Recovering from Wrist Fracture Surgery: Addressing Weakness and Mobility Issues

Wrist fracture surgery?

Hello, Doctor.
I have a wrist fracture.
Initially, I had a cast for two to three weeks, but after an X-ray, it was determined that my wrist was in a more severe condition.
The cast was originally only on part of my arm, but later it was applied to my entire hand.
It took about two months to remove it.
When the cast was taken off, another X-ray showed a secondary fracture, and my hand still wasn't aligned properly.
The bone had grown out, and I needed to have surgery at Tzu Chi Hospital in Dali, where they inserted screws to correct it.
It has been almost a month since the surgery, but my hand still feels weak.
I also have difficulty squeezing a soft ball and cannot bend my wrist.
What should I do?
This is my first fracture.
After the initial cast, the X-ray showed that my wrist was protruding.
Two months later, when the cast was removed, I still had weakness and could not bend it.
After another X-ray, it was confirmed that the bone had healed, but the wrist bones were still protruding.
I then had surgery to correct it with screws.
Now, two to three weeks post-surgery, I am doing exercises, but my hand still feels weak, and I experience numbness.
At night, when I wake up, my fingers are swollen, and I need to soak them in warm water to move them.
Even during exercises, my hand feels weak and cannot bend.
What should I do to recover? Please, Doctor, could you provide me with guidance on how to improve? I have already been on leave for almost six months, and it has only been a month since the surgery.
My exercises still feel weak.
Can you please help me?

Ding Lijun, 40~49 year old female. Ask Date: 2015/12/15

Dr. Shi Guozheng reply Orthopedics

Recovery after wrist fracture surgery typically takes longer, and it requires a commitment to rehabilitation.
Gradual bending of the joint is essential for recovery, and addressing weakness also relies on rehabilitative treatment.

Reply Date: 2015/12/15

More Info

Recovering from a wrist fracture surgery can be a challenging process, especially when dealing with issues such as weakness and limited mobility. It sounds like you have been through a lot, and it's understandable to feel frustrated with your recovery. Let's address your concerns step by step.

Firstly, it's important to recognize that after a wrist fracture and subsequent surgery, it is common to experience weakness and limited range of motion. The immobilization period, whether from a cast or after surgery, can lead to muscle atrophy and stiffness in the joints. This is because the muscles and tendons are not being used as they normally would, leading to a decrease in strength and flexibility.

1. Understanding Weakness and Mobility Issues: After your surgery, it is expected that your wrist may feel weak and that you might have difficulty bending it. The surgical procedure you underwent, which involved the use of bone screws, can also contribute to temporary discomfort and limited mobility. The nerves in the wrist may also be affected during the injury or surgery, leading to sensations of numbness or tingling, which you described as your hand feeling "numb" at times.

2. Rehabilitation and Physical Therapy: Engaging in a structured rehabilitation program is crucial for recovery. Physical therapy can help you regain strength and improve your range of motion. A physical therapist can design a program tailored to your specific needs, focusing on exercises that gradually increase in intensity as your wrist heals. This may include gentle stretching and strengthening exercises, which can be performed with the guidance of a therapist to ensure you are not overexerting yourself.

3. Managing Pain and Discomfort: If you are experiencing pain or discomfort during exercises, it is essential to communicate this with your healthcare provider. They may recommend pain management strategies, such as ice therapy, over-the-counter pain relievers (if appropriate), or modifications to your exercise routine to accommodate your current level of comfort.

4. Gradual Progression: Recovery from wrist surgery is a gradual process. It may take several weeks to months for you to regain full strength and mobility. It is important to set realistic goals and be patient with yourself. Celebrate small victories, such as being able to perform a specific exercise or regain a certain degree of motion.

5. Home Exercises: In addition to physical therapy, you can perform gentle exercises at home to aid your recovery. These may include wrist flexion and extension exercises, finger stretches, and grip strengthening exercises using a soft ball or putty. Always start slowly and increase the intensity as tolerated.

6. Sleep Position and Comfort: If you are experiencing swelling and discomfort at night, consider adjusting your sleep position. Elevating your wrist on a pillow while you sleep can help reduce swelling. If you find that your fingers swell, soaking them in warm water, as you mentioned, can provide relief.

7. Follow-Up Appointments: Regular follow-ups with your orthopedic surgeon or healthcare provider are essential to monitor your recovery progress. If you notice any concerning symptoms, such as increased pain, swelling, or changes in sensation, do not hesitate to reach out to them for further evaluation.

In conclusion, while recovering from wrist fracture surgery can be frustrating, it is important to remain proactive about your rehabilitation. Engage in physical therapy, perform home exercises, manage pain effectively, and maintain open communication with your healthcare providers. With time, patience, and consistent effort, you can regain strength and mobility in your wrist. Remember, recovery is a journey, and every small step forward is a step toward regaining your full function.

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