Post-Surgery Rehabilitation Tips for Distal Humerus Fracture Recovery

Q: Post-Surgery Rehabilitation Tips for Distal Humerus Fracture Recovery

Hello： In response to your question, the ancient saying "It takes a hundred days to heal a muscle or bone injury" means that it takes at least a hundred days for a fracture or muscle strain to heal. <br>Even with modern medical advancements, the healing of fractures or recovery f

I would like to consult a doctor regarding rehabilitation after surgery for a distal humeral fracture. Thank you very much?

Hello Dr.
Li, I suffered a distal humeral fracture due to a fall about two weeks ago.
After surgery, I had an internal fixation with a steel plate and six screws.
I had my stitches removed a week ago, and my attending physician advised me to start rehabilitation.
Consequently, I began to rehabilitate my arm by straightening and bending it.
However, I experience significant soreness and numbness during the process.
When I asked my attending physician about this, he said it was a normal phenomenon.
Is that correct? (I mean no challenge to authority; it is merely a patient's fear.) Additionally, I would like to ask Dr.
Li how I should continue my rehabilitation on my own.
I would greatly appreciate your help.

sam, 30~39 year old female. Ask Date: 2005/08/11

Dr. Li Wenlin reply Orthopedics

Hello: In response to your question, the ancient saying "It takes a hundred days to heal a muscle or bone injury" means that it takes at least a hundred days for a fracture or muscle strain to heal.
Even with modern medical advancements, the healing of fractures or recovery from soft tissue injuries still requires time, and during this recovery period, it is normal to experience soreness and swelling.
Based on your description, starting rehabilitation half a month post-surgery suggests that the fracture did not involve the joint surface, indicating a simpler long bone diaphysis fracture.
These types of fractures have a good prognosis, so please do not worry.
It is important to cooperate with your attending physician, as they understand your condition best.
If the pain becomes unbearable, you may also consider visiting a rehabilitation clinic, where they have various methods to help you exercise while minimizing your pain.
Wishing you a speedy recovery.

Reply Date: 2005/08/11

More Info

Post-surgery rehabilitation after a distal humerus fracture is crucial for regaining strength, mobility, and function in the affected arm. Given your recent surgery involving internal fixation with a plate and screws, it is essential to approach your rehabilitation with care and follow your physician's guidance closely. Here are some tips and insights to help you navigate your recovery process effectively.

Understanding Post-Surgery Symptoms
Firstly, experiencing sensations of soreness or numbness during rehabilitation exercises is not uncommon. These symptoms can occur due to several reasons, including nerve irritation, muscle fatigue, or the healing process itself. It is essential to differentiate between normal discomfort associated with rehabilitation and pain that may indicate complications. If the discomfort becomes severe or is accompanied by swelling, increased redness, or a fever, you should contact your healthcare provider immediately.

Rehabilitation Exercises
1. Range of Motion (ROM) Exercises: Start with gentle ROM exercises to improve flexibility in your elbow and shoulder. These exercises should be pain-free and can include:
- Elbow Flexion and Extension: Slowly bend and straighten your elbow while keeping your shoulder stable.

- Wrist Movements: Flex and extend your wrist to maintain mobility in the forearm.

2. Strengthening Exercises: Once you have regained some range of motion, you can begin strengthening exercises. These may include:
- Isometric Exercises: Contract your muscles without moving the joint. For example, press your palm against a wall or a table.

- Resistance Bands: Use light resistance bands to perform exercises that target the biceps, triceps, and shoulder muscles.

3. Functional Activities: Gradually incorporate functional movements into your routine, such as reaching for objects, lifting light weights, or performing daily tasks that require the use of your arm.

Frequency and Duration
Aim to perform your rehabilitation exercises multiple times a day, starting with shorter sessions and gradually increasing the duration as tolerated. Consistency is key to recovery. It is advisable to follow a structured program, ideally under the guidance of a physical therapist who can tailor exercises to your specific needs and monitor your progress.

Pain Management
To manage discomfort during rehabilitation, consider the following strategies:
- Ice Therapy: Apply ice packs to the affected area after exercising to reduce swelling and pain.

- Pain Medications: Over-the-counter pain relievers, as recommended by your physician, can help manage discomfort.

Monitoring Progress
Keep a journal of your rehabilitation progress, noting any changes in pain levels, range of motion, and strength. This information can be valuable for your healthcare provider to assess your recovery and make necessary adjustments to your rehabilitation plan.

Seeking Professional Guidance
While self-directed rehabilitation is beneficial, regular follow-ups with your healthcare provider or physical therapist are crucial. They can provide you with feedback on your progress and modify your rehabilitation plan as needed. If you experience any concerning symptoms or if your progress stalls, do not hesitate to reach out to your healthcare team.

Conclusion
Rehabilitation after a distal humerus fracture is a gradual process that requires patience and dedication. By following a structured rehabilitation program, listening to your body, and maintaining open communication with your healthcare provider, you can optimize your recovery and regain function in your arm. Remember, every individual's recovery journey is unique, and it is essential to focus on your progress rather than comparing yourself to others.

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