Recovery Tips for Thumb Fracture: When to Start Rehabilitation - Orthopedics

More Info

---

Recovering from a thumb fracture, especially one that involves surgical intervention such as the placement of pins and plates, requires careful management and rehabilitation. Based on your description, it seems you had a significant injury with a delay in seeking treatment, which can complicate the healing process. Here are some insights and recommendations regarding your recovery and rehabilitation.


Understanding the Healing Process
After a fracture, especially one that involves surgical fixation, swelling is a common occurrence. The fact that you are experiencing some reduction in swelling is a positive sign, but it is not unusual for swelling to persist for several weeks, particularly in the case of a fracture that was not treated immediately. The body goes through a natural healing process that includes inflammation, repair, and remodeling. During the initial phase, swelling can be pronounced, and it may take time for the body to fully resolve this.


When to Start Rehabilitation
In general, rehabilitation for a fracture can begin once the initial swelling has decreased and the surgical site is stable. However, it is crucial to follow your surgeon's recommendations regarding the timing of rehabilitation. Since you mentioned that you are about one month post-surgery, it may be appropriate to start gentle range-of-motion exercises, provided that your surgeon has cleared you for this.

Rehabilitation Exercises
1. Range of Motion (ROM) Exercises: Start with gentle movements to promote flexibility in your thumb. You can begin with passive movements, where you use your other hand to help move the thumb. Gradually progress to active movements as tolerated.

2. Stretching: Once you have some range of motion, incorporate stretching exercises to improve flexibility. Be cautious not to push into pain.

3. Strengthening Exercises: After you regain some range of motion and if your surgeon approves, you can start strengthening exercises. This might include squeezing a soft ball or using putty to improve grip strength.

4. Functional Activities: As you progress, try to incorporate activities that mimic daily tasks, such as pinching or grasping objects, to help regain functional use of your thumb.


Monitoring Swelling and Pain
It is essential to monitor your swelling and pain levels as you begin rehabilitation. If you notice increased swelling or pain after performing exercises, it may be a sign that you are pushing too hard. In such cases, it is advisable to reduce the intensity or frequency of your exercises and consult your healthcare provider.


Smoking and Healing
You mentioned that you occasionally smoke. It is important to note that smoking can negatively impact bone healing and recovery. Nicotine restricts blood flow and can delay the healing process, so it may be beneficial to consider reducing or quitting smoking altogether during your recovery period.


Follow-Up Care
Regular follow-up appointments with your orthopedic surgeon or hand therapist are crucial. They can assess your healing progress through physical examinations and imaging if necessary. They will also provide personalized recommendations based on your specific situation.


Conclusion
In summary, while some swelling is normal after thumb surgery, it is essential to start rehabilitation exercises as soon as you are cleared by your healthcare provider. Focus on gentle range-of-motion exercises initially, and gradually progress to strengthening as tolerated. Monitor your symptoms closely, and do not hesitate to reach out to your healthcare team with any concerns. Prioritizing your recovery will help ensure the best possible outcome for your thumb function.