Pain After Open Radius Fracture: Is It Normal?

Right hand fracture?

Doctor, I would like to ask about my right radius open fracture.
Sometimes, when I extend my fingers, I feel a tight, painful sensation on the back of my hand.
Is this normal?

Pei Ying, 10~19 year old female. Ask Date: 2015/07/20

Dr. Shi Guozheng reply Orthopedics

This is a normal phenomenon because fractures can sometimes affect the movement of the tendons in the back of the hand.
Engaging in more wrist and finger flexion and extension exercises may help improve the situation.
However, if the pain is severe, it is necessary to see a doctor.

Reply Date: 2015/07/20

More Info

Experiencing pain after an open radius fracture can be concerning, especially when it manifests as a sensation of tightness or discomfort in the back of the hand when extending the fingers. It is essential to understand that pain following a fracture, particularly an open one, can be influenced by several factors, including the healing process, the presence of hardware (such as plates or screws), and the potential for complications.

Firstly, it is important to recognize that an open fracture, which involves a break in the bone that pierces through the skin, typically requires surgical intervention to clean the wound and stabilize the fracture. The healing process for open fractures can be more complex than that of closed fractures due to the risk of infection and the need for careful management of the wound. After surgery, patients often experience pain as part of the normal healing process. This pain can be exacerbated by movement, particularly if the fracture site is still sensitive or if there is swelling.

In your case, the sensation of pain when extending your fingers could be attributed to several factors:
1. Healing Process: After an open fracture, the bone and surrounding soft tissues undergo a healing process that can take several weeks to months. During this time, it is common to experience discomfort, especially when engaging in activities that put stress on the healing area.

2. Scar Tissue Formation: Following surgery, scar tissue can form around the fracture site and the surgical incision. This scar tissue can sometimes restrict movement or cause discomfort when the fingers are extended.

3. Nerve Sensitivity: The trauma from the fracture and subsequent surgery can lead to increased sensitivity in the nerves around the injury site. This can result in sensations of pain or discomfort during certain movements.

4. Hardware Reaction: If surgical hardware was used to stabilize the fracture, it may cause discomfort as the body adjusts to the presence of these materials. Some patients report sensations of tightness or pain related to the hardware, especially during movement.

5. Rehabilitation and Overuse: If you have recently started rehabilitation exercises or have been using your hand more than usual, this could lead to temporary pain as your body adjusts to increased activity. It is crucial to follow a structured rehabilitation program to avoid overloading the healing tissues.

Given these factors, it is not uncommon to experience pain after an open radius fracture, especially during the early stages of recovery. However, it is essential to monitor the nature of the pain. If the pain worsens, becomes more localized, or is accompanied by other symptoms such as swelling, redness, or fever, it may indicate a complication such as infection or hardware failure, and you should seek medical attention promptly.

In conclusion, while some discomfort is expected after an open radius fracture, it is vital to communicate any concerns with your healthcare provider. They may recommend imaging studies, such as X-rays, to assess the healing process and ensure that there are no complications. Additionally, they can provide guidance on pain management strategies and rehabilitation exercises tailored to your recovery needs. Remember, your recovery journey is unique, and maintaining open communication with your healthcare team is key to achieving the best possible outcome.

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