Rehabilitation After Humerus Fracture: Tips for Recovery and Nutrition

Rehabilitation for Humeral Fractures

Hello doctor, I recently suffered a comminuted fracture of the humerus (broken into three pieces) due to exercise.
The cast has been removed, but I have found that I cannot fully extend my arm, and it still hurts.
Could this be due to muscle atrophy from having my arm bent for a month? What is the correct rehabilitation process I should follow to regain normal function? Are there any dietary considerations I should be aware of? Thank you for your guidance!

Chen, 20~29 year old female. Ask Date: 2006/07/10

Dr. Hong Ximing reply Orthopedics

Hello! It is normal not to be able to fully extend the arm after a comminuted humeral fracture has been immobilized in a cast.
Rehabilitation therapy is necessary to restore normal function after the fracture has healed.
You can consult a specialist at a rehabilitation clinic to learn the correct rehabilitation techniques.
As for diet, a normal diet is sufficient.
Wishing you a speedy recovery.
Hong Hsi-Ming

Reply Date: 2006/07/10

More Info

Rehabilitation after a humerus fracture, especially a complex one like a comminuted fracture, can be challenging but is crucial for regaining full function of the arm. Here are some tips for recovery and nutritional considerations that can aid in the healing process.

Understanding Your Condition
After a comminuted humerus fracture, it is common to experience stiffness and pain in the arm, particularly if the arm has been immobilized in a cast for an extended period. The inability to fully extend your arm may be due to a combination of muscle atrophy, joint stiffness, and possibly scar tissue formation. Muscle atrophy occurs when muscles are not used for a while, leading to a decrease in muscle mass and strength. Joint stiffness can develop from prolonged immobility, which is why rehabilitation is essential.

Rehabilitation Tips
1. Consult Your Healthcare Provider: Before starting any rehabilitation exercises, it is crucial to consult with your orthopedic surgeon or a physical therapist. They can assess your specific situation and guide you on when and how to begin rehabilitation safely.

2. Start with Gentle Range of Motion Exercises: Once cleared by your doctor, begin with gentle range of motion exercises. These can include:
- Pendulum exercises: Lean forward and let your arm hang down. Gently swing your arm in small circles.

- Elbow flexion and extension: While sitting or standing, slowly bend and straighten your elbow to improve mobility.

3. Progress to Strengthening Exercises: As your range of motion improves, gradually incorporate strengthening exercises. Resistance bands can be beneficial for this purpose. Focus on exercises that target the shoulder, elbow, and wrist to rebuild strength.

4. Incorporate Functional Activities: Engage in activities that mimic daily tasks, such as reaching for objects or lifting light weights. This will help improve coordination and functional strength.

5. Physical Therapy: Working with a physical therapist can provide you with a structured rehabilitation program tailored to your needs. They can also employ modalities such as ultrasound or electrical stimulation to aid in recovery.

6. Pain Management: If you experience pain during rehabilitation, communicate this with your healthcare provider. They may recommend pain management strategies, including ice, heat, or medications.

Nutritional Considerations
Nutrition plays a vital role in bone healing and overall recovery. Here are some dietary recommendations:
1. Calcium and Vitamin D: Calcium is essential for bone health. Include dairy products (milk, yogurt, cheese), leafy greens (kale, broccoli), and fortified foods in your diet. Vitamin D helps with calcium absorption, so consider foods like fatty fish (salmon, mackerel), egg yolks, and fortified cereals. Sun exposure also helps your body produce vitamin D.

2. Protein: Protein is crucial for muscle repair and recovery. Incorporate lean meats, poultry, fish, eggs, legumes, nuts, and dairy into your meals. Aim for a balanced intake of protein throughout the day.

3. Hydration: Staying hydrated is essential for overall health and can aid in recovery. Drink plenty of water and consider hydrating foods like fruits and vegetables.

4. Anti-Inflammatory Foods: Incorporate foods rich in omega-3 fatty acids (such as walnuts, flaxseeds, and fatty fish) and antioxidants (such as berries, nuts, and green leafy vegetables) to help reduce inflammation.

5. Avoid Excessive Alcohol and Caffeine: Both can interfere with bone healing. Limit your intake of alcohol and caffeine to support optimal recovery.

Conclusion
Recovering from a humerus fracture requires patience and dedication to rehabilitation. By following a structured rehabilitation program and maintaining a nutritious diet, you can enhance your recovery process and work towards regaining full function of your arm. Always keep an open line of communication with your healthcare team to ensure you are on the right track. With time and effort, you can achieve a successful recovery.

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