After the removal of the exposed metal pins?
A few days ago, I had the exposed steel pin removed from the area just below my left wrist.
Since then, whenever I try to lift anything, I experience significant pain and soreness in the wrist and the area where the pin was removed.
I would like to know if this is a normal phenomenon.
Before the removal, I was able to lift my left arm without any pain.
Now, the site of the incision is extremely painful, and even bending my wrist causes sharp pain in the bone.
How long is this situation likely to last, and should I be doing any rehabilitation? The surgeon who performed the operation mentioned that after the removal of the exposed steel pin, my hand would be free, but right now, I feel anything but free—only pain! The location of the exposed steel pin is less than five centimeters from the fracture plate, and the fracture involved the radius, for which a titanium alloy plate was used.
Qiu Xiansheng, 20~29 year old female. Ask Date: 2021/10/30
Dr. Zhan Xian reply Orthopedics
A physical examination and imaging assessment are required; please visit the orthopedic outpatient clinic!
Reply Date: 2021/10/30
More Info
Post-surgery pain and discomfort after the removal of bone pins, especially in the wrist area, can be a common experience. After the removal of exposed bone pins, it is not unusual to feel pain and soreness in the area where the pins were located. This pain can be attributed to several factors, including the healing process of the surrounding tissues, inflammation, and the adjustment of the muscles and tendons that may have been affected during the surgery.
When bone pins are removed, the body needs time to adapt to the absence of the hardware that was previously stabilizing the area. The pain you are experiencing when lifting or bending your wrist could be due to several reasons:
1. Healing Process: After the removal of the pins, the body continues to heal. The tissues around the bone, including muscles, ligaments, and tendons, may be inflamed or irritated, leading to pain. This is a normal part of the healing process.
2. Muscle Weakness: If you had limited mobility during the time the pins were in place, the muscles around your wrist may have weakened. This weakness can contribute to pain when you attempt to use your wrist more actively.
3. Nerve Sensitivity: The surgical procedure may have affected the nerves in the area, leading to increased sensitivity and pain. This can be temporary as the nerves heal.
4. Scar Tissue Formation: The formation of scar tissue around the surgical site can also lead to discomfort and pain as it may restrict movement or cause tightness.
In terms of recovery, the duration of pain can vary significantly from person to person. Generally, it may take several weeks to a few months for the pain to subside as the tissues heal and adapt. Here are some recommendations to help manage your pain and facilitate recovery:
- Rest and Elevation: Give your wrist adequate rest and elevate it when possible to reduce swelling.
- Ice Therapy: Applying ice to the affected area can help reduce inflammation and numb the pain. Use ice packs for 15-20 minutes several times a day.
- Pain Management: Over-the-counter pain medications, such as ibuprofen or acetaminophen, can help manage pain and inflammation. Always consult your doctor before taking any medication.
- Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can guide you through exercises to strengthen the wrist, improve flexibility, and reduce pain. They may also use modalities such as ultrasound or electrical stimulation to aid in recovery.
- Gradual Return to Activity: As your pain decreases, gradually increase your activity level. Start with gentle range-of-motion exercises and progress to strengthening exercises as tolerated.
- Follow-Up with Your Doctor: If the pain persists or worsens, or if you experience any unusual symptoms (such as swelling, redness, or fever), it is important to follow up with your healthcare provider. They may want to assess the surgical site and ensure that there are no complications.
In conclusion, while it is normal to experience pain after the removal of bone pins, it is essential to monitor your symptoms and engage in appropriate rehabilitation to facilitate recovery. With time and proper care, you should begin to feel more comfortable and regain function in your wrist.
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