It has been almost a month since the clavicle fracture. I can lift my arm. Is it necessary to wear a figure-eight shoulder brace?
A month ago, I sustained a clavicle fracture while playing basketball.
After nearly a month of rest, I can now lift my arm and move it freely, as well as carry some lightweight objects, but I still feel weak.
I would like to ask if I still need to wear a figure-eight shoulder brace? Sometimes my shoulder still feels sore and weak, and my arm occasionally swells a bit.
Is this normal? The doctor did not explain this very clearly, so I would like to ask for your advice.
Mr. Lin, 10~19 year old female. Ask Date: 2015/11/24
Dr. Wang Shouji reply Orthopedics
Hello: Based on your age, preliminary bone healing occurs in about a month.
Engaging in some shoulder activities should be fine, but you should avoid weight-bearing.
Please continue with outpatient follow-up.
Thank you!
Reply Date: 2015/11/24
More Info
After a clavicle fracture, the recovery process can vary significantly from person to person, depending on the severity of the fracture, the individual's overall health, and adherence to rehabilitation protocols. Given that you are one month into your recovery and have been able to lift your arm and perform some activities without significant pain, it sounds like you are making good progress. However, there are several factors to consider regarding the use of a figure-8 brace and your ongoing symptoms.
Do You Still Need the Figure-8 Brace?
The primary purpose of the figure-8 brace is to stabilize the clavicle during the healing process. It helps to maintain proper alignment of the fractured bones and reduces movement that could impede healing. Generally, the need for a figure-8 brace diminishes as the healing progresses, typically around 4 to 6 weeks post-injury, depending on the fracture's nature and the doctor's recommendations.
Since you have been able to move your arm and perform light activities, it may be possible to start reducing the use of the brace. However, it is crucial to consult your healthcare provider before making any changes. They may want to evaluate your healing through physical examination or imaging studies to ensure that the fracture is healing correctly and that you are not at risk of re-injury.
Symptoms of Weakness and Discomfort
Experiencing some weakness, soreness, and mild swelling in the shoulder area is not uncommon during the recovery phase. The muscles around the shoulder may have weakened due to immobilization and disuse, leading to a feeling of instability or lack of strength. Additionally, the healing process can involve inflammation, which might contribute to the sensations you are experiencing.
Here are some considerations regarding your symptoms:
1. Weakness: It is normal to feel weak in the shoulder and arm after a fracture. Gradual strengthening exercises, as recommended by a physical therapist, can help restore strength and function. It is essential to start these exercises gently and progressively increase intensity as tolerated.
2. Soreness: Mild soreness can be a part of the healing process, especially as you begin to use your arm more. However, if the soreness becomes severe or is accompanied by other symptoms like significant swelling, redness, or fever, you should contact your doctor.
3. Swelling: Some swelling can occur as part of the healing process, especially if you are starting to use your arm more. Keeping your arm elevated and applying ice can help manage swelling. If the swelling persists or worsens, it may warrant further evaluation.
Recommendations
1. Consult Your Doctor: Before making any decisions about the figure-8 brace, consult your healthcare provider. They can give you personalized advice based on your healing progress.
2. Physical Therapy: If you haven't already, consider starting a physical therapy program. A therapist can guide you through exercises tailored to your recovery, focusing on regaining strength and mobility while ensuring that you do not overexert yourself.
3. Gradual Return to Activity: As you feel more comfortable, gradually return to your normal activities, but listen to your body. If you experience pain or discomfort, it may be a sign to slow down.
4. Monitor Symptoms: Keep track of your symptoms. If you notice any significant changes or if your symptoms worsen, reach out to your healthcare provider for further evaluation.
In conclusion, while it may be possible to reduce or discontinue the use of the figure-8 brace, it is essential to do so under the guidance of your healthcare provider. Continue to monitor your symptoms, engage in appropriate rehabilitation exercises, and maintain open communication with your medical team to ensure a smooth recovery process.
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