Numbness in the hand after a right wrist fracture?
Doctor, I have an open fracture of the right radius that has been in a cast for over two months.
I feel that my hand is getting stronger, but I'm worried about my follow-up appointment on August 5th when I will have an X-ray.
I'm concerned that the bone might heal improperly or not at all.
What could cause improper healing? Is it due to a strong impact or inadequate immobilization? Additionally, my fingers still feel a bit numb; could this be due to the prolonged immobilization? I'm really worried about not recovering in time because I'm about to start college.
Please help me.
Pei Ying, 10~19 year old female. Ask Date: 2015/07/30
Dr. Shi Guozheng reply Orthopedics
Is there a surgical treatment involving the fixation with plates and screws? If there was no surgery and only a cast was applied, it is more likely to misalign.
Generally, it takes about two to three months for a fracture to heal, so it might be worth waiting to see.
The numbness in your fingers could be related to poor circulation, and it is also possible that nerves were compressed or injured during the trauma, which could cause numbness as well.
I recommend continuous monitoring, and if the situation does not improve, further intervention may be necessary.
Reply Date: 2015/07/30
More Info
It sounds like you are experiencing a challenging recovery process after your wrist fracture, and it's completely understandable to have concerns about your healing and the potential for complications. Let's break down your questions and provide some insights based on medical knowledge regarding wrist fractures and recovery.
Firstly, regarding your concern about the possibility of your bone healing improperly or "growing crooked," this can indeed happen, but it is often related to several factors. The primary reasons for malunion (bones healing in an incorrect position) include inadequate immobilization, improper alignment during the initial treatment, or significant trauma that disrupts the healing process. If the fracture was particularly severe or if there was a lot of movement in the area while it was healing, this could contribute to the risk of malunion. Regular follow-up appointments with your healthcare provider, including X-rays, are crucial to monitor the healing process and ensure that the bones are aligning correctly.
As for the numbness and tingling in your fingers, this is a common symptom after a wrist fracture, especially if you have been in a cast for an extended period. The numbness can be attributed to several factors:
1. Nerve Compression: The swelling that often accompanies a fracture can put pressure on the nerves in the wrist, leading to sensations of numbness or tingling. This is particularly common with injuries involving the radius, as the median nerve runs through the carpal tunnel in the wrist.
2. Immobilization Effects: Prolonged immobilization can lead to stiffness and reduced blood flow to the area, which can also contribute to numbness. When a limb is kept in one position for a long time, it can affect the nerves and blood vessels, leading to these sensations.
3. Healing Process: As the bone heals, the surrounding tissues may also be recovering, which can lead to temporary nerve irritation or compression.
To address your concerns about recovery and to promote healing, here are some recommendations:
- Follow-Up Care: Make sure to attend all follow-up appointments with your orthopedic specialist. They will perform X-rays to assess the healing process and determine if any adjustments to your treatment plan are necessary.
- Physical Therapy: Once your doctor gives you the green light, engaging in physical therapy can be beneficial. A physical therapist can guide you through exercises that promote mobility, strength, and flexibility in your wrist and hand. This can also help alleviate some of the numbness as you regain function.
- Gentle Movement: If permitted by your doctor, start gentle range-of-motion exercises for your fingers and wrist. This can help reduce stiffness and improve circulation, which may alleviate some of the numbness.
- Monitor Symptoms: Keep track of any changes in your symptoms. If the numbness worsens or if you experience increased pain, it’s important to contact your healthcare provider.
- Nutrition: Ensure you are consuming a balanced diet rich in calcium and vitamin D, as these nutrients are essential for bone healing. Foods like dairy products, leafy greens, and fish can be beneficial.
- Patience and Care: Recovery from a fracture can take time, and it’s important to be patient with your body as it heals. Stressing about your recovery can sometimes exacerbate feelings of anxiety, so try to focus on the positive steps you are taking towards healing.
In conclusion, while it is normal to have concerns about your recovery, especially with the upcoming transition to university, staying proactive about your follow-up care and rehabilitation can significantly improve your outcomes. If you have any further questions or if your symptoms change, do not hesitate to reach out to your healthcare provider for guidance.
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