Improving Arm Mobility After Old Fractures: Treatment Options - Orthopedics

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Improving arm mobility after old fractures, especially in cases like yours where there was a comminuted fracture of the elbow and wrist, can be quite challenging. However, there are several treatment options and strategies that can potentially help you regain more mobility and function in your arm.


1. Physical Therapy and Rehabilitation
Physical therapy is often the first line of treatment for improving mobility after fractures. A qualified physical therapist can design a personalized rehabilitation program that focuses on:
- Range of Motion Exercises: These exercises are crucial for improving flexibility and mobility in the joints. They can include passive, active-assistive, and active range of motion exercises, depending on your current capabilities.

- Strengthening Exercises: Once you have regained some range of motion, strengthening exercises can help improve the overall function of the arm. This may include resistance training using bands or weights, focusing on both the muscles around the elbow and wrist.

- Functional Training: This involves practicing everyday activities that you find difficult, which can help you adapt and improve your functional mobility.


2. Manual Therapy
Manual therapy techniques, such as joint mobilization and soft tissue manipulation, can be beneficial. A skilled therapist can help improve joint mechanics and reduce stiffness, which may enhance your range of motion.


3. Occupational Therapy
An occupational therapist can assist you in adapting daily activities to make them easier and more manageable. They can also provide specialized exercises that focus on improving hand function and dexterity.


4. Aquatic Therapy
Exercising in water can reduce the strain on your joints while allowing you to perform movements that might be difficult on land. Aquatic therapy can be particularly effective for improving range of motion and strength without the risk of injury.


5. Alternative Therapies
Some individuals find relief and improvement through alternative therapies such as acupuncture or massage therapy. These methods can help reduce pain and improve circulation, which may facilitate healing and mobility.


6. Surgical Options
If conservative treatments do not yield satisfactory results, you might consider discussing surgical options with an orthopedic specialist. Procedures such as arthroscopy can help remove scar tissue or loose bodies in the joint, potentially improving mobility.


7. Assistive Devices
Using splints or braces may provide support and stability during the rehabilitation process. These devices can help you perform exercises safely and may also assist in daily activities.


8. Home Exercise Program
Incorporating a home exercise program can be beneficial. Consistency is key, so performing exercises regularly at home can help maintain and improve your mobility over time.


9. Patience and Persistence
It's important to set realistic goals and be patient with yourself throughout the recovery process. Improvement may take time, and progress can be gradual. Keeping a positive mindset and celebrating small achievements can help maintain motivation.


Conclusion
While the limitations you are experiencing due to your past injuries can be frustrating, there are numerous avenues to explore for improving your arm mobility. Consulting with healthcare professionals, including physical and occupational therapists, can provide you with tailored strategies that suit your specific needs. Remember, the journey to recovery is often a marathon, not a sprint, and with dedication and the right support, you can work towards regaining more function in your arm.