Recovery After Scaphoid Fracture Surgery: The Role of Rehabilitation - Rehabilitation

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Scaphoid fracture


Hello, doctor! I have a scaphoid fracture in my left wrist, and the doctor performed internal fixation surgery.
It is estimated that I can regain most of the wrist function in about three months.
Will undergoing rehabilitation after the surgery help me recover faster? Thank you!

Hen, 30~39 year old female. Ask Date: 2006/10/15

Dr. Chen Xianchang reply Rehabilitation


(1) Surgery generally favors external fixation; internal fixation may be considered in cases of comminuted fractures.
(2) Rehabilitation can include laser therapy, ultrasound, and joint flexibility exercises.
(3) Once the wound has healed, warm water soaks and wrist exercises can be performed.

Reply Date: 2006/10/15

More Info


Recovering from a scaphoid fracture surgery, particularly through internal fixation, is a critical process that can significantly benefit from a well-structured rehabilitation program. The scaphoid bone, located in the wrist, plays a vital role in wrist stability and function. Given its unique blood supply and the potential for complications, such as nonunion or avascular necrosis, rehabilitation becomes essential in ensuring optimal recovery.

After surgery, the initial phase typically involves immobilization of the wrist to allow for proper healing. This period usually lasts for about six weeks, during which the focus is on protecting the surgical site and minimizing movement. Once the immobilization phase is over and the surgeon confirms that the bone is healing appropriately, rehabilitation can begin in earnest.

Engaging in rehabilitation after scaphoid fracture surgery can indeed expedite recovery and improve functional outcomes. Here’s how rehabilitation plays a role:
1. Restoration of Range of Motion: One of the primary goals of rehabilitation is to restore the range of motion in the wrist. After a period of immobilization, stiffness can set in, making it difficult to regain full movement. A physical therapist will guide you through specific exercises designed to gently mobilize the wrist and gradually increase flexibility.

2. Strengthening Exercises: Once the initial healing has occurred, strengthening exercises become crucial. These exercises help rebuild the muscles around the wrist, which may have weakened during the immobilization phase. Strengthening the muscles provides better support to the wrist joint and can help prevent future injuries.

3. Pain Management: Rehabilitation often includes modalities such as ice, heat, ultrasound, or electrical stimulation to manage pain and reduce inflammation. These techniques can enhance comfort during the recovery process and facilitate more effective participation in rehabilitation exercises.

4. Functional Training: As you progress, rehabilitation will shift towards functional training, which involves practicing everyday activities that require wrist use. This could include tasks like gripping, lifting, or even typing. The goal is to ensure that you can return to your daily activities without limitations.

5. Education and Prevention: A rehabilitation program also provides education on proper wrist mechanics and ergonomics to prevent re-injury. Understanding how to protect your wrist during activities can be invaluable for long-term health.

6. Monitoring Progress: Regular follow-ups with your rehabilitation team allow for adjustments to your program based on your progress. They can assess your range of motion, strength, and functional capabilities, ensuring that you are on track to meet your recovery goals.

In conclusion, rehabilitation after scaphoid fracture surgery is not just beneficial; it is often essential for a full recovery. Engaging in a structured rehabilitation program can help you regain wrist function more quickly and effectively. It is important to communicate openly with your healthcare provider and rehabilitation team about your goals and any concerns you may have during the recovery process. They will tailor a rehabilitation plan that meets your specific needs, ensuring that you can return to your daily activities with confidence and strength.

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