Recovery from intra articular distal radius fracture/soft tissue damage
I suffered an intra articular distal radius fracture 7 weeks ago (fell off bike). I had traction followed by a closed reduction and my wrist was set pointing pinky down about 20 degrees. I had my plaster removed 7 days ago, it still felt like it was broken, my wrist and hand were still swollen.
As I push through the pain with my physiotherapy regime, my range is returning nicely and the wrist moves a lot better (no change in swelling or pain though)
What concerns me though is the pain on the opposite(ulnar) side, from wrist to elbow (and complete lack of strength). I think I may have torn the muscles(tfcc?) badly. Should I continue to try and force the range to return to my wrist, or should I give the tfcc a chance to heal through rest?
Any advice would be greatly appreciated as it's another 7 days before I see the physio again.
James
Edit: Oh, and I have loss of sensation in the hand and fingers, the skin feels scaly too. Is this normal?
Re: Recovery from intra articular distal radius fracture/soft tissue damage
All sounds pretty normal. Don't 'force' the mobility as the body will let it move when it is ready. Perhaps the physio will perform some mobilization to the small bones/joints in the wrist to assist this return to normal function.
If the radius has shortened due to the fracture (which is common) then you will lose some sense of normality in the wrist. If the pain persists (or gets worse) then it won't hurt to go have a review with the surgeon.
Re: Recovery from intra articular distal radius fracture/soft tissue damage
Thanks Physiobob. I thought as much. Only a few days now until I see my physio again, I can maybe grab a word with the surgeon then too. Thanks again for the reply.
James.
Re: Recovery from intra articular distal radius fracture/soft tissue damage
Update: my physio is happy too. Range of wrist motion is continuing to approach normality in all planes, with the only 'real' pain occuring when I rotate the wrist towards the pinky.
What worries us is my grip strength - 30kg left, 5 kg right (right handed). I have a squeezy thing to try and squeeze, should I be doing this all the time? Any other tips to improve my grip strength? It wasn't measured 2 weeks ago when the plaster was removed, but hasn't noticeably improved since then.
Thanks in advance for any replies
James