Rehabilitation after a clavicle fracture?
How long after a clavicle fracture should I wait before starting rehabilitation? I have been wearing a figure-eight brace for six weeks, but my clavicle has not healed yet, and I cannot lift my arm.
Can I start rehabilitation now, or should I wait until it heals? Will delaying rehabilitation have an impact on my arm?
Mr. Li, 20~29 year old female. Ask Date: 2006/07/26
Dr. Hong Ximing reply Orthopedics
Clavicle fractures generally take 8 to 10 weeks to heal.
After 6 weeks of using a figure-eight brace, the fracture is likely still not healed.
Aside from avoiding raising the arm, other rehabilitation exercises should be possible.
Once the fracture has healed, further rehabilitation treatment can be initiated, and it should not adversely affect hand function.
Wishing you a speedy recovery!
Reply Date: 2006/07/26
More Info
Recovering from a clavicle fracture can be a challenging process, and the timeline for rehabilitation can vary significantly based on the severity of the fracture, the type of treatment received, and individual healing rates. Generally, a clavicle fracture can take anywhere from 6 to 12 weeks to heal, depending on factors such as age, overall health, and whether the fracture is displaced or non-displaced.
In your case, since you have been wearing a figure-eight brace for six weeks and your clavicle has not yet shown signs of healing, it is essential to consult with your orthopedic surgeon or healthcare provider before starting any rehabilitation exercises. They will typically assess the healing progress through physical examination and possibly imaging studies like X-rays to determine if the bone is healing properly.
Starting rehabilitation too early, especially if the fracture has not healed sufficiently, can lead to complications such as non-union (where the bone fails to heal) or malunion (where the bone heals incorrectly). This can result in chronic pain, limited range of motion, and functional impairments in the shoulder and arm. Therefore, it is crucial to wait until your doctor gives you the green light to begin rehabilitation.
Once your doctor confirms that the fracture is healing well, rehabilitation can begin. The rehabilitation process usually starts with gentle range-of-motion exercises to prevent stiffness in the shoulder and to promote blood flow to the area. Gradually, as healing progresses, you can incorporate strengthening exercises to restore muscle function and improve stability in the shoulder joint.
In terms of the timeline for rehabilitation, if your fracture is healing well, you might begin light rehabilitation exercises around 6 to 8 weeks post-injury. However, if there are concerns about the healing process, your doctor may recommend waiting longer. It is essential to listen to your body and not push through pain, as this can hinder recovery.
Regarding your concern about delayed rehabilitation affecting your arm, it is true that prolonged immobilization can lead to stiffness and muscle atrophy. However, the priority should be ensuring that the fracture heals correctly. Once you are cleared for rehabilitation, your physical therapist will guide you through exercises tailored to your specific needs, focusing on regaining strength, flexibility, and function.
In summary, while it is understandable to be eager to start rehabilitation, it is crucial to prioritize proper healing of the clavicle fracture. Consult your healthcare provider for a personalized assessment and timeline for rehabilitation. Once you receive the go-ahead, a structured rehabilitation program will help you regain function and strength in your shoulder and arm, allowing you to return to your daily activities with confidence.
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