Post-fracture wrist mobility issues?
A month and a half ago, I sustained a minor distal radius fracture from a fall while trying to brace myself.
After one month in a cast, my doctor said it has healed and I can start rehabilitation.
After another half month of rehab, my wrist's range of motion is almost the same as my other hand, but there is still a noticeable difference in strength.
Since I have a regular exercise routine, I would like to ask the doctor the following questions:
1.
Given that I am particularly cautious to avoid falling again and there is no pain, can I start practicing some light ball sports? (For example, setting in volleyball or shooting with my other hand in basketball.)
2.
How long do you estimate it will take before I can practice low ball reception in volleyball? (I am a bit apprehensive as it may directly impact the injured area.)
3.
How long do you think it will be before I can return to normal exercise? Thank you, doctor!
A Cheng, 10~19 year old female. Ask Date: 2022/01/15
Dr. Shi Guozheng reply Orthopedics
1.
Yes.
2.
Three months.
3.
Approximately three to six months.
Reply Date: 2022/01/15
More Info
After a wrist fracture, especially one involving the distal radius, rehabilitation is crucial for regaining strength, flexibility, and functionality. It’s great to hear that you have already made significant progress in your recovery, with wrist mobility nearly matching that of your uninjured hand. However, it’s important to approach your rehabilitation and return to sports with caution to prevent re-injury.
1. Engaging in Light Sports Activities: Given that your wrist has healed and you have been cleared for rehabilitation, you can consider engaging in light sports activities. However, it is essential to prioritize safety and avoid any movements that could lead to a fall or excessive strain on your wrist. Activities like practicing volleyball with gentle ball handling or shooting hoops with your non-injured hand can be beneficial. Start with low-intensity exercises and gradually increase the complexity and intensity as you feel comfortable. Always listen to your body; if you experience pain or discomfort, it’s best to stop and reassess.
2. Timing for Specific Drills: When it comes to practicing volleyball skills, such as low ball reception, it’s understandable to have concerns about directly impacting the injured area. Generally, you should wait until you feel confident in your wrist's strength and stability before engaging in activities that involve direct contact or potential impact. This could take several weeks to a few months post-rehabilitation, depending on your healing process and how your wrist responds to increased activity. Consulting with your physical therapist or orthopedic specialist can provide personalized guidance on when it’s safe to resume specific drills.
3. Returning to Normal Sports Activities: The timeline for returning to full sports activities varies significantly among individuals and depends on several factors, including the severity of the fracture, your overall health, and how well you adhere to your rehabilitation program. Typically, athletes can expect to return to normal activities within 3 to 6 months after a wrist fracture, but this can vary. It’s crucial to focus on building strength in your wrist and forearm through targeted exercises, which may include wrist curls, grip strengthening, and range-of-motion exercises.
In terms of rehabilitation, here are some additional tips:
- Gradual Progression: Start with gentle range-of-motion exercises and gradually incorporate strengthening exercises as tolerated. This might include using a stress ball or resistance bands to build grip strength.
- Avoid High-Impact Activities: Initially, avoid high-impact sports or activities that could put excessive stress on your wrist. This includes activities like weightlifting or contact sports until you have regained sufficient strength and confidence.
- Incorporate Functional Movements: Focus on exercises that mimic the movements you will perform in your sport. This can help your wrist adapt to the specific demands of volleyball or basketball.
- Monitor Pain and Swelling: Keep an eye on any pain or swelling during and after exercises. If you notice increased discomfort, it may be a sign to scale back your activities.
- Consult with Professionals: Regular check-ins with your physical therapist or orthopedic specialist can help ensure you are on the right track and can provide modifications to your rehabilitation program as needed.
In conclusion, while it’s encouraging that you are eager to return to sports, it’s essential to prioritize a safe and gradual approach to rehabilitation. By listening to your body and working closely with healthcare professionals, you can effectively navigate your recovery and return to the activities you enjoy.
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