Post-Surgery Rehab for Clavicle Fracture: Exercises to Do and Avoid - Orthopedics

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After a clavicle fracture surgery, rehabilitation is crucial for restoring function and strength to the shoulder. It’s great to hear that you are recovering well without any complications. Generally, the rehabilitation process can be divided into several phases, and it’s important to follow your surgeon’s and physical therapist’s recommendations closely.

Initial Phase (0-2 weeks post-surgery):
In the first couple of weeks after surgery, the focus is primarily on protecting the surgical site and allowing the bone to begin healing. During this time, you may be advised to wear a sling to immobilize the shoulder and prevent excessive movement.
Exercises to Do:
1. Pendulum Exercises: Lean forward slightly and let your arm hang down. Gently swing your arm in small circles. This helps maintain mobility without putting too much strain on the shoulder.

2. Wrist and Hand Exercises: Keep your wrist and fingers moving to prevent stiffness. Simple flexing and extending of the wrist and fingers can be beneficial.

Exercises to Avoid:
- Avoid any lifting or overhead movements during this phase, as they can put undue stress on the healing clavicle.

- Do not perform any exercises that involve pushing or pulling with the affected arm.

Intermediate Phase (2-6 weeks post-surgery):
As healing progresses, your doctor may allow you to start gentle range-of-motion exercises.
Exercises to Do:
1. Passive Range of Motion (ROM) Exercises: With assistance, you can start moving your arm gently through its range of motion without using your muscles.

2. Shoulder Blade Squeezes: Sit or stand with your arms at your sides. Squeeze your shoulder blades together and hold for a few seconds. This helps strengthen the muscles around the shoulder.

Exercises to Avoid:
- Avoid any activities that involve lifting weights or resistance training.

- Do not engage in sports or activities that could risk falling or impacting the shoulder.

Advanced Phase (6 weeks and beyond):
Once your doctor gives you the green light, you can begin more active rehabilitation to regain strength and function.

Exercises to Do:
1. Active Range of Motion Exercises: Start moving your arm actively without assistance. This includes flexion, extension, abduction, and rotation.

2. Strengthening Exercises: Begin with light resistance bands or weights. Focus on exercises like shoulder flexion, abduction, and external rotation.

3. Functional Activities: Gradually incorporate activities that mimic daily tasks, such as reaching for objects or lifting light items.

Exercises to Avoid:
- Avoid high-impact activities or sports until you have fully regained strength and range of motion.

- Do not perform any exercises that cause pain or discomfort.

Recovery Timeline:
The recovery timeline can vary based on the severity of the fracture and your overall health. Generally, you can expect to return to normal activities within 12 weeks, but full recovery may take longer. Regular follow-ups with your healthcare provider will help monitor your healing process.

Pain Management:
It’s normal to experience some discomfort during rehabilitation. Use ice packs to reduce swelling and pain, and consult your doctor if you have persistent pain or any new symptoms.

In conclusion, rehabilitation after a clavicle fracture is a gradual process that requires patience and adherence to your healthcare provider’s guidelines. Always consult with your surgeon or physical therapist before starting any new exercises to ensure they are appropriate for your specific situation. Good luck with your recovery!