Do You Need Rehabilitation After Removing a Steel Plate?

Is rehabilitation necessary after the removal of the steel plate?

Hello, on April 7th, the steel plate from my proximal humerus was removed.
I have had my stitches taken out and an X-ray done.
The doctor said the wound looks good and the bone is gradually healing.
If I don't have any particular discomfort, I don't need to return for a follow-up.
I would like to ask if I should be as proactive with rehabilitation as I was when the plate was in place? Do I need to see a rehabilitation specialist?

Shi, 30~39 year old female. Ask Date: 2023/05/04

Dr. Chen Bochen reply Orthopedics

Hello, generally, there is no need for rehabilitation after the removal of the metal plate.
It is advised to avoid vigorous exercise for one month after the removal of the plate.

Reply Date: 2023/05/04

More Info

After the removal of a steel plate, rehabilitation is often a topic of concern for many patients. In your case, since you had the steel plate removed from your proximal humerus and your doctor has indicated that the wound looks good and the bone is healing, it seems you are on the right track. However, whether or not you need rehabilitation can depend on several factors, including the extent of your injury, your overall physical condition, and your specific recovery goals.

In general, after the removal of a steel plate, many patients do not require extensive rehabilitation. This is particularly true if the bone has healed well and you are not experiencing significant discomfort. However, it is crucial to listen to your body. If you feel stiffness, weakness, or pain in the area, it may be beneficial to engage in some form of rehabilitation to regain strength and mobility.
Rehabilitation can help in several ways:
1. Restoration of Range of Motion: After surgery, it is common to experience stiffness in the joint. Gentle stretching and mobility exercises can help restore your range of motion.

2. Strengthening: Gradual strengthening exercises can help rebuild muscle strength around the affected area, which is essential for overall function.

3. Pain Management: Rehabilitation can also include modalities for pain management, such as ultrasound or electrical stimulation, which can help alleviate discomfort.

4. Functional Training: If your daily activities are affected, rehabilitation can help you learn how to perform these tasks safely and effectively.

5. Preventing Future Injuries: A rehabilitation program can also focus on preventing future injuries by improving your overall physical condition and addressing any imbalances.

Regarding whether you need to go to a rehabilitation clinic, it might be beneficial to consult with a physical therapist. They can assess your specific situation and create a tailored rehabilitation program that suits your needs. If you feel confident in your recovery and are not experiencing any issues, you may choose to engage in self-directed rehabilitation at home, focusing on gentle exercises and stretches.

As for the timeline, it is generally advisable to start rehabilitation exercises as soon as you feel comfortable, often within a week or two after the plate removal, depending on your doctor's advice. However, avoid any high-impact activities or heavy lifting until you receive clearance from your healthcare provider.

In summary, while extensive rehabilitation may not be necessary after the removal of a steel plate, engaging in some form of rehabilitation can be beneficial for restoring function and preventing complications. Always consult with your healthcare provider or a physical therapist to determine the best course of action for your specific situation. They can guide you on the appropriate exercises and ensure that you are progressing safely.

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