Can I Start Stretching My Arm After Removing Fracture Pins? - Orthopedics

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Can I start stretching the injured area after the removal of the fracture pins?


Hello, Doctor.
I had two steel pins removed from my left radius fracture exactly 7 days ago, last Friday.
Since I haven't moved my left hand much in the past few days, it feels tighter compared to before.
Can I start doing larger movements to stretch my left hand now, such as straightening and contracting it? I've heard that starting to stretch too soon can lead to hypertrophic scarring.
Additionally, can I start soaking in a bath to help relax the muscles? Although the doctor said the wound would heal in 7 days, I am still a bit apprehensive.
Thank you for your response.

An An, 30~39 year old female. Ask Date: 2010/03/04

Dr. Shi Guozheng reply Orthopedics


If there are no issues with the wound after surgery, you can start soaking and rehabilitating about seven days later.
If the fracture has completely healed, you can begin to move it.
The occurrence of hypertrophic scars is related to individual constitution and is not associated with early activity.

Reply Date: 2010/03/04

More Info


After having your fracture pins removed, it’s understandable to feel anxious about resuming movement and stretching your arm. The healing process after such a procedure can vary significantly from person to person, depending on factors such as the extent of the injury, the type of surgery performed, and individual healing rates.
In general, after the removal of fracture pins, it is crucial to follow your orthopedic surgeon's advice regarding rehabilitation and stretching. Typically, after about a week, the incision site should have healed sufficiently to begin gentle movements. However, it’s essential to differentiate between gentle stretching and more vigorous movements.
1. Gentle Stretching: You can start with gentle stretching exercises to regain mobility in your arm. This might include simple movements like flexing and extending your wrist and fingers. Gradually increase the range of motion as tolerated. It’s important to listen to your body; if you experience pain, you should stop and consult your doctor or physical therapist.

2. Avoiding Complications: You mentioned concerns about developing keloids (蟹足腫). Keloids can occur when the skin heals excessively, leading to raised scars. While gentle stretching is unlikely to cause keloids, it’s still wise to be cautious. If you notice any unusual changes in your scar, such as increased redness or swelling, consult your healthcare provider.

3. Bathing and Muscle Relaxation: Taking a warm bath can indeed help relax your muscles and improve circulation, which may aid in your recovery. However, ensure that your incision site is fully healed and that you follow any specific instructions from your doctor regarding exposure to water. If your doctor has indicated that the wound is healed, you should be able to enjoy a bath without issues.
4. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can guide you through a structured rehabilitation program tailored to your needs, helping you regain strength and flexibility safely. They can also provide you with specific exercises that will help prevent stiffness and improve your range of motion.

5. Monitoring Progress: Keep track of your progress and any discomfort you experience. If you feel that your arm is not improving or if you encounter any setbacks, it’s crucial to reach out to your healthcare provider. They may want to assess your healing process and adjust your rehabilitation plan accordingly.

6. Long-term Recovery: Remember that recovery from a fracture can take time, and it’s normal to feel some tightness or discomfort as you start moving your arm again. Consistency is key; regular, gentle stretching and strengthening exercises will help you regain function over time.

In summary, you can start gentle stretching of your arm after the removal of the fracture pins, but proceed with caution and listen to your body. Bathing can also be beneficial for muscle relaxation, provided your incision is healed. Always consult your healthcare provider or physical therapist for personalized advice and to ensure you are on the right track in your recovery process.

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