Stiffness in the wrist. “Based on the distribution of data, the cutoff seemed to be that when the tip-to-palm distance was greater than 1 cm for all the fingers, that was our subset of patients. 2. Symptoms such as chronic pain, aching and stiffness, however, can last for several months after solid healing has been achieved. I went to PT just like I was supposed to and got a better range of motion in my wrist than my orthopedic surgeon had anticipated, but now my finger joints in my right hand (right wrist was broken) have been slowly stiffening up, one by one. Like the small bone that is on top of my good wrist is rolled to the side of the fractured one. 2. Lee’s group reviewed 352 patients with distal radius fractures. As soon as any splint is taken off it is important to start using your hand/finger … After getting the cast off, and having gone through 20 visits of physicial therpy, I have ended up having my fingers getting stiff. It may result from an impact to the back of the wrist, such as falling on a bent … There can be several reasons why you need a cast or splint on your wrist- a fractured (broken) wrist, a sprain or strained ligament, a wound or laceration, nerve injury, and so on. You may find that your fingers and elbow joint feel stiff too. Patients may still be advised to wear a soft wrist splint at night for 1 to 2 weeks after the cast is removed to stabilize the wrist and help patients … In:Manual Examination and treatment of the Spine and Extremeties. Healio.com, Lee SK, Paksima N, Lekic N, et al. One more thing...are you really doing the home rehab program of exercises that your PT has suggested? Post Fracture or Post Immobilization; Joint Contracture (Stiffness) after Sling or Cast Removal. In our study 16 patients had hand stiffness, we eliminated this problem with rehabilitation. Affected joints may get swollen, especially after extended activity. A fractured wrist typically takes about eight weeks to heal; this will vary among patients and be dependent upon other factors including bone quality and fracture severity. The mechanism for development of finger stiffness following distal radius fracture is not well understood and has been theoretically ascribed to over distraction of the carpus, hand position during immobilization, initial or surgical insult to the tendons crossing the wrist at the fracture site, development of a complex regional pain syndrome, or a combination thereof. For some patients—such as those who are older, have osteoarthritis, or were victims of a high energy break such as from a car accident— this stiffness may last up to 2 years. If you don’t do your share of the rehab, you will not get well. Make a tight fist. Avascular necrosis. After the cast is removed, it’s normal for the wrist to be stiff for 1 to 2 months. 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