Managing Wrist Stiffness and Swelling After Cast Removal - Orthopedics

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Hello! After the removal of a cast following a wrist fracture, experiencing stiffness and swelling is quite common. This is due to a combination of factors including immobilization during the healing process, reduced range of motion, and potential inflammation. Here are some steps you can take to manage wrist stiffness and swelling effectively:
1. Gentle Range of Motion Exercises: Start with gentle exercises to improve flexibility and range of motion. Simple movements such as wrist flexion and extension, wrist circles, and finger movements can help. Aim to perform these exercises several times a day, but be cautious not to push through pain.

2. Gradual Strengthening: Once you have regained some range of motion, you can begin strengthening exercises. Use light weights or resistance bands to gradually build strength in your wrist and forearm. Exercises like wrist curls and grip strengthening can be beneficial.

3. Ice Therapy: To manage swelling, applying ice to the affected area can be very effective. Use an ice pack wrapped in a cloth for about 15-20 minutes at a time, several times a day. This can help reduce inflammation and numb any discomfort.

4. Elevation: Keeping your wrist elevated above heart level can also help reduce swelling. When resting, prop your arm up on pillows to facilitate drainage of excess fluid.

5. Compression: Consider using a compression bandage or wrist brace to provide support and reduce swelling. Make sure it’s not too tight, as this can impede circulation.

6. Physical Therapy: If stiffness and swelling persist, it may be beneficial to consult a physical therapist. They can provide a tailored rehabilitation program that includes specific exercises and modalities to enhance recovery.

7. Heat Therapy: After the initial swelling has decreased (usually after a few days), applying heat can help relax and loosen tissues, making it easier to perform exercises. Use a warm towel or heating pad for 15-20 minutes before exercising.

8. Stay Hydrated and Maintain a Healthy Diet: Proper hydration and nutrition can support the healing process. Foods rich in omega-3 fatty acids, antioxidants, and vitamins can help reduce inflammation.

9. Patience and Consistency: Recovery can take time, and it’s important to be patient with yourself. Consistency in performing exercises and following the above recommendations will yield the best results.

10. Consult Your Doctor: If you experience severe pain, persistent swelling, or any unusual symptoms, it’s crucial to consult your healthcare provider. They may want to assess for any complications such as joint stiffness or other underlying issues.

In summary, managing wrist stiffness and swelling after cast removal involves a combination of gentle exercises, ice and heat therapy, elevation, and possibly physical therapy. By following these steps, you can promote healing and regain function in your wrist. Remember to listen to your body and progress at a pace that feels comfortable for you. If you have any concerns, don’t hesitate to reach out to your healthcare provider for further guidance.