Post-Surgery Concerns: Managing Complications After Humerus Surgery - Orthopedics

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Post-surgery complications, especially after a humerus surgery, can be concerning and may significantly impact your recovery and daily life. It’s essential to address your specific symptoms and concerns regarding swelling, finger mobility, and numbness. Here’s a comprehensive overview of your situation and some recommendations based on medical knowledge.


1. Swelling in the Hand
Swelling in the hand after surgery is common, particularly in procedures involving the humerus, as the body responds to trauma and healing. Here are some strategies to manage swelling:
- Elevation: Keep your hand elevated above heart level as much as possible. This can help reduce swelling by promoting venous return.

- Ice Therapy: Applying ice packs to the swollen area for 15-20 minutes every hour can help reduce inflammation and numb the area, providing relief.

- Compression: If advised by your physician, using a compression bandage can help manage swelling. However, ensure it’s not too tight, as this could impede circulation.


2. Difficulty Closing Fingers
The inability to close your fingers, particularly the index and middle fingers, may indicate nerve involvement or muscle weakness. This can be due to:
- Nerve Injury: As your doctor mentioned, the radial nerve may have been affected during surgery. This nerve is responsible for extending the wrist and fingers. If it is indeed injured, recovery may take time, and physical therapy will be crucial.

- Physical Therapy: Engage in a structured rehabilitation program. A physical therapist can provide exercises to improve range of motion and strength. They may also use modalities like electrical stimulation to promote nerve recovery.


3. Numbness in the Ring and Little Fingers
The numbness you’re experiencing in the ring and little fingers could be related to the ulnar nerve, which runs along the inner side of the arm and controls sensation in these fingers. Here are some considerations:
- Ulnar Nerve Compression: If the ulnar nerve is compressed or injured, it can lead to numbness and tingling. This may occur due to swelling or positioning during surgery.

- Observation and Follow-Up: Since your doctor suggested observation, it’s essential to monitor your symptoms. If numbness persists or worsens, further evaluation may be necessary, including nerve conduction studies to assess the function of the ulnar nerve.

- Therapeutic Exercises: Specific exercises can help alleviate pressure on the ulnar nerve. Your therapist can guide you through these.


General Recommendations
- Follow-Up Appointments: Ensure you attend all follow-up appointments with your surgeon. They can monitor your recovery and make necessary adjustments to your treatment plan.

- Pain Management: If you experience significant pain, discuss pain management options with your healthcare provider. They may prescribe medications or recommend over-the-counter options.

- Patience and Support: Recovery can be a slow process, especially with nerve injuries. Surround yourself with supportive friends and family, and consider joining a support group for individuals recovering from similar surgeries.


Conclusion
In summary, while your symptoms are concerning, they are not uncommon after humeral surgery. Swelling, difficulty with finger movement, and numbness can be managed with appropriate care and rehabilitation. It’s crucial to maintain open communication with your healthcare team, adhere to rehabilitation protocols, and be patient with your recovery process. If symptoms persist or worsen, don’t hesitate to seek further evaluation to ensure optimal recovery.