Pain reliever, such as acetaminophen, ibuprofen etc
Note: Medication should not be taken without the doctor's prescription.
A stable fracture may require 3 to 4 weeks in a cast. Whereas severe fractures may require immobilization for 6 to 10 weeks.
After the removal of the cast, the wrist and elbow joints may be stiff for 2 to 3 weeks. Physiotherapy is recommended after the cast removal.
Cryotherapy is used to help reduce pain and swelling.
Electrical stimulation (TENS)
Electrical stimulation (TENS) may also be used to help improve muscle and strength.
Ultrasound helps to reduce the scar adhesion thus improving mobility.
After a surgical intervention scar massage and mobilization can help reduce adhesions. Massage helps to improve mobility around the scar.
Range of motion exercises
Range of motion exercises help to regain full motion of the elbow, wrist and rotation of the forearm. Early range of motion exercises are started from distal to proximal. Particular focus should be placed on the fractured area and the joints around it. Exercises like simple flexion, extension, supination, pronation exercises can be done with the help of wall pulleys, shoulder wheels, finger ladder etc.
Proprioception is the ability to know where the body is, with eyes closed. Due to immobility proprioception decreases. To enhance the sense of proprioception exercises like pushups, rolling a ball on a surface with hand, holding up weight overhead while moving the shoulder all the exercises can be done as a training.
Initially, physiotherapy may help to improve the strength of the unaffected limbs, to prevent the stiffness in joints around the fractured area. Shoulder wheel with resistance, weight cuffs, dumbells, resistance bands, resistance tubes, and other types of equipment may be used to improve strength and mobility of the muscles and joints and around the fractured area. Initially
Exercises are done to retrain the joint and muscles that the bone can tolerate the loads and stresses while doing everyday functions. Physiotherapy can help to return to optimum function depending on the severity of the injury.
These are advanced exercises such as doing quick movements, throwing a ball, catching, lifting, etc., and progressively increased resistance exercises are done to increase the overall functional mobility.