RehabFAQs

how to rehab my wrist after the cast is removed

by Tyrell Schumm MD Published 2 years ago Updated 1 year ago
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The wrist and arm should be functional for most activity by 8 to 10 weeks after surgery. After about 3 to 6 months, most patients can resume heavier wrist or arm activity and sports. It is important that you start to exercise your arm as soon as your cast is removed.

Part of a video titled BEST Broken wrist exercises after cast removal - YouTube
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Now come forward and pull pull pull forward with those wrist muscles that are your wrist flexors.MoreNow come forward and pull pull pull forward with those wrist muscles that are your wrist flexors. And hold that for a good 10 to 20 seconds. And you'll want to do that.

Full Answer

What happens after cast is removed from broken arm?

The wrist and arm should be functional for most activity by 8 to 10 weeks after surgery. After about 3 to 6 months, most patients can resume heavier wrist or arm activity and sports. It is important that you start to exercise your arm as soon as your cast is removed.

What exercises can I do after cast is removed?

Aug 14, 2020 · Your therapist might fit you for a removable splint once the cast is off to help protect your wrist between exercise sessions.Go to physical therapy as directed: You may need physical therapy after your wrist heals and the cast is removed. A physical therapist can teach you exercises to help improve movement and strength and to decrease pain.

What is the purpose of a cast on a broken wrist?

Sep 19, 2021 · With your average non-complicated wrist fracture, gentle introduction to gripping and range of motion exercises in every direction is exactly what your wrist wants and needs. Below you will find multiple videos to help get your wrist and hand moving again! Gripping With Tennis Ball Sample Wrist [P]Rehab Program Exercise Tendon Glides

When can I start physical therapy for a broken wrist?

Once the cast or other immobilization device is removed, you can expect that the wrist will be stiff. The purpose of a cast is to keep the bones in position while they heal, but a cast also prevents movement, which causes muscles, tendons and ligaments to become tight. Physical therapy is necessary to stretch and loosen the wrist joint. It might take several months to …

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How long does wrist stiffness last after cast removal?

After the cast is removed, it's normal for the wrist to be stiff for 1 to 2 months. For some patients—such as those who are older, have osteoarthritis, or were victims of a high energy break such as from a car accident— this stiffness may last up to 2 years.

How do you get rid of stiffness after cast removal?

After the cast is removed, you may experience pain, swelling, and stiffness of the joint for a few days. Cold packs can be used to help improve circulation and reduce inflammation. You can also use non-steroid anti-inflammatory drugs (NSAIDs), such as ibuprofen, to manage pain and inflammation.

Is wrist pain normal after cast removal?

When the cast is removed most people find that their wrist is stiff, weak and uncomfortable to start with. It may also be prone to swelling and the skin dry or flaky, this is quite normal. It is normal to get some pain after your fracture.

How can I regain my wrist movement?

To start regaining wrist range of motion:Hold your arm out in front of you.Slowly bend your hand and fingers up as if you were signaling for someone to "stop."Hold this hand with your non-injured hand, and gently add pressure by pulling your hand and fingers back.Hold the position for five seconds, and then relax.More items...•Mar 20, 2022

Should I wear a wrist brace after cast removal?

You should have been given a removable splint when your cast was removed. Continue to wear this at night and for protection in busy environments, such as on public transport. It is important to start wrist exercises as soon as the cast is removed.

How do you take care of your hand after cast removal?

After your cast comes off, soak your arm in soap and water to remove dry skin. Place your arm in warm water for about 5-10 minutes. The dry skin should then easily rub off with a towel. This can then be followed by using a moisturizing lotion to help soften the skin.

What to expect after a cast is removed?

After the cast is removed, it is normal for there to be some discomfort in the bones and joints that were immobilized, for the arm or leg to be smaller than the other side, and for the skin to have some changes (dry skin and more hair). A few baths in warm water will soak off the dry, flaky skin.

Is a bone completely healed when a cast comes off?

During this “remodeling”, the body can straighten the fractured bone by laying new bone on the inside edge, and taking away bone on the outside of the angled area. In young children, bones can remodel fairly large angles, healing to appear completely normal within one to two years.

Should I sleep in my splint?

“If you have had a fall or think you may have fractured your hand or wrist, it is OK to wear a brace overnight until you can get to the doctor's office,” says Dr. Delavaux. “But be sure to get it checked out, especially if the pain doesn't get better after a day or two.”Mar 29, 2021

How do you train wrist strength?

Hold a weight with your palms facing down and your wrist hanging over the knee. Move your hand up as far as possible and then down as far as possible in a slow and controlled motion. Do a set of 10, then repeat. Repeat the exercise, but with your palms facing up.

How can I do wrist physio at home?

0:479:14Physio Med - Wrist Stretching and Strengthening Exercises - YouTubeYouTubeStart of suggested clipEnd of suggested clipExtend one arm out with the elbow straight and use the other hand to grasp the opposing hand at theMoreExtend one arm out with the elbow straight and use the other hand to grasp the opposing hand at the side of the thumb. And then bend the wrist downwards to apply the stretch to the area.

How can I make my wrist broad and strong?

Move your hands up and down. Make wrist curl movements with your palms facing you. Make reverse wrist curl movements with your palms facing away from you....Try wrist curls as a good "bread and butter" exercise.Sit at a bench or bicep curl rack. ... Do three sets of 15 reps or until you feel sufficiently fatigued.More items...

How long does it take for a wrist fracture to heal?

Wrist fractures are unfortunately a slow recovery. It can take a really long time, even up to a year, for your wrist to feel back to 100% normal like it did prior to the injury. This is especially true in regards to grip strength, being able to support all of your weight through that wrist and hand, and doing everyday activities using your wrist and hand. The bottom line is you have to be patient, remind yourself of how far you’ve come compared to day 1 of having your cast on. If you continue to have significant limitations and pain with your wrist, it may be in your best interest to seek help from a physical therapist or certified wrist and hand specialist.

How long do you have to be in a cast to get a bone out?

Next thing you know you’re in a cast for 4-6 weeks. Time goes by, you see the doctor and he says the bone is healed, you’re good to go! You get the cast removed, but you realize your wrist and hand look shriveled up and tiny compared to the other side.

What is the most common wrist fracture?

As you can see above, the more common wrist fracture to occur from a FOOSH (Falling Onto An Outstretched Hand) injury is termed a Colle’s Fracture. From the picture above, you can also see that Smith’s Fracture also can occur which results in an inward motion of the wrist, but this is less common than the Colle’s Fracture.

What is a broken wrist?

A broken wrist, also referred to as a wrist fracture, is typically a break in the distal radius bone, which is one of the bones in your forearm on the thumb side. Wrist fractures typically occur from falling due to the natural reaction to try and break the fall by reaching out and landing on the hand. As you can see above, the more common wrist ...

What bone is tender to touch?

Thus if you have a very swollen wrist, a visible deformity of your wrist, and it is tender to touch on the inside of your wrist at the distal radius bone, it is likely in your best interest to seek medical attention and get x-rays to confirm if you have a wrist fracture or not.

Why is my wrist stiff after a cast?

The purpose of a cast is to keep the bones in position while they heal , but a cast also prevents movement, which causes muscles , tendons and ligaments to become tight. Physical therapy is necessary to stretch and loosen ...

How long does it take to heal a broken wrist?

You should expect that full recovery from a fractured wrist will take at least a year, according to the American Academy of Orthopaedic Surgeons. You might continue to have some residual stiffness or ache for two years, especially for high-impact injuries such as a motorcycle crash or if you are over 50 years old. If your injury was severe – multiple fractured bones or bones that were crushed – recovery will take longer. Sometimes even with the best of treatment, your wrist will always be stiff and sore.

What is the term for a wrist fracture?

Carpal Tunnel Syndrome. The radial nerve runs through a band of tissue called the carpal tunnel on the inside of the wrist below the thumb. A wrist fracture can damage the nerve or cause scarring of the carpal tunnel during the healing process. The result is called carpal tunnel syndrome .

What is it called when your radius and ulna move more than 35 percent?

The result is called carpal tunnel syndrome. One study in the October 2008 "Journal of Hand Surgery" reported that if your radius and ulna move more than 35 percent when the wrist fracture occurs, you are more likely to develop carpal tunnel syndrome.

What is a broken wrist?

"Broken wrist" can refer to a fracture of any, some or all of these bones. Complications after a fractured wrist can include continued aching or stiffness, nerve or blood vessel damage, ...

How long does it take for a wrist joint to heal?

Physical therapy is necessary to stretch and loosen the wrist joint. It might take several months to regain full function in the wrist, even with physical therapy.

Who is Beth Greenwood?

Beth Greenwood. Beth Greenwood is an RN and has been a writer since 2010. She specializes in medical and health topics, as well as career articles about health care professions. Greenwood holds an Associate of Science in nursing from Shasta College. View Work. A broken wrist can be treated with a splint or cast.

How to regain wrist range of motion after cast?

To start regaining wrist range of motion: Hold your arm out in front of you. Slowly bend your hand and fingers up as if you were signaling for someone to "stop.".

What happens if you wear a cast on your wrist?

Wrist Range of Motion. After wearing a cast or a splint on your wrist while your Colles' fracture was healing , you may have noticed that the muscles and joints around your wrist feel tight. This is normal, and your first exercises after removal of your cast should be geared towards regaining wrist range of motion.

Why is my wrist weak after a Colles fracture?

After a Colles' fracture, the muscles around your wrist and forearm may be weak due to the injury and the period of time your wrist was immobilized. Your physical therapist may prescribe wrist strengthening exercises with a dumbbell to help improve your strength.

How to strengthen fingers after Colles fracture?

To help improve the strength of your fingers after a Colles' fracture, your physical therapist may prescribe putty exercises to perform. Your PT may give you some putty, or you can buy some Silly Putty, or make your own at home. Squeeze the putty between your thumb and fingers, and then squeeze it between two individual fingers.

How to improve grip after Colles fracture?

Your PT may prescribe specific exercises to help improve your handgrip strength. Exercises to improve hand grip may include: Isometric towel gripping.

What is it called when you fall on your hand?

If you have ever fallen on an outstretched hand, also known as a FOOSH injury, then perhaps you have suffered a Colles' fracture. A Colles' fracture is a fracture of the wrist bones where the bones are displaced. A Colles' fracture typically requires surgery to reduce, and you may have a long period of immobilization in a cast or splint after ...

How to use putty to extend fingers?

Squeeze the putty between your thumb and fingers, and then squeeze it between two individual fingers. You can also roll the putty into a long tube, shape it into a ring, and place the ring around your fingers to work on extending your fingers against resistance. 4.

How long does it take to get a broken wrist removed?

Physical Therapy for Broken Wrist. Physical therapy for a broken wrist usually begins once the cast is removed about six weeks after the fracture has occurred. You might begin while your cast is still on if you have difficulty moving your fingers.

How long does it take for a wrist fracture to heal?

It may take as long as a year to fully recover from a wrist fracture.

Why is wrist therapy important?

Benefits of Therapy. Wrist exercises are used to restore muscle strength, mobility and function lost after the injury. Therapy cannot heal the initial fracture, but repeated load-bearing activities can work to build stronger, denser bones. This is an important factor in preventing future injuries.

What is a broken wrist?

A broken wrist is a major inconvenience. This joint is the location at which the two forearm bones — the ulna and radius — make contact with the various carpal bones of the hand. A break or fracture is caused by a large fall or excessive force against the bone. It is most common in the wrist end of the radius and occurs less often in ...

What is wrist deviation?

The wrist also has a limited movement side to side, which is known as a wrist deviation. A third movement, the supination/pronation, involves flipping the forearm up and down. Other exercises include extending your fingers, squeezing a tennis ball/hand grip or a prayer stretch.

How long does it take to recover from a wrist fracture?

It may take as long as a year to fully recover from a wrist fracture. However, the precise duration of the therapy depends on the extent of the injury, the kind of treatment received and your body's response to the treatment. Advertisement.

What is the exercise called when you bend your wrist?

The wrist joint operates like a hinge, and the most common wrist physical therapy exercise, known as an extension/flexion, involves bending the wrist up and down on that hinge. As healing develops, you can perform this exercise with a weight in hand to further strengthen the muscles. The wrist also has a limited movement side to side, which is known as a wrist deviation.

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