Post-Surgery Wrist Pain: Is It Normal After Plate Removal?

Post-operative pain in the hand after removal of the bone plate?

Hello Doctor, I had an open wrist fracture and had a titanium plate inserted.
After 2 years and 2 months, I started experiencing sharp pain when lifting objects, particularly in my thumb and index finger, making it difficult to carry heavy items.
I underwent surgery to remove the plate and screws, but three days later, I felt a slight soreness in the bones when exerting force, and the pain has been increasing day by day.
The pain level is around 1-2 on a scale of 10, but the wound is healing well.
I would like to know if this soreness is normal and how long it typically takes for the bone to heal.
Currently, it is the 8th day post-surgery.
Thank you, Doctor.

A-Wen, 50~59 year old female. Ask Date: 2024/05/30

Dr. Shi Guozheng reply Orthopedics

Pain is a normal response, and small bone fractures typically take about three months to heal.
During this period, it is important to avoid any collisions or falls to prevent re-fracturing the bone.

Reply Date: 2024/05/30

More Info

Post-surgery wrist pain, especially after the removal of plates and screws, can be a common experience for many patients. In your case, having had an open wrist fracture treated with a titanium plate for over two years, followed by the removal of that plate, it is not unusual to experience discomfort or pain during the recovery process.
Firstly, it’s important to understand that the body undergoes significant changes after surgery. The removal of hardware, such as plates and screws, can lead to inflammation and irritation in the surrounding tissues. This is especially true if the bone has been compromised or if there has been any soft tissue damage during the initial injury or subsequent surgeries. The pain you are experiencing, described as a 1-2 on a scale of discomfort, suggests that while it is present, it is not severe. However, it is essential to monitor this pain closely.

The sensation of "aching" or "soreness" in the wrist, particularly when lifting or using the hand, can be attributed to several factors:
1. Healing Process: After the removal of the plate, the bone and surrounding tissues need time to heal. The bone may still be in the process of remodeling, which can take several weeks to months. During this time, it is common to experience some level of discomfort as the body adjusts.

2. Soft Tissue Recovery: The muscles, tendons, and ligaments around the wrist may also need time to recover. If they were stretched or damaged during the initial injury or surgery, they might be inflamed or sensitive as they heal.

3. Nerve Sensitivity: Sometimes, nerves can become sensitive after surgery, leading to pain or discomfort that may not be directly related to the bone itself. This can manifest as sharp or shooting pains, particularly when using the hand.

4. Activity Level: Gradually increasing your activity level is crucial. If you are using your wrist more than you did immediately post-surgery, this can lead to increased discomfort. It is advisable to follow your surgeon's recommendations regarding activity levels and rehabilitation exercises.

As for the timeline for recovery, it can vary significantly from person to person. Generally, the initial healing of the bone can take anywhere from 6 to 12 weeks, but full recovery, including the return of strength and function, may take several months. It is essential to engage in physical therapy or rehabilitation exercises as recommended by your healthcare provider to facilitate recovery and regain strength and mobility in your wrist.

In summary, while some level of pain and discomfort after the removal of a plate is normal, it is crucial to keep your healthcare provider informed about your symptoms, especially if they worsen or if you experience new symptoms. They may recommend imaging studies or further evaluations if necessary. Always prioritize following your surgeon's post-operative care instructions and engage in any prescribed rehabilitation to support your recovery.

Similar Q&A

Post-Surgery Concerns: Understanding Wrist Surgery Recovery Symptoms

Hello, doctor. I had surgery to remove wrist screws a week ago, and I feel stiffness and a tingling sensation in the area of my palm near the wrist when I touch it. Is this a normal postoperative phenomenon?

Dr. Shi Guozheng reply Orthopedics
It is normal for the wound to heal, and gradually engaging in activities that allow the joint to move in every direction can help improve the feeling of stiffness.

Post-Surgery Pain and Recovery After Removing Exposed Bone Pins

A few days ago, I had the exposed steel pin removed from the area just below my left wrist. Since then, whenever I try to lift anything, I experience significant pain and soreness in the wrist and the area where the pin was removed. I would like to know if this is a normal phenom...

Dr. Zhan Xian reply Orthopedics
A physical examination and imaging assessment are required; please visit the orthopedic outpatient clinic!

Should You Remove the Steel Plate After Wrist Fracture Surgery?

I have a fracture in my right wrist joint, and it has been 6 months since the surgery. Currently, my wrist can bend upwards about 75 degrees (normal is 90 degrees) and downwards about 20 degrees. I can rotate it up and down while it is flat on the table, and there is a plate for ...

Dr. Shi Guozheng reply Orthopedics
Whether to remove the fracture plate near the wrist is a personal decision. If there is discomfort, it can be removed; if there is none, it may not be necessary to remove it. However, if it affects the movement of the wrist or fingers, it is better to have it removed.

Post-Surgery Concerns for Wrist Fracture Recovery: What to Expect

Dear Dr. Shi, My mother fell at home in mid-February, resulting in a fracture and displacement of her left wrist joint. Due to various reasons, her surgery was delayed until mid-May. Because of the prolonged time since the injury, the bones in her wrist and hand have become misa...

Dr. Shi Guozheng reply Orthopedics
1. It is inevitable for joints to become stiff after a fracture, and continuous rehabilitation is necessary for improvement. 2. For a fracture to heal, a callus will form at the site, and with the presence of a plate, it may appear slightly thicker. 3. If the surgical incisio...