Recovering from a Clavicle Fracture: Rehabilitation Tips and Advice - Orthopedics

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My clavicle is broken, please come and help me! @@”


Dear Dr.
Chou,
On the night of March 19, 2005, I was involved in a motorcycle accident that resulted in a fracture of my left clavicle, which has healed about halfway and no longer causes pain.
However, I have been afraid to move my left arm due to the pain.
Today, I attempted to raise my left arm above 180 degrees and found that my left shoulder is very stiff and cannot fully extend.
What should I do about this? Should I start rehabilitation? How should I proceed with rehabilitation? Is it okay to apply heat? If so, how long should I apply it for? I am quite anxious and fear that I may never be able to raise my left arm again.
Please help alleviate my concerns.
Thank you!

Xiao Gao, 20~29 year old female. Ask Date: 2005/04/26

Dr. Zhou Hongzhi reply Orthopedics


1.
Left clavicle fracture with left shoulder stiffness; if X-rays show partial healing, rehabilitation should be initiated as soon as possible.
2.
Heat therapy is acceptable.
3.
With patience in rehabilitation, recovery is possible.

Reply Date: 2005/04/26

More Info


Recovering from a clavicle fracture can be a challenging journey, especially when it comes to regaining full range of motion and strength in the affected arm. It’s great to hear that your fracture is healing well and that you’re experiencing less pain. However, the stiffness and difficulty in raising your arm fully are common issues following such injuries. Here are some rehabilitation tips and advice to help you navigate this recovery process.


Understanding the Healing Process
After a clavicle fracture, the body goes through several stages of healing. Initially, the focus is on immobilization to allow the bone to heal properly. As healing progresses, it’s crucial to gradually reintroduce movement to prevent stiffness and maintain function. Since you mentioned that your fracture has healed about halfway, it’s a good time to start considering rehabilitation exercises, but it’s essential to do so cautiously.


When to Start Rehabilitation
You should consult with your orthopedic doctor or physical therapist before starting any rehabilitation program. They can assess your healing progress and determine the appropriate time to begin exercises. Generally, once the fracture has stabilized and you’re experiencing minimal pain, rehabilitation can commence.

Rehabilitation Exercises
1. Gentle Range of Motion Exercises: Start with gentle movements to improve flexibility. These can include:
- Pendulum swings: Lean forward and let your arm hang down. Gently swing your arm in small circles.

- Shoulder shrugs: Raise your shoulders towards your ears and then relax them down.

- Wall slides: Stand with your back against a wall and slide your arms up and down the wall.

2. Stretching: Incorporate stretching exercises to improve shoulder mobility.
- Cross-body stretch: Use your right arm to pull your left arm across your body gently.

- Doorway stretch: Stand in a doorway and place your arms on the frame, gently leaning forward to stretch your chest and shoulders.

3. Strengthening Exercises: Once you regain some range of motion, you can start strengthening exercises.
- Resistance band exercises: Use a resistance band to perform external rotations and shoulder abductions.

- Light weights: Gradually introduce light weights to strengthen your shoulder and arm muscles.


Heat Therapy
Heat therapy can be beneficial for relieving stiffness and promoting blood flow to the area. You can apply a warm compress or heating pad to your shoulder for about 15-20 minutes before starting your exercises. This can help loosen tight muscles and make it easier to move your arm.


Frequency and Duration
Aim to perform your rehabilitation exercises 2-3 times a week, gradually increasing the intensity and duration as tolerated. Always listen to your body; if you experience pain, reduce the intensity or take a break.


Monitoring Progress
Keep track of your progress and any changes in pain or mobility. If you notice any setbacks or if the stiffness persists, consult your healthcare provider. They may recommend additional therapies, such as physical therapy, to assist in your recovery.


Emotional Support
It’s natural to feel anxious about your recovery, especially when it comes to regaining full function. Consider discussing your concerns with your healthcare provider or a counselor. They can provide reassurance and strategies to help manage anxiety during your recovery.


Conclusion
Recovering from a clavicle fracture requires patience and a proactive approach to rehabilitation. By starting gentle exercises, incorporating heat therapy, and monitoring your progress, you can work towards regaining full range of motion and strength in your shoulder. Always consult with your healthcare provider before starting any new exercise regimen to ensure it aligns with your healing process. With time and effort, you can achieve your goal of lifting your arm fully again.

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