Post-Surgery Recovery Tips for Hand Fractures: Managing Pain and Rehabilitation

Postoperative care for hand fractures?

On April 11, I underwent surgery to fix my third and fourth metacarpals with a self-funded titanium alloy plate due to a car accident, which occurred two days prior to the surgery.
During my follow-up appointment on April 17, the doctor said I could start self-rehabilitation.
However, I am still unable to bend my fingers or make a fist.
Each time I attempt to flex my fingers, I experience intense pain, and I can distinctly feel the titanium plate catching at the joints.
The surgical site is still noticeably swollen, and after each rehabilitation session, my entire hand swells up the next day.
Is this normal, or is my rehabilitation too early, or just right? I am struggling with daily activities and feeling very self-conscious.
I cry every time I rehabilitate, and I feel particularly sad.
Is there a better and faster rehabilitation method? I really need a more effective approach; please help me, doctor.

Xiao Yun, 20~29 year old female. Ask Date: 2023/04/23

Dr. Wang Shouji reply Orthopedics

Hello, most plates used for metacarpal fractures are positioned close to the joint, which can affect hand mobility.
However, if there is stable fixation, movement is still possible.
This may impact function for several weeks, but swelling will gradually improve with increased activity.
Complete recovery typically takes three to six months, as healing always requires time.
Changhua Hospital cares about your health.
Sincerely, Wang Shou-ji.

Reply Date: 2023/04/23

More Info

Recovering from a hand fracture, especially after surgery involving the insertion of a titanium plate, can be a challenging and painful process. It’s understandable to feel overwhelmed and frustrated, particularly when faced with significant pain and swelling during rehabilitation. Here are some insights and tips to help you manage pain and optimize your recovery.

Understanding Pain and Swelling Post-Surgery
1. Normal Post-Surgical Symptoms: After surgery for a hand fracture, it is common to experience pain, swelling, and stiffness. The presence of a titanium plate can sometimes lead to sensations of tightness or discomfort as the body adjusts to the hardware. The swelling you are experiencing, especially after rehabilitation exercises, is also a typical response as your body heals.

2. Pain Management: It’s crucial to manage your pain effectively. Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate discomfort. However, consult your physician before taking any medication to ensure it’s appropriate for your situation. Additionally, applying ice to the swollen area for 15-20 minutes several times a day can help reduce inflammation.

Rehabilitation Strategies
1. Gradual Progression: While your doctor has cleared you to begin rehabilitation, it’s essential to start slowly. If you are experiencing severe pain when attempting to bend your fingers or make a fist, you may need to adjust the intensity and frequency of your exercises. Gentle range-of-motion exercises can be beneficial, but they should not cause excessive pain. If you find that certain movements are too painful, it may be wise to back off and try again later.

2. Physical Therapy: Consider working with a physical therapist who specializes in hand rehabilitation. They can provide personalized exercises and techniques tailored to your specific needs and help you progress safely. A therapist can also teach you how to perform exercises correctly to avoid further injury.

3. Use of Heat and Cold: Before starting your rehabilitation exercises, applying heat can help loosen up stiff joints and muscles. After exercising, using ice can help reduce swelling. This combination can make your rehabilitation sessions more effective and comfortable.

4. Splinting and Support: Depending on your recovery stage, your doctor may recommend using a splint or brace to support your hand during rehabilitation. This can help stabilize the area while allowing for some movement, which is crucial for regaining function.

Emotional Support and Coping Strategies
1. Mental Health: It’s normal to feel emotional during recovery, especially when faced with physical limitations. Consider talking to a mental health professional or joining a support group for individuals recovering from similar injuries. Sharing your experiences and feelings can provide comfort and encouragement.

2. Setting Realistic Goals: Focus on small, achievable goals rather than expecting to regain full function immediately. Celebrate small victories, such as being able to move your fingers a little more each day or reducing the amount of pain you feel during exercises.

3. Stay Engaged: Engage in activities that do not strain your hand but keep your mind active. This could include reading, watching movies, or even light socializing. Keeping your spirits up is essential for a successful recovery.

Conclusion
Recovery from a hand fracture is a gradual process that requires patience and perseverance. While it’s normal to experience pain and swelling, it’s essential to listen to your body and adjust your rehabilitation efforts accordingly. Collaborating with healthcare professionals, managing pain effectively, and seeking emotional support can significantly enhance your recovery experience. Remember, healing takes time, and it’s okay to ask for help along the way.

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