Wrist Injuries: Recovery Without Surgery - Orthopedics

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Wrist issues


After falling on June 30, I injured my left wrist.
Initially, I had an X-ray, and the doctor said there was nothing serious.
However, after a month, another X-ray revealed a slight displacement of the ligament.
The doctor suggested surgery, but for various reasons, I did not want to proceed with it.
I have been undergoing rehabilitation, but after more than two months, my hand still occasionally hurts, and I am hesitant to engage in certain activities.
However, at work, I still use that hand occasionally when lifting things.
I would like to ask the doctor if it will heal naturally without surgery.
Given my current situation, is it considered optimistic or not very optimistic? If I do have surgery, will I be able to recover fully and have the same function as before?

hao, 10~19 year old female. Ask Date: 2021/09/06

Dr. Chen Bochen reply Orthopedics


Hello, I recommend wearing a brace (wrist support) and try to avoid putting pressure on the injured area.
With time, there is a chance for natural healing.
Additionally, incorporating heat therapy and aerobic exercises can help speed up recovery.
If the injury worsens or recurs, then consider whether surgery is necessary.
Wishing you good health.

Reply Date: 2021/09/06

More Info


Wrist injuries can be quite complex, and recovery without surgery is possible, but it often depends on the specific nature and severity of the injury. Based on your description, it seems that you initially sustained a wrist injury from a fall, which was later found to involve some ligament displacement. While the X-ray did not show any significant fractures, the presence of ligament issues can lead to ongoing pain and functional limitations.

Firstly, it’s important to understand that ligaments are crucial for stabilizing joints, and any displacement can affect the wrist's ability to function properly. Non-surgical management of wrist injuries typically includes physical therapy, rest, and sometimes the use of a brace to immobilize the wrist and allow for healing. Since you have been undergoing rehabilitation for over two months, it’s essential to continue this process, as physical therapy can help strengthen the surrounding muscles and improve range of motion.

In terms of whether your wrist will heal naturally without surgery, it is indeed possible, especially if the injury is not severe and you are following a proper rehabilitation regimen. Many patients experience significant improvement over time with conservative treatment. However, if the pain persists or worsens, or if you notice any instability in the wrist, it may indicate that surgical intervention could be necessary to restore full function.

Regarding your concerns about whether surgery would guarantee a full recovery, it’s important to note that while surgery can address specific issues such as ligament tears or significant instability, it does not always guarantee a return to pre-injury function. Recovery from surgery can also take time and may require additional rehabilitation. The decision to proceed with surgery should be made in consultation with an orthopedic specialist who can evaluate your specific case and provide personalized recommendations.

In your situation, it’s crucial to maintain open communication with your healthcare provider. If you are experiencing ongoing pain and limitations, it may be worthwhile to seek a second opinion or further evaluation to determine the best course of action. Additionally, consider discussing your concerns about returning to activities that involve lifting or using your wrist, as your doctor may provide guidance on how to safely resume these activities.

In summary, while it is possible for your wrist to heal without surgery, the outcome can vary based on the severity of the injury and your adherence to rehabilitation. Continuing physical therapy, avoiding activities that exacerbate the pain, and regularly consulting with your healthcare provider will be key to your recovery. If you have any doubts or if your symptoms persist, do not hesitate to seek further medical advice. Your health and well-being should always come first, and ensuring that you have the right support and treatment is essential for a successful recovery.

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