Post-Surgery Recovery: Clavicle Fracture Healing and Pain - Orthopedics

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Please provide more details about the fracture surgery you would like to inquire about?


Hello Dr.
Hong, thank you for your response regarding rehabilitation.
I would like to ask another question.
Since the X-ray taken five weeks after the clavicle fracture surgery shows that the bone has not yet healed, would it be better to postpone rehabilitation for now? Additionally, I have been experiencing occasional sharp pain at both the anterior and distal ends of the clavicle, along with a feeling of tightness.
Is this a normal phenomenon? Could it be related to changes in the weather, or is there a possibility that the plate has shifted?

Xunwen, 30~39 year old female. Ask Date: 2015/11/04

Dr. Hong Ximing reply Orthopedics


Hello: Five weeks after clavicle fracture surgery, X-rays should show that the bone neck has not yet healed.
Rehabilitation can be initiated, but it is important to consult a specialist to gradually perform the correct rehabilitation exercises, without needing to wait for complete fracture healing.
Occasional sharp pain is considered a normal phenomenon, indicating that the fracture and surrounding tissues have not yet fully healed.
Hong Shih-Ming

Reply Date: 2015/11/04

More Info


Hello! Thank you for your questions regarding your recovery from a clavicle fracture. It's understandable to have concerns about the healing process, especially after surgery. Let's break down your questions and provide some clarity on the situation.

First, regarding the X-ray results showing that the bone has not yet healed after five weeks, it's important to note that the healing process for fractures can vary significantly from person to person. Generally, clavicle fractures can take anywhere from 6 to 12 weeks to heal, depending on several factors, including the type of fracture, the patient's age, overall health, and adherence to post-operative care. If your doctor has advised against starting rehabilitation at this stage, it is likely because they want to ensure that the bone has sufficient stability and healing before subjecting it to stress. Engaging in rehabilitation too early could risk further injury or complications, such as non-union or malunion of the fracture.

As for the sudden sharp pains and tightness you are experiencing in the area of the clavicle, this can be a common occurrence during the healing process. After surgery, it is not unusual to feel discomfort as the body adjusts to the presence of hardware (like plates and screws) and as the surrounding muscles and tissues heal. The tightness you feel could be due to muscle tension or scar tissue formation around the surgical site. Additionally, changes in weather can affect joint and muscle pain, as many individuals report increased discomfort during cold or damp conditions. However, if the pain is severe or accompanied by other symptoms such as swelling, redness, or fever, it would be prudent to consult your physician to rule out any complications such as infection or hardware issues.

Regarding the possibility of the plate shifting, while it is a concern, it is relatively uncommon if the surgery was performed correctly and the post-operative care instructions are followed. However, if you have any doubts or if the pain persists or worsens, it's essential to communicate these concerns with your orthopedic surgeon. They may recommend further imaging studies, such as a follow-up X-ray or even a CT scan, to assess the position of the hardware and the status of the bone healing.

In the meantime, managing pain and discomfort is crucial. You may consider using ice packs on the affected area to reduce inflammation and taking over-the-counter pain medications as advised by your doctor. Gentle range-of-motion exercises, if approved by your healthcare provider, can also help maintain mobility without putting too much strain on the healing bone.

In summary, it's essential to follow your surgeon's recommendations regarding rehabilitation and to monitor your symptoms closely. Healing takes time, and patience is key. If you have any further concerns or if your symptoms change, don't hesitate to reach out to your healthcare provider for guidance. Wishing you a smooth recovery!

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