Recovery After Radial Fracture: When to Start Rehabilitation? - Rehabilitation

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Recovery from a radial fracture, particularly in older adults, can be a complex process that requires careful management and rehabilitation. Your mother’s situation, having sustained a radial fracture and undergone surgery with the insertion of a steel pin, is not uncommon. The timeline for recovery and rehabilitation can vary based on several factors, including the severity of the fracture, the surgical technique used, and the individual’s overall health and age.


Understanding the Recovery Process
1. Initial Healing Phase: After a radial fracture, the initial healing phase typically lasts about 6 weeks. During this time, the focus is on protecting the fracture site and allowing the bone to heal. Your mother’s physician has advised her to perform finger flexion exercises, such as making a fist, which is crucial for maintaining mobility in the fingers and preventing stiffness. This exercise should be done gently and within a pain-free range.

2. Swelling Management: It’s common for the hand to be swollen after such an injury. Elevating the hand, applying ice, and using compression can help reduce swelling. It’s important to monitor the swelling and report any significant changes to the physician.

3. When to Start Rehabilitation: Rehabilitation typically begins after the initial healing phase, around 6 weeks post-surgery, when the doctor assesses the stability of the fracture. If the fracture is healing well, physical therapy can commence to regain strength and mobility.
4. Role of Rehabilitation: Engaging in physical therapy can significantly enhance recovery. A physical therapist can provide a tailored rehabilitation program that includes exercises to improve range of motion, strength, and function. This is particularly beneficial for older adults, as they may experience stiffness and muscle atrophy more rapidly than younger individuals.

5. Expected Timeline for Recovery: Your mother’s doctor mentioned that she could expect to see significant recovery within 3 months. This timeline is reasonable, but it’s essential to understand that full recovery can take longer, especially in older adults. Factors such as bone density, overall health, and adherence to rehabilitation protocols will influence the recovery duration.


Recommendations for Rehabilitation
- Start Rehabilitation Early: If the doctor approves, consider starting rehabilitation as soon as the initial healing phase is over. This might be around 6 weeks post-surgery. Early intervention can help prevent complications such as stiffness and loss of function.

- Follow a Structured Program: Work with a physical therapist who can guide your mother through exercises designed to restore strength and flexibility in her wrist and hand. This may include stretching, strengthening exercises, and functional activities.

- Monitor Progress: Regular follow-ups with the orthopedic surgeon and physical therapist are crucial to monitor healing and adjust the rehabilitation program as needed.

- Be Patient and Consistent: Recovery can be slow, especially for older adults. Encourage your mother to be patient and consistent with her exercises, as this will contribute significantly to her overall recovery.


Conclusion
In summary, your mother’s recovery from a radial fracture can be optimized through early rehabilitation, proper management of swelling, and adherence to a structured exercise program. It’s essential to maintain open communication with her healthcare providers to ensure that her recovery is on track and to make any necessary adjustments to her rehabilitation plan. With dedication and the right support, she can achieve a good recovery and regain function in her hand.