Rehabilitation after fracture recovery?
Hello, I would like to ask about my wrist after a car accident where I had a titanium alloy plate implanted due to a distal radius fracture.
I recently started rehabilitation, and the orthopedic surgeon informed me that I would feel a foreign body sensation when moving it, but did not mention whether the range of motion would differ from before.
I have noticed that I can rotate my wrist downward, but I am unable to achieve the same range of motion upward.
I would like to know if my wrist's mobility will not return to its normal state as it was before.
Additionally, I had a fracture in my index finger and am currently undergoing rehabilitation after the removal of the metal pins.
Due to the index finger fracture, the other fingers have not been moved much for a long time (however, I have been doing some range of motion exercises at home, and I will eventually hand over my rehabilitation to a physical therapist).
Recently, I discovered that my little finger experiences pain when bent, while the other fingers do not have this issue.
Could this be due to overexertion in my exercises causing inflammation or something similar? Thank you for your response.
Cǎoméi, 10~19 year old female. Ask Date: 2021/11/22
Dr. Li Yanheng reply Rehabilitation
It is recommended to seek evaluation from a rehabilitation specialist.
The decrease in mobility may be due to muscle strength issues, neurological control problems, tightness of the joint capsule, or the influence of implants, affecting both the wrist and fingers.
Reply Date: 2021/11/22
More Info
After a wrist fracture surgery, particularly one involving the implantation of a titanium plate, rehabilitation is crucial for regaining function and mobility. It is common for patients to experience some discomfort or a sensation of foreign objects during movement, especially in the early stages of recovery. Here’s what you can generally expect during your rehabilitation process and some insights into your specific concerns.
Understanding Your Current Situation
1. Range of Motion Limitations: It is not unusual to find that your wrist does not move as freely as it did before the injury. The fact that you can rotate your wrist downwards but struggle to rotate it upwards indicates that there may be stiffness or weakness in the muscles and tendons surrounding the wrist joint. This can be due to several factors, including the healing of soft tissues, the presence of the plate, and the immobilization period post-surgery.
2. Expected Recovery Timeline: Typically, after wrist surgery, patients may experience a gradual improvement in range of motion over weeks to months. However, it is important to note that full recovery may take time, and some patients may not regain their pre-injury range of motion. Factors such as age, overall health, and adherence to rehabilitation protocols can influence recovery outcomes.
3. Physical Therapy: Engaging in physical therapy is essential. A physical therapist can provide you with specific exercises tailored to your condition, focusing on improving flexibility, strength, and coordination. They can also help you manage any discomfort you may experience during rehabilitation.
Addressing Your Concerns
1. Movement Limitations: As for your concern about whether your wrist will ever regain its full range of motion, it is possible that you may experience some limitations. However, with consistent rehabilitation, many patients see significant improvements. It is important to communicate with your healthcare provider about your progress and any concerns you have regarding your mobility.
2. Pain in the Little Finger: The pain you are experiencing in your little finger when bending it could be due to several reasons. It might be related to overuse, especially if you have been compensating for the injury by using other fingers more frequently. This can lead to strain and inflammation in the tendons or joints of the little finger. It is advisable to discuss this pain with your therapist or doctor, as they may recommend adjustments to your rehabilitation exercises or additional treatments to alleviate the discomfort.
3. Signs of Overuse: If you suspect that you are overdoing your exercises, look for signs such as increased pain, swelling, or stiffness in the affected area. It is crucial to balance activity with rest to allow your body to heal properly. If you experience persistent pain, it may be beneficial to modify your rehabilitation routine and consult with your healthcare provider.
Recommendations for Rehabilitation
- Follow a Structured Rehab Program: Adhere to the rehabilitation program prescribed by your healthcare provider. This may include range-of-motion exercises, strength training, and functional activities to help you regain normal use of your wrist and fingers.
- Monitor Pain Levels: Keep track of your pain levels during and after exercises. If certain movements consistently cause pain, it may be necessary to adjust your approach.
- Incorporate Rest: Ensure you are allowing adequate rest between rehabilitation sessions. Overworking your wrist can lead to setbacks in your recovery.
- Stay Positive and Patient: Recovery from surgery can be a slow process, and it is important to maintain a positive outlook. Celebrate small victories in your rehabilitation journey.
In conclusion, while it is common to experience limitations in wrist movement after surgery, with dedicated rehabilitation and proper management of any discomfort, many patients can achieve significant improvements. Always keep an open line of communication with your healthcare team to ensure you are on the right track toward recovery.
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