Stiff fingers and wrist after distal radius surgery

Posted by ElaineG @elaineg1, Mar 4, 2018

I had 2 surgeries on a crushed wrist, the bone slipped and had to be redone. I’m 66 and have had no experience with this issue. I am in physical therapy but my fingers won’t bend and wrist won’t bend up or down.

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Sue, there is a plastic screw inserted to hold the bone parts together. What troubles me is that he did not suggest a splint and then later on, he got upset that I was not wearing one, and he wanted me to get a splint 2 months after the surgery. My husband said he thought that was too late to get one. What do you think? The pain still requires I take a pain pill once a day and I just try to be distracted other than that one pill. If three months is not too long, I can endure it, but I just don't know if it is normal. Should I just go ahead and get one of those plastic "finger cots" (they used to call them) at this late date? Thank you for helping us patients.

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@maryflorida

Sue, there is a plastic screw inserted to hold the bone parts together. What troubles me is that he did not suggest a splint and then later on, he got upset that I was not wearing one, and he wanted me to get a splint 2 months after the surgery. My husband said he thought that was too late to get one. What do you think? The pain still requires I take a pain pill once a day and I just try to be distracted other than that one pill. If three months is not too long, I can endure it, but I just don't know if it is normal. Should I just go ahead and get one of those plastic "finger cots" (they used to call them) at this late date? Thank you for helping us patients.

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Hi Mary - "foreign matter" (the plastic screw) in your hand is probably part of the pain cause - has the doctor said whether it can be removed after healing?
As for the splint issue - I always defer to the hand therapist - not the doctor, Connect, my spouse, or anyone else. As the expert who picks up where the doctor is done, they can best tell you whether a splint will help now. And I would definitely have one custom made if recommended. In my experience, plastic finger cots are usually not adequate.
Do you have a hand therapist you can consult with, even by telephone?
Sue

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No, he does not plan to remove it... He said I don't need physical therapy either. My PCP is sending me to another hand surgeon for a second opinion, and I'll bring up the suggestions you wrote. But it will take another week or two for me to get an appointment. I really appreciate your help; no one whom I have discussed this with knows what to follow up with, but the next doctor might be more inclined toward one of your suggestions. Thank you again!

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@maryflorida

No, he does not plan to remove it... He said I don't need physical therapy either. My PCP is sending me to another hand surgeon for a second opinion, and I'll bring up the suggestions you wrote. But it will take another week or two for me to get an appointment. I really appreciate your help; no one whom I have discussed this with knows what to follow up with, but the next doctor might be more inclined toward one of your suggestions. Thank you again!

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Sorry to disagree with your hand surgeon, but a hand therapist or a physical therapist is almost always the answer to difficulties after orthopedic surgery.

I repeat myself, but a surgeon sees "success" if the limb is fixed, the wound heals, the diseased organ is gone, and you don't have an infection.

A therapist or a physiatrist sees success when you can "live your best life" after the surgery. Fortunately, both my ortho and hand surgeons agree with this!
Sue

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@sueinmn

Sorry to disagree with your hand surgeon, but a hand therapist or a physical therapist is almost always the answer to difficulties after orthopedic surgery.

I repeat myself, but a surgeon sees "success" if the limb is fixed, the wound heals, the diseased organ is gone, and you don't have an infection.

A therapist or a physiatrist sees success when you can "live your best life" after the surgery. Fortunately, both my ortho and hand surgeons agree with this!
Sue

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Sue, did you have a similar surgery? You seem to be very knowledgeable. We are going to be gone for a few days so if you answer, I may not see it promptly. Thank you for being our mentor.

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It's been four months since I broke my wrist and had surgery and had a plate put in I have been in therapy for 3 months and still can hardly move my fingers they are very tight and still swollen I am so discouraged

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@quickie

It's been four months since I broke my wrist and had surgery and had a plate put in I have been in therapy for 3 months and still can hardly move my fingers they are very tight and still swollen I am so discouraged

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Have you been seeing a hand therapist who specializes in treating traumatic injuries? This is a really important distinction - Hand Therapy is a highly specialized subset of Occupational Therapy, and these professionals know how to help in your recovery. BUT...it can be a long road. My daughter is over 2 years out from a traumatic wrist injury, and is still receiving bi-weekly therapy.
Are you working with a hand terapist?
Sue

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@sueinmn

Have you been seeing a hand therapist who specializes in treating traumatic injuries? This is a really important distinction - Hand Therapy is a highly specialized subset of Occupational Therapy, and these professionals know how to help in your recovery. BUT...it can be a long road. My daughter is over 2 years out from a traumatic wrist injury, and is still receiving bi-weekly therapy.
Are you working with a hand terapist?
Sue

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I am just going for regular therapy thats all my Dr ordered

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