Unique scaphoid trouble post screw in a cage fighter.

[scouseraver]

Hey!!! first visit to the forums so hi to all the members!! right, basically i broke my scaphoid a long time ago and have had months of 'put it in a cast and see how it goes' and sometime after that my doctors finally put a screw in it and had a bone graft, its been 2months and today i got my cast off!! yaaaayy!! so theyve sent me home with no cast and a list of undetailed exercises to do. i have a tiny but if movement in my wrist but thats it, i can turn my palm up and down easy but rolling my wrist back and forth is near impossible.

so what do i do?, just keep trying and itll start to give????
is it supposed to hurt this much i mean it feels like it was when i first done it!!!???

i can squeeze my hand quite well and grip is ok :/ and have alot of movement in my thumb like normal i just cant do the action of say revving a motorbike engine???

should i use my other hand to strain it through the discomfort???

im a uk based cage fighter and need to get back on my game asap, its been like 4months now and nothing is getting better!! i have no faith in the NHS in our country and dont kno what to do!! they said the screw has come loose and will have to take that out sometime too!!

thanx for you help people!!!! Sam Crouch!!

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[physiobob]

Hey Sam, thanks for your post. The first thing to say is that your presentation is 100% normal following removal of a wrist cast. The forearm has been held for weeks in a static position and so it will take time for the joints, not only at the wrist but at the elbow area (radioulnar joint), to loosen up.

A fractured scaphoid that needed a screw is an injury to take seriously. The scaphoid doesn't heal particularly well and a graft and screw are often used to assist what might otherwise lead to bone death and chronic pain in the wrist. Your NHS consultant should have referred you to physiotherapy and perhaps a specialist hand physio to talk you through this and monitor your rehab. Remember that bone takes up to 12 months to get back to full strength. This means cage fighting in the short term would not be recommended.

If you see no one for any further input the wrist should slowly get back to normal after a couple of months.

[scouseraver]

hey!! cheers bob, thats sound like im on the right path then!!! should i get a physio or u think i should be ok doing these basic exercises?? it feels like it concrete mate, really weird!! still really hurt too, should i be pushing through the pain to try and get it moving, ive tried moving it as much as i can, i mean, it wiggles abit haha if i try too hard it just REALLY hurts!! im glad it all seems to be going ok, i just dont kno how far i should be pushing it!!! im not going to get back training until told im ready, gotta be sensible!!! thanks for all you help matey!!!! ps what would happen if bone death did happen?? would it be an artificial bone or would the patient have to just live witht the pain and disibility???? cheers again, Sam

[physiobob]

I'd get one or two sessions with a hand therapist (specialist physio in hands) to get the bones moving in the wrist etc. That should get you going in a faster direction.