Rehabilitation outcomes
It has been 4 months since the closed radial fracture injury.
I have been doing rehabilitation every day for a month after surgery.
Should I continue? How effective is it? Currently, I cannot fully extend my arm and cannot perform bending movements at a normal angle.
Bending my arm causes pain.
In the second month after surgery, I did rehabilitation every day.
On August 28, I did rehabilitation, and afterward, the bending pain increased.
Will continuing rehabilitation help me extend my arm straight? Is it possible to achieve a normal range of motion?
573257, 40~49 year old female. Ask Date: 2015/09/09
Dr. Zhou Jianwen reply Rehabilitation
Whether rehabilitation is still necessary depends on whether your wrist mobility has returned to normal, if hand function meets daily living and workplace demands, and if pain has significantly improved.
If not, it is advisable to discuss this with your attending physician.
Wishing you a speedy recovery.
Reply Date: 2015/09/09
More Info
Rehabilitation after a closed radius fracture is a crucial aspect of recovery, and it is understandable to question its necessity after four months post-injury. The healing process for fractures, particularly in the radius, can vary significantly among individuals, influenced by factors such as age, overall health, the severity of the fracture, and adherence to rehabilitation protocols.
Firstly, it is essential to recognize that rehabilitation is not merely about regaining range of motion; it also involves restoring strength, function, and coordination. After a closed radius fracture, the surrounding muscles and soft tissues may become stiff and weak due to immobilization during the healing phase. This stiffness can lead to pain and limited mobility, as you have experienced with your inability to fully extend or flex your wrist.
Given that you have been undergoing rehabilitation for four months, it is important to continue this process, even if you are experiencing pain. Pain during rehabilitation can be a normal part of the healing process, especially when attempting to regain range of motion. However, it is crucial to differentiate between pain that indicates progress and pain that signals potential complications. If the pain is sharp or worsening, it may be advisable to consult your healthcare provider to ensure that there are no underlying issues, such as improper healing or complications from the surgery.
In terms of effectiveness, rehabilitation can significantly improve your range of motion and strength over time. While it may feel discouraging now, many patients find that with consistent effort and appropriate modifications to their rehabilitation program, they can achieve functional movement and even return to normal activities. The goal of rehabilitation is to gradually increase the range of motion and strength without exacerbating pain. Techniques such as stretching, strengthening exercises, and functional activities should be tailored to your current capabilities and pain levels.
It is also worth noting that the timeline for recovery can vary. While some individuals may regain full range of motion within a few months, others may take longer. Factors such as age, the extent of the injury, and your body's healing response all play a role. It is not uncommon for patients to experience lingering stiffness and discomfort even months after the injury, but with continued rehabilitation, improvements can often be made.
If you are struggling with specific movements, it may be beneficial to work closely with a physical therapist who can provide personalized guidance and adjust your rehabilitation program as needed. They can introduce modalities such as heat or ice therapy, ultrasound, or electrical stimulation to help manage pain and facilitate healing. Additionally, they can teach you specific exercises to improve your wrist's flexibility and strength while minimizing discomfort.
In conclusion, continuing rehabilitation after a closed radius fracture is not only necessary but also beneficial for your recovery. While it may feel challenging at times, persistence and proper guidance can lead to significant improvements in your wrist's function and overall quality of life. If you have concerns about your pain levels or progress, do not hesitate to reach out to your healthcare provider for further evaluation and support. Remember, recovery is a journey, and every small step forward is a step toward regaining your full range of motion and strength.
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