Wrist Mobility Issues After Arm Surgery: What to Expect - Neurology

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After undergoing surgery for a humeral fracture, it is common to experience wrist mobility issues, especially if the arm has been immobilized for a period of time. Given your situation, where you had surgery on November 25th and are currently experiencing difficulties with wrist and finger mobility, it is important to understand the potential causes and what you can expect during your recovery.


Understanding Your Symptoms
1. Limited Wrist Mobility: Following surgery, it is not unusual for patients to have limited range of motion in the wrist and fingers. This can be due to several factors, including:
- Swelling: Post-surgical swelling can restrict movement. The swelling you mentioned in the forearm near the joint may be contributing to your inability to lift your wrist.

- Immobilization: The use of a brace or cast can lead to stiffness in the joints and surrounding muscles. Prolonged immobilization can result in a condition known as "frozen shoulder" or stiffness in the wrist and fingers.

- Nerve Compression or Injury: The tingling sensation in your thumb could indicate nerve involvement, possibly due to swelling or direct trauma during the accident or surgery. The forearm swelling you mentioned may also be pressing on nerves, leading to these sensations.

2. Finger Movement: The fact that you can still move your fingers is a positive sign. It indicates that the tendons and muscles controlling finger movement are likely intact. However, the inability to fully extend your fingers or open your hand may be due to stiffness or swelling.


What to Expect
- Recovery Timeline: Recovery from surgery can vary widely among individuals. Generally, you may start to see improvements in mobility within a few weeks, but full recovery can take several months. It is essential to follow your physician's advice regarding rehabilitation and physical therapy.


- Physical Therapy: Once the initial healing phase is over, physical therapy is often recommended to help regain mobility and strength. A physical therapist can provide exercises tailored to your specific needs, focusing on improving wrist and finger mobility.

- Nerve Evaluation: Since your orthopedic doctor referred you to a neurologist, it is crucial to follow up on that appointment. Nerve injuries can sometimes resolve on their own, but in some cases, they may require additional intervention.


Self-Care and Management
- Gentle Movement: It is advisable to gently move your fingers and wrist as tolerated. Using your other hand to assist with gentle massage and range-of-motion exercises can be beneficial. However, avoid pushing through pain, as this could exacerbate any underlying issues.

- Ice and Elevation: To manage swelling, consider applying ice to the affected area and keeping your arm elevated when possible. This can help reduce inflammation and improve comfort.

- Monitoring Symptoms: Keep a close eye on your symptoms. If you notice increased pain, swelling, or changes in sensation, it is important to contact your healthcare provider promptly.


Conclusion
While your current symptoms may be concerning, they are not uncommon following arm surgery. The combination of swelling, immobilization, and potential nerve involvement can contribute to wrist mobility issues. It is essential to remain proactive in your recovery by following up with your healthcare providers, engaging in appropriate rehabilitation exercises, and monitoring your symptoms closely. With time and appropriate care, you should see improvements in your wrist and finger mobility.