Wrist surgery can effectively treat various conditions, from fractures to nerve compression, and restore proper function. The success of the procedure relies significantly on the patient’s adherence to post-operative instructions. Understanding and avoiding certain actions are crucial for a smooth recovery, preventing complications, and ensuring the best possible outcome.
Immediate Post-Operative Precautions
Immediately following wrist surgery, careful management is important to protect healing tissues. Keep the surgical site clean and dry. Do not get the cast or dressing wet; when showering, cover the arm with a plastic bag secured with tape to prevent water exposure. Do not remove or tamper with the dressing or cast, as this increases the risk of infection and can displace healing bone.
Avoid direct pressure or weight on the operated wrist. Do not lift anything, even light objects, with the operated hand; some recommendations suggest avoiding lifting more than half a pound to one pound in the initial weeks. Limiting twisting or bending movements of the wrist is important, as excessive motion can disrupt the delicate healing process and increase discomfort. While some pain is expected, do not ignore severe or worsening pain. Adhere strictly to prescribed pain management plans and avoid over-medicating without guidance.
Activities to Postpone During Recovery
As healing progresses, postpone certain activities to prevent re-injury and support rehabilitation. Do not drive until cleared by a doctor, as impaired reaction times and operating a vehicle with a healing wrist can be unsafe and may invalidate insurance. Driving clearance often depends on the type of surgery and adequate pain control, sometimes taking 4 to 8 weeks.
Participation in contact sports or activities with a high risk of falls should be avoided, as these can easily lead to re-fracture or damage to repaired structures. Do not perform heavy lifting or strenuous activities like gardening or home repairs that place significant strain on the wrist. Returning to work or hobbies involving repetitive wrist movements, such as typing or using tools, should only occur with medical clearance to prevent overuse injuries as the wrist regains strength. Do not push through pain during physical therapy or daily activities, as pain signals overstress.
Warning Signs to Never Ignore
During recovery, be vigilant for warning signs that may indicate complications and require immediate medical attention. Do not ignore severe or worsening pain not managed by prescribed medication, as this could signal an underlying issue. Signs of infection, such as fever (especially over 101°F or 38.3°C), increasing redness, warmth, excessive swelling, or pus or foul odor from the incision site, require urgent contact with your surgeon.
Do not ignore numbness, tingling, or weakness in the fingers or hand, as these symptoms could indicate potential nerve damage or compression. Excessive swelling or discoloration in the hand or fingers, particularly if it worsens or is accompanied by severe pain, warrants prompt evaluation. Delaying care for these symptoms can lead to significant complications.
Behaviors That Can Impede Healing
Beyond specific activities or immediate medical concerns, certain behaviors can hinder healing. Do not skip physical therapy appointments or fail to consistently perform prescribed exercises, as rehabilitation is important for restoring range of motion, strength, and function to the wrist. Do not overdo exercises, which can lead to re-injury. Smoking is discouraged, as nicotine constricts blood vessels, impairing blood flow and delaying bone and tissue healing after surgery.
Neglecting proper nutrition and hydration can impede recovery, as the body requires adequate nutrients to repair damaged tissues. Do not self-diagnose or self-treat any new symptoms; always consult with your medical team for guidance. Do not prematurely remove splints or braces, or fail to wear them as instructed, as these devices provide important stabilization and protection for the healing wrist. Rushing recovery or expecting instant results can lead to setbacks. Patience and adherence to the full recovery plan are important.