Rehabilitation After Distal Radius Fracture: Pain and Numbness - Orthopedics

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Rehabilitation after a distal radius fracture can be a challenging journey, especially when dealing with pain, numbness, and limited range of motion. It’s important to understand that the recovery process varies significantly from person to person, depending on factors such as the severity of the fracture, the surgical technique used, and individual healing rates.

In your case, having sustained a comminuted fracture of the distal radius and undergoing surgery with the placement of a titanium plate, it is not uncommon to experience tightness and limited range of motion in the wrist joint, particularly in the early stages of rehabilitation. The fact that you can perform forearm rotation without issues is a positive sign, indicating that some aspects of your mobility are returning. However, the limited ability to flex your wrist upwards (only about 30 degrees) and the tightness you feel are expected as the surrounding soft tissues, including muscles, tendons, and ligaments, are still healing.

The swelling you mentioned near the wrist is also a common occurrence post-surgery. Swelling can result from inflammation, which is part of the body’s natural healing process. It is essential to manage this swelling through elevation, ice application, and gentle range-of-motion exercises as advised by your physical therapist or physician.
Regarding the numbness and tingling sensations you are experiencing when touching the palm near the wrist, this can be attributed to several factors. After a fracture and subsequent surgery, it’s possible for the surrounding nerves to be irritated or compressed, leading to sensations of numbness or tingling. This is particularly true if there was any swelling or if the surgical procedure involved manipulation of nearby nerves.
Typically, these sensations can persist for several weeks to months as the nerves recover from the trauma and inflammation. The timeline for recovery can vary widely; some individuals may notice improvement within a few weeks, while others may take several months to fully regain sensation. It’s crucial to follow up with your healthcare provider if the numbness persists or worsens, as they may want to evaluate for any potential complications, such as nerve entrapment or other issues.

In terms of rehabilitation, it is vital to adhere to the prescribed physical therapy regimen. Your therapist will likely guide you through specific exercises aimed at improving wrist flexibility, strength, and overall function. These may include gentle stretching and strengthening exercises, as well as activities to improve grip strength. It’s essential to perform these exercises consistently while listening to your body; if you experience significant pain, it may be necessary to modify the exercises or take a step back.

As you progress, your therapist may introduce more advanced exercises to further enhance your wrist function. Patience is key during this process, as full recovery can take time. It’s also important to maintain open communication with your healthcare team regarding your symptoms and progress, as they can provide tailored advice and adjustments to your rehabilitation plan.

In summary, while the tightness and numbness you are experiencing are common after a distal radius fracture and surgery, it’s essential to continue your rehabilitation exercises and monitor your symptoms closely. If you have concerns about your recovery or if symptoms persist, don’t hesitate to reach out to your healthcare provider for further evaluation and guidance. With time and appropriate care, you can expect to regain function and alleviate discomfort in your wrist.