How long should ice be applied to a humeral fracture?
Hello: I have a humeral fracture and I'm waiting for surgery next week.
I have been applying ice for four days (with a towel in between and taking breaks, so it doesn't feel too cold).
The affected limb does not seem to be swollen or warm.
Can I continue to apply ice until the surgery?
wfan, 30~39 year old female. Ask Date: 2012/03/19
Dr. Li Wenlin reply Orthopedics
Hello, in response to your question: It is advisable to postpone ice therapy, but the actual situation should still be discussed with your attending physician as a principle.
Reply Date: 2012/03/19
More Info
When dealing with a humerus fracture, particularly in the days leading up to surgery, the application of ice can be an effective method for managing pain and reducing swelling. However, the duration and frequency of icing should be approached with caution and tailored to the individual’s specific circumstances.
In your case, you mentioned that you have been icing your fractured arm for four days, using a towel as a barrier and allowing for breaks in between. This is a good practice as it helps prevent frostbite and skin damage. Generally, it is recommended to ice the affected area for about 15-20 minutes every 1-2 hours during the initial days following the injury, especially if there is swelling or pain. However, since you indicated that there is no swelling or heat in the affected limb, it may not be necessary to continue icing as frequently.
While icing can be beneficial, it is also important to listen to your body. If you feel that the ice is not providing additional relief or if you are experiencing discomfort from prolonged icing, it may be wise to reduce the frequency or duration of icing sessions. Additionally, continuous icing for an extended period, such as until the day of surgery, is not typically necessary unless there are specific symptoms that warrant it.
It is crucial to consult with your orthopedic surgeon or healthcare provider regarding your specific situation. They can provide personalized advice based on the nature of your fracture, your overall health, and any other treatments you may be undergoing. They may also have specific recommendations regarding pre-operative care, including whether to continue icing and for how long.
In summary, while icing can be a helpful tool in managing pain and swelling associated with a humerus fracture, it is not necessary to ice continuously until surgery, especially if there are no signs of swelling or inflammation. Always prioritize communication with your healthcare provider to ensure that you are following the best course of action for your recovery.
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