Left arm fracture?
Hello Dr.
Zheng,
1.
In July of this year, I was involved in a car accident and fractured my left arm.
When I stand, I can only raise my left arm to about 120 degrees.
The doctor advised me to use the wall to assist with upward movement, but my left arm has not improved (there are pins inserted in the arm).
2.
At night while sleeping, I often experience a dull ache in my left arm.
I am unsure of the cause.
3.
Before going to bed, I perform some simple exercises for my left arm while lying flat.
I slowly raise my left arm from my thigh, but when I reach shoulder level, I hear a sound like grinding and experience significant pain.
4.
Currently, my arm feels stiff and restricted.
I am unsure how to improve this.
Hanging from a pull-up bar is extremely painful, and I can only manage for a short time before dropping down.
I would appreciate any advice you can provide.
Thank you!
Xiao Bai, 20~29 year old female. Ask Date: 2006/11/26
Dr. Zheng Shunping reply Rehabilitation
In response to your question: Based on your symptom description, it appears that you have a fracture near the left humeral shoulder joint.
Generally, post-surgery, you will need to undergo progressive rehabilitation therapy to improve joint stiffness.
It is advisable to discuss your current condition with the surgeon, follow up with X-rays to confirm the healing status of the fracture, and actively participate in rehabilitation therapy at the outpatient rehabilitation clinic.
Reply Date: 2006/11/26
More Info
Rehabilitation after a left arm fracture can be a challenging process, especially following an accident. It’s essential to approach recovery with a structured plan that includes physical therapy, pain management, and gradual strengthening exercises. Here are some tips and insights based on your situation:
1. Consultation with Your Physician: First and foremost, it’s crucial to maintain open communication with your orthopedic surgeon or primary care physician. They can provide guidance tailored to your specific condition, including the status of your fracture healing through follow-up X-rays. If you haven’t already, consider scheduling a follow-up appointment to discuss your current limitations and concerns.
2. Physical Therapy: Engaging with a physical therapist can significantly enhance your recovery. They can design a personalized rehabilitation program that focuses on improving your range of motion, strength, and function. Since you mentioned that your left arm can only be raised to about 120 degrees, a therapist can introduce specific exercises to gradually increase this range. They may also use modalities such as ultrasound or electrical stimulation to alleviate pain and promote healing.
3. Pain Management: The discomfort you experience at night and during movements is not uncommon after a fracture. Over-the-counter pain relief medications, such as ibuprofen or acetaminophen, can help manage pain and inflammation. However, consult your doctor before starting any medication regimen. Additionally, applying ice to the affected area can reduce swelling and discomfort, especially after exercises.
4. Gentle Range of Motion Exercises: It’s great that you are already attempting some movements before bed. Continue with gentle range-of-motion exercises, but ensure you are not pushing through significant pain. Exercises like wall climbing (as suggested by your doctor) can be beneficial. Start with small, controlled movements and gradually increase the intensity as tolerated. If you hear grinding or feel pain, stop the exercise and consult your therapist or physician.
5. Stretching and Strengthening: Incorporate stretching exercises to address stiffness. Gentle stretches for the shoulder, elbow, and wrist can help improve flexibility. Strengthening exercises should be introduced gradually, focusing on the muscles surrounding the shoulder and arm. Resistance bands can be a useful tool for this purpose, allowing you to control the intensity of the exercise.
6. Posture and Ergonomics: Pay attention to your posture during daily activities. Poor posture can exacerbate pain and stiffness. Ensure that your workstation is ergonomically set up to avoid unnecessary strain on your arm. When sleeping, consider using a supportive pillow that keeps your arm in a comfortable position to reduce strain.
7. Gradual Return to Activities: As you progress, slowly reintroduce activities that require the use of your left arm. Avoid high-impact or strenuous activities until you have regained sufficient strength and range of motion. Activities like hanging from a pull-up bar should be approached with caution, as they can put excessive strain on your healing arm.
8. Mindfulness and Patience: Recovery can be a slow process, and it’s essential to be patient with yourself. Celebrate small victories, such as increased range of motion or reduced pain levels. Mindfulness practices, such as meditation or deep breathing, can also help manage anxiety related to your recovery.
In summary, rehabilitation after a left arm fracture requires a multifaceted approach that includes medical guidance, physical therapy, pain management, and gradual reintroduction of activities. By following these tips and maintaining open communication with your healthcare providers, you can optimize your recovery and regain full function of your arm. Remember, every individual heals at their own pace, so listen to your body and adjust your rehabilitation plan as needed.
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