Clavicle fracture
Hello Doctor: On January 16, I had an accident while riding my road bike, resulting in a fracture of my right clavicle and multiple rib fractures, as well as pneumothorax and hemothorax.
I underwent clavicle plate fixation surgery on January 26 (using a self-paid plate).
So far, I can raise my right arm to about 120 degrees, but it still feels weak, and I experience some soreness on the right side, which is within a tolerable range.
Before the injury, I had a habit of jogging and swimming every day.
I would like to ask if, at this point, I can start jogging again.
Additionally, will the impact from running cause any displacement of the clavicle plate? Thank you for your response!
Xiao Mei, 30~39 year old female. Ask Date: 2016/03/14
Dr. Shi Guozheng reply Orthopedics
It is best to wait three months after surgery before engaging in vigorous exercise, as there is a possibility of displacement; therefore, caution is advised.
Reply Date: 2016/03/14
More Info
Recovering from a clavicle fracture, especially after surgical intervention, is a gradual process that requires careful attention to your body’s signals and adherence to medical advice. Given your recent injury and surgery, it’s understandable that you are eager to return to your regular activities, including running and swimming. However, there are several factors to consider before resuming these activities.
First and foremost, it’s crucial to allow adequate time for healing. After a clavicle fracture, particularly one that has required surgical fixation with a plate, the bone needs time to heal properly. This healing process typically takes about 6 to 12 weeks, depending on the severity of the fracture, your age, overall health, and adherence to rehabilitation protocols. Since your surgery was on January 26, you are still within the early stages of recovery.
You mentioned that you can raise your arm to about 120 degrees but still experience weakness and some discomfort. This is a normal part of the healing process, as the muscles and tissues around the fracture site may still be recovering. It’s essential to listen to your body; if you experience pain beyond what is tolerable, it may be a sign that you are pushing yourself too hard.
Regarding your question about running, it’s generally advisable to wait until you have regained more strength and range of motion in your shoulder before resuming high-impact activities like running. The vibrations and impact from running could potentially place stress on the clavicle and the surgical hardware, which might lead to complications such as plate displacement or delayed healing.
Most orthopedic specialists recommend a gradual return to physical activity. You might start with low-impact exercises that do not strain your shoulder, such as walking or stationary cycling, which can help maintain cardiovascular fitness without putting undue stress on your healing clavicle. Once you feel comfortable and have regained more strength and mobility, you can gradually introduce running into your routine.
In terms of specific timelines, many patients can begin light jogging around 8 to 12 weeks post-surgery, but this can vary significantly based on individual healing rates. It’s crucial to have a follow-up appointment with your orthopedic surgeon or physical therapist to assess your healing progress. They can provide personalized recommendations based on your recovery status and may suggest specific exercises to strengthen your shoulder and improve your range of motion.
Additionally, consider incorporating physical therapy into your recovery plan. A physical therapist can guide you through exercises that promote healing, improve strength, and enhance flexibility in your shoulder. They can also help you develop a safe and effective return-to-running plan that minimizes the risk of re-injury.
In summary, while your eagerness to return to running is understandable, it’s essential to prioritize your healing process. Focus on regaining strength and mobility in your shoulder, and consult with your healthcare provider before resuming running or any high-impact activities. By taking a cautious and informed approach, you can help ensure a successful recovery and return to your active lifestyle.
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