Doctor insights on:
Broken Hand In A Cast
Supposing you already had a broken hand in a cast & you fell very hard on that hand, could you get a broken wrist too?
Fracture: Varies depending on severity of fracture, displacement, age of patient, smoking status, etc. In general, most fractures that are minimally displaced will heal in 6-8 wks. Most displaced fractures can take longer and may not heal at all. Surgery may be needed to approximate the ends of the bone if widely separated. ...Read more
Suprisingly a cast:
Is often lighter than you think, less than a pound often. But it is inconvenient at times, weight that you may not be sued to holding all the time and often the part that the cast is on is not being utilized normally. Gentle elevation while sleeping woth apilow on the chest often hels swelling which can also make th hand feel "heavy"
slings are ok but be careful that a sling is not overused. ...Read more
I have had a broken hand taken out of a cast and put in a splint how long till I can do heavy lifting again?
Certainly could be: Depending on the nature and location of the fracture or sprain, either one or both could be present and treated without a cast. For example, fractures of the metacarpal bones can be treated with screws; this allows return of motion without splinting in as little as 48 hours. ...Read more
Broken hand at 16, now 23, 2 pins and a cast used, removed pins and cast when "healing" was finished. Bones shift on a daily basis, advice plz?
Perhaps you are: Referring to a joint that is subluxing and slding in and out of place. A commin scenario could involve the cmc joints where the metacarpals meet the wrist but it is very hard to honein on a problem with nonspecific inforamtion. Perhaps an evaluation by a hand surgeon for a problem such as this is indicated as surgery and injury is part of the past history. ...Read more
Depends: Depending on the severity and location of the fracture, you would be placed either in a cast or a splint. If the fracture involves multiple fragments of bone or extends into a joint or the fragments have separated significantly, you need surgery to fix the bones with screws and plates. ...Read more
No: Casts are designed to immobilize fractures and thereby lessen the pain. You will continue to have some pain at the fracture site but pain elsewhere or increasing pain should be brought to the attention of the surgeon. One common resaon for increasing pain is swelling because the hand is not elevated enough. ...Read more
A cast saw: Is an oscillating device that vibrates, It does not spin. It will cut into a hard cast but not into soft padding or skin or tissue if it is not dragged across. In other word used properly. I typically show the patient how the cast sits on my skin before I remove a cat to reassure them. Remember it does not spin it merely oscialltes or vibrates that is why is won't cut soft things ...Read more
Yes: It takes a few days after fracture for swelling to start to decrease. The pain from a fracture gradually diminishes as the fracture begins to heal and become stable. Until then ther may be some pain at the fracture due to the normal muscle paul on the fracture fragments. If the pain is unchanged for a couple of weeks, see your doctor. ...Read more
Old cast: I would throw it away unless you have some famous signatures on it. You can pull out all the old stinky padding if you want to keep it. ...Read more
Not effective: Over the counter splints give rise to some support and protection and work well for overuse and soft tissue inflammatory injuries. However a fracture requires reduction, either open or closed, and then a well molded cast applied by the treating physician. Casts are fabricated specifically for the injury or fracture being treated. ...Read more
I fractured my hand about 3 weeks ago and got a hand cast last week, am I supposed to be feeling pain now? Because it began to hurt today.
See doctor: There will be some discomfort as healing takes place. But if you are following the instructions you were given and the pain is increasing then call the doctor and get it checked. ...Read more
Oil of wintergreen: We use this in foul smelling cases on our masks. Usaually we just change the cast in the office. Some of my patients live 3 hours away and this might help rather than drive 6 hours round trip to get a cast change. This could also be an indicator of infection if there is a would so talk with your doctor. ...Read more
Bruising can take weeks to months to resolve depending upon the density of the bruising.
A bruise is blood under the skin or tissues. As it is absorbed by the body and as the blood breaks down into components, the col0r of the brusie slowly changes. For fractures, bruising can be intense and track far away form the injury site. ...Read more
Not necessarily: It depend what fracture you have and were the fracture located, some require hand cast some are not. ...Read more
Broken hand: First get a specific diagnosis, i.e. Fracture of the ___________. Then find out how it needs to be treated, ioe a cast, splint, surgery, pins, plates scows, or can it just be observed? X-rays help woth diagnosis and to make treatment decisions. Don't wait as often what happens in the first few weeks make s a huge diffenrece in how long it takes to feel better and what the options are for treating. ...Read more
Depends on fracture: Depends on fracture. Treatment can be anywhere from taping; to closed reduction and putting in a splint; to surgery with internal fixation. The treatment options should be discussed with your surgeon. And fyi, there are orthopedic surgeons who just do hand surgery if you are looking for an appropriate physician for consultation and treatment. ...Read more
Movies are wrong:
Hands can not stand up to punching things, unprotected!
pain, swelling, bruising, new angles. Get to your doc. These are your most valuable tools in your tool box. Waiting worsens outcome. ...Read more
Difficult question: To answer without knowing more about your fracture, as in how old, in a cast, exactly what type/severity of fracture. In general, you should be able to utilize an exercise/stationary bicycle (more so a recumbent rather than an upright). If you are looking for input about how much upper extremity function you have, review this with the surgeon. ...Read more
Xray: A history, physical exam, and xray could help determine if you have a broken hand. Typically after an injury you may experience significant pain to the broken region, swelling, and inability to move that part of the body. Xray's have been the best diagnostic tool to confirm a fracture (usually 2-3 views), however there are other modalities. ...Read more