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Advice needed- Orthopedics Surgeon
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[quote]Assallamu Alaykum brother I am not an orthopedic surgeon but a general practitioner. If you get a better professional adv,then pleae ignore my comments. You have been in an accident and have a wrist fracture. Whilst I can give general comments,each case can have specific circumstances, so some aspects of such a case are best answered by the doctor who is treating you face to face, as he/she knows the exact state of affairs. In general, fractures involving upper arm take approx 6 weeks to heal. So you will have POP off in six weeks and possibly a repeat x-ray. If the healing is satisfactory, you will resume light exercises and then gradually build up to going back to Gym. You may observe that there may be some thinning of the size of your forearm due to muscle wasting and the strength in your rt upper limb may be reduced.This is due to lack of activity of muscles for six weeks on that side, thus gradually increase your exercises as recommended by your surgeon and physio. Do not go back full time to the gym the day after POP comes off. I am not fully aware of the other injuries you sustained in the accident, If a shoulder brace or support has been given,then you may have had an injury in that area also. In my opinion if that is recommended to you then there must be a reason and I would adhere to that. You normally get some swelling in the fingers distal to the POP.the reasons are that after an injury some degree of swelling does take place.This is taken into account when the POP is put on. However you are given an advice sheet or told verbally that if there is discomfort or change in colour distal to the POP then it should be reviewed immediately to ensure that the POP is not too tight and affecting circulation. This is a clinical judgement rather than something I can reassure you on an e-mail. These symptoms, if they are going to be present should be there, in the first few hours or a day of having the POP. You have mentioned that the POP has been there for two weeks so it is unlikely to be that. One other reason for the swelling is that there is some stasis or slowing of circulation in the part distal to the POP.sometimes the POP edge rubs against the hand and wrist and causes discomfort. In summary! in such situations one face to face glance lasting a couple of minutes by a professional can reassure you much more than 5 pages of e-mail. I hope that helps kind regards Waseem[/quote]
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