Push-Ups After Fracture: Recovery and Discomfort - Rehabilitation

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After a fracture, especially one involving the humerus, it is common to experience discomfort and challenges during physical activities such as push-ups. Your situation, where you have undergone surgery with plates and screws for a right humeral fracture, indicates that you have made significant progress in your recovery, as your doctor has confirmed that the bone has healed completely. However, the discomfort you are experiencing during push-ups, particularly when not warmed up, can be attributed to several factors related to the healing process and the nature of your injury.

Firstly, after a fracture, even when the bone has healed, the surrounding soft tissues, including muscles, tendons, and ligaments, may still be recovering. This can lead to stiffness and reduced strength in the affected area. The muscles around the shoulder and arm may not have fully regained their pre-injury strength or flexibility, which can cause discomfort when performing exercises that require significant upper body strength, such as push-ups.
Additionally, the surgical procedure itself can lead to scar tissue formation, which may restrict movement and contribute to discomfort. Scar tissue can affect the range of motion and the overall function of the shoulder and arm, making certain movements feel more challenging or uncomfortable.
Warm-up exercises are crucial before engaging in any physical activity, especially after an injury. They help increase blood flow to the muscles, improve flexibility, and prepare the body for more strenuous activities. The fact that you can perform more push-ups after running suggests that your muscles are better warmed up and more prepared for the exercise. In contrast, attempting push-ups without warming up may lead to discomfort because your muscles are not adequately prepared for the exertion.

It is also important to consider that after a fracture, some level of discomfort may persist for an extended period. This is often referred to as post-fracture pain, which can be a normal part of the recovery process. However, if the discomfort is significant or worsening, it may be worth discussing with your healthcare provider to rule out any underlying issues, such as improper healing or complications related to the surgery.

To aid your recovery and minimize discomfort during push-ups, consider the following recommendations:
1. Warm-Up: Always perform a proper warm-up before exercising. This can include light cardio, dynamic stretches, and specific shoulder and arm movements to prepare the muscles for activity.

2. Gradual Progression: Start with modified push-ups or fewer repetitions and gradually increase the intensity and volume as your strength and comfort improve.

3. Strengthening Exercises: Incorporate specific strengthening exercises for the shoulder and arm to improve muscle strength and stability. Resistance bands and light weights can be beneficial.

4. Physical Therapy: If you haven't already, consider consulting a physical therapist who can provide tailored exercises and techniques to enhance your recovery and address any lingering discomfort.

5. Listen to Your Body: Pay attention to your body's signals. If you experience significant pain or discomfort, it may be a sign to rest or modify your activities.

In summary, while it is encouraging that you can perform push-ups after your fracture, the discomfort you experience, especially without warming up, is likely related to the ongoing recovery of the surrounding soft tissues and the effects of the surgical procedure. By incorporating proper warm-up routines, gradually increasing your activity level, and possibly seeking physical therapy, you can work towards a more comfortable and effective recovery. Always consult with your healthcare provider if you have concerns about your recovery process.