When and How to Rehab After Radius and Scaphoid Fractures: A Guide - Orthopedics

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Rehabilitation after radius and scaphoid fractures is a critical process that can significantly influence the recovery of function and reduction of pain. Given your situation, where you have undergone surgery with the insertion of a titanium plate and screws, it is essential to approach rehabilitation thoughtfully and systematically.


Understanding Your Injury
The radius is one of the two long bones in the forearm, and the scaphoid is one of the carpal bones in the wrist. Fractures in these areas can lead to complications if not managed properly. The scaphoid, in particular, is known for its poor blood supply, which can lead to delayed healing or non-union if not treated appropriately. The fact that you are experiencing persistent pain in the wrist area post-surgery is not uncommon, but it does warrant attention.


When to Start Rehabilitation
Rehabilitation typically begins once the initial healing phase has progressed, which is usually around 6-8 weeks post-surgery, depending on the specific nature of your fractures and the surgical intervention. However, this timeline can vary based on individual healing rates and the presence of any complications. It is crucial to follow your surgeon's advice regarding when to start rehabilitation exercises.


Rehabilitation Exercises
1. Range of Motion (ROM) Exercises: Once cleared by your physician, you can begin gentle ROM exercises. These exercises help maintain flexibility in your wrist and fingers. Start with passive movements, where you use your other hand to assist the injured wrist in moving through its range.

2. Strengthening Exercises: After you regain some range of motion, you can begin strengthening exercises. These may include:
- Wrist Flexion and Extension: Using light weights or resistance bands.

- Grip Strengthening: Squeezing a soft ball or putty can help improve grip strength.

3. Functional Activities: As your strength and range of motion improve, you can start incorporating functional activities that mimic daily tasks, such as gripping objects or using utensils.

4. Therapeutic Modalities: Techniques such as ultrasound, electrical stimulation, or heat therapy may be beneficial in reducing pain and swelling, and promoting healing.


Pain Management
Persistent pain can be a sign of several issues, including inflammation, improper healing, or even complications like complex regional pain syndrome (CRPS). It is essential to communicate any ongoing pain to your healthcare provider. They may recommend pain management strategies, which could include physical therapy, medications, or further imaging studies to rule out complications.


Addressing the Ulnar Styloid Fracture
Regarding the ulnar styloid fracture that your doctor mentioned, it is important to clarify its significance. While some ulnar styloid fractures can be benign and may not require specific treatment, others can affect wrist stability and function. If you are experiencing pain or instability, it is advisable to seek a second opinion or further evaluation to ensure that this fracture does not negatively impact your recovery.


Conclusion
In summary, rehabilitation after radius and scaphoid fractures is a gradual process that should be tailored to your specific needs and healing progress. It is crucial to follow your surgeon's recommendations and engage in a structured rehabilitation program that includes range of motion, strengthening, and functional exercises. If pain persists or worsens, do not hesitate to reach out to your healthcare provider for further assessment. Your proactive approach to recovery will be beneficial in regaining full function and returning to your normal activities.