Physical therapy can help in the recovery of wrist fractures in several ways:
1. RICE
The use of Rest, Ice packs application, Compression and Elevation (RICE) is universally applicable after injuries to reduce the extent of injury and facilitate healing.
2. Therapeutic exercises
Muscles tend to lose tone, strength, and mass due to a period of inactivity. Stretching and range of motion exercises can minimize the phenomenon of 'muscle atrophy'.
3. Massage therapy and Mobilizations
Manual therapy from a skilled physical therapy on the joint or on the surgical scar site is very helpful. This helps reduce pain, decrease swelling and improve blood flow to the area to improve healing.
4. Electrical stimulation
Used to improve muscle tone and strength, it can involve application of a tiny electric current on muscle fibers to stimulate muscle contraction.
5. Balance therapy
If a Colles' fracture has occurred in an elderly patient due to loss of balance, then treatment is aimed at improving core strength and balance. At times, aids like a walking stick or Zimmer frame may also be provided.
Given the importance of the wrist in daily activities, the objective of physical therapy is to help regain full motion of the affected wrist. However, physical therapy can also help reduce swelling, controlling pain, improving strength, improving balance and regaining independence, especially in older patients. Physical therapy helps the healing process. Recovery from Colles' fractures can be hampered by unnecessary and extreme motion after removal of the cast. This can be minimized or avoided under the supervision of a licensed physical therapist.