better support for your spine and alleviate some discomfort. For your wrist, targeted exercises can help improve mobility and strength.

In addition to physical therapy, other treatment modalities may include:
1. Pain Management: Non-steroidal anti-inflammatory drugs (NSAIDs) can help manage pain and reduce inflammation. In some cases, corticosteroid injections may be considered for more severe pain.

2. Manual Therapy: Techniques such as chiropractic adjustments or osteopathic manipulation may provide relief for back pain.

3. Bracing: A wrist brace may help stabilize your wrist and allow for some healing while you work on regaining mobility.

4. Surgical Options: If conservative treatments do not yield satisfactory results, surgical options may be considered, especially for your wrist. Procedures to remove scar tissue or to realign the bones may be necessary if there is significant impairment.

5. Lifestyle Modifications: Maintaining a healthy weight, engaging in regular low-impact exercise, and practicing good ergonomics can also contribute to better spinal health and overall well-being.

In conclusion, while there is potential for improvement in both your back pain and wrist mobility, it is crucial to consult with a healthcare professional who can provide a comprehensive evaluation and develop a personalized treatment plan. With appropriate interventions, many patients experience significant improvements in their symptoms and functionality. Please ensure you follow up with your healthcare provider for further assessment and to discuss the best course of action for your specific situation.

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