Doctor insights on:
Broken Wrist Complications After Cast Removal And Physical Therapy
Pain and swelling: Associated with a bone spur, or a arthritic joint may feel better with conservative methods such as Pt, ot, nsiads, ice for overuse, warmth for stiffness, splints for excessive force causing pain etc, but of course no one of these methods will alter the bone or joint. Much of the "treatment: for joint arthritis, bone spurs etc is palliative and we treat symptoms "help" comes w symptom reduction ...Read more
How does physical therapy help " some thinning of the central tfcc" as described by an mri? Would the wrist not be as strong as it's weakest link.
Stabilize: Based on the limited info available, pt can strengthen the hand, wrist and forearm muscles, thus "unloading" some of the stress on the cartilaginous and ligamentous structures around the wrist. The tfcc is a cartilage structure at the end of the ulna. Those MRI findings may not necessarily explain the cause of your symptoms. ...Read more
During/after physical therapy for my wrist my pinky/ring finger started shaking. What could be the reason?
The ulnar nerve: Passes through a tight canal at the wrist. Movement of the wrist, particularly an injured wrist can result in inflammation around the ulnar nerve causing some compression, or the nerve itself can become irritated or inflamed. Irritation or inflammation of the ulnar nerve or surrounding tissues at the wrist or elbow can result in numbness, tingly, and/or trembling of the pinky finger. ...Read more
Rsi to wrist over past 10 months, last 5 months no injury, been doing physical therapy for last 2. However pain during hyperextension sometime, is it time for arthroscopy? Or give more time for therap
Wrist pain: X-ray and an MRI / mr arthrogram of the wrist should have been performed for wrist pain lasting 5-10 months. Musculoskeletal ultrasound can also provide valuable information. An underlying cartilaginous tear or tendon disruption may be present. Arthroscopic surgery may help determine and treat the cause at the same time. Depending on the cause, prp & prolotherapy may be helpful. ...Read more
Wrist pain from soccer for 2 years, 1st doctor say physical therapy, 1 year later 2nd doctor say nothing wrong after x-ray, still feel pain, solution?
Xrays show bones: If someone has wrist pain for several years and the cause isn't clear it would be a good idea to be seen by a hand specialist. Xrays only show bones and it is possible that there is a problem with a tendon or a ligament that is being missed because it wouldn't show on an xray. ...Read more
I have spinal stenosis, balance problems and need a cane to walk? I have fallen twice, once I broke my wrist. I am now going for physical therapy (3 times) and see no results so far. Could I go for laproscopic surgergy?
Depends: Balance problems from cervical stenosis should be adressessed by a spine surgeon before other elective procedures not as impt if lumbar stenosis depends on where the stenosis is, two falls from balance problems from lumbar stenosis dosent sound right maybe your falls are from a foot drop? If your balance issues are from cervical stenosis therapy won't help. ...Read more
I have had constant pain in my left bicep primarily, but sometimes shooting pain down to my wrist, sometimes in my shoulder. This has been going on 3 months. I have seen doctors, had xrays (no mri), am in physical therapy. No pain medication has brought
Evaluate Neck: If you are not improving have your doctor order a cervical spine mri. Many times a herniated disc in the neck can cause arm pain especially if you have not improved with the medications and physical therapy. If it is a herniated disc you may need evaluation from a spine specialist to determine what other options might be needed (injections, surgery, etc) to help reduce pain. ...Read more
I had arthroscopic rotator cuff repair four weeks ago today. I am still in a sling and have not yet begun physical therapy. I have significant nerve pain in my wrist and forearm area when the arm is extended (when bent the pain is not apparent) to inclu
Comments: You may be getting some stiffness at the joints due to lack of use, secondary to the sling. Once you commence range of motion with physical therapy, this should start to resolve. Do contact your orthopedic surgeon, and let know of your symptoms. Doubt you have true "nerve" issues, but if concerns persist, an EMG test could clarify. ...Read more
Stiffness, pain, etc: Post-operative hand therapy is a very helpful adjunct to surgery. Hand therapists can address stiffness, sensory re-education, desensitization, strength training, wound care and many more post-operative issues. Your hand surgeon would typically decide if you are a good candidate for hand therapy. ...Read more
Hand exercises: Some basic hand exercises include squeezing an old tennis ball or racquet ball; and opening the hand with a rubber band (or similar item) around the tips of the fingers (opposite motion of squeezing.) another way to perform these exercises is to put your hands inside a sandbox, then opening and closing the hands and fingers inside the sand. See your doctor or hand therapist for specific exercises. ...Read more
I have trigger finger of the middle finger of my right hand. this is my dominant hand. Is physical therapy a worthy treatment option & if yes, how?
Sometimes: Hand therapy can sometimes be helpful although personally I have found that a cortisone shot works better and faster. Sometimes when these keep coming back they need to be operated on. Trigger fingers are caused by thickened nodules in tendons that flex the fingers. The nodule gets caught under a structure in the hand called a pulley and this is what cause the triggering. ...Read more
I need physical therapy for my hand and knees. My doctor had to send P.T. scripts for both my hand and knees to the PT clinic. What are PT scripts? Are they treatment plans (length of the treatment [number of weeks], how many times a week)?
Prescription: These are physical therapy prescriptions. They direct a patient to physical therapy, listing the diagnosis, recommended therapeutic treatments (stretching, strengthening, modalities such as ice, heat, ultrasound), the suggested number of treatments per week and duration of treatment; i.e. 2 times/week for 4 weeks. With some plans, the prescriptions are required for insurance to cover the visits. ...Read more
I get sharp pains in my forearms when releasing grip from steering wheel or lifting hand after it has rested on a suface I have been having these for 6 months have had physical therapy xrays MRI and CT scan show nothing what can be causing this?
Have a fiberglass cast on for bad synovitis in wrist. Comes off 10 days before 5 hr flight. Any complication to flying after cast removal?
Fly away without worry! Enjoy and hope you are feeling better!
Hope this is helpful
Dr Z ...Read more
What could have ocurred if the physiotherapy treatment for a fracture is over but now healed hand is delayed.?
Hand physio: If it's your dominant hand, you could be unhappy and faced with long term or progressive restricted hand and finger movement, strength, and coordination. ...Read more
A lot: 1st u notice u have grown dark hair under ur cast, goes away. 2nd skinny upper & lower arm. 3rd= stiff@ sore. This is true for all casted joints. There will b a need 4 pt & this rx depends on the complexity of ur fx & if surgery was done. Fx elbow implies intraarticular so u will need lots of pt& hard work. U will need a protective splint 2 wear 4 a while. ...Read more
Thumb/wrist frozen solid after cast removal 2 weeks ago for broken thumb (first metacarpal at the base).Thumb is still swollen/sensitive. What's wrong?
Not for the fracture: Physical therapy after pelvic fracture will help with walking, transferring, and activities of daily living (adls) however it will not help with the healing of the fracture itself. Make sure you get up and walk around everyday to prevent clots in the legs and lungs. ...Read more
I suffered to avm stroke a year back, still I dint regain my left wrist and finger movements. I hav been to continuos physio therapy from the day one.
Not lily to return: What motor function does not return in 1st yr not likely to return. ...Read more
I would like to know everything about casts and broken wrists. How long do you have a cast on for a broken wrist?
Broken wrist: Is a very big term. It can mean a hairline fracture in a bone tha heals fast or a displaced fracture in a bone that has bad blood supply. Simple nondisplaced fractures are casted for 3-4 weeks often but complex fractures in some bones of the wrist (that don't have surgery) can be casted for 9-12 weeks. The inure, the ;ovation, the pattern, health factors, smoking, all play a role in time to "heal". ...Read more
I have a broken wrist with a cast on my arm. I want to cut the cast off after 5 weeks & not go back?
Is your choice: I would listen to ortho doctor's recommendation. Most fractures heal in 5-6 weeks anyway. Yu are almost there. ...Read more
It's a good idea: Not absolutely necessary.Get a more detailed answer ›
There are many: Variations depending upon the degree and severity of the fracture but a good ballpark figure is 8 weeks to heal but I always tell people that a fractured wrist functionally is a 3 to 4 month process of healing therapy and strengthening. ...Read more
Fractured wrist: Can be a hairline injury that nay only need a splint to a more complex injury. How do you know. Well short if completing a residency in orthopedic surgery or a fellowship in hand or a related field. ... You won't. ... But swelling is a sign if an injury the presence or absence of it does not affect typical decisions to cast or not unless u are talking about delaying a cast for it. ...Read more
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