Distal Radius Fracture Treatment in NYC - Manhattan PT

If you're facing the discomfort and difficulties of a distal radius fracture, know that help is within reach. At Manhattan Physical Therapy, our expert team is ready to provide specialized advice and effective treatments to alleviate your pain and restore your strength. We offer advanced, personalized services designed to meet your unique needs and support your recovery. Schedule an appointment with us at (680)-208-3884 to begin your journey toward healing from a distal radius fracture.

Let us help you return to the activities you enjoy. Whether you or someone you know is ready to start the recovery process, we're here to provide the necessary care.

What is a Distal Radius Fracture?

The radius is one of the two bones in the forearm, situated on the thumb side. The section of the radius that connects to the wrist joint is known as the distal radius. When this part of the radius breaks near the wrist, it is referred to as a distal radius fracture.

This type of fracture typically occurs due to a fall onto an outstretched or flexed hand. It can also result from car accidents, bike accidents, skiing accidents, or other sports-related activities.

A distal radius fracture may occur alone or in conjunction with a fracture of the distal ulna (the forearm bone on the pinky side). When both bones are fractured, the injury is called a distal radius and ulna fracture.

Causes of Distal Radius Fractures

A distal radius fracture occurs when the radius bone in the forearm breaks near the wrist. This type of fracture is common and can result from various causes:

1. Falls: The most common cause is falling onto an outstretched hand. The impact and weight of the body cause the radius to fracture. This often occurs during activities such as walking on uneven surfaces or slipping on ice.

2. Sports Injuries: High-impact sports such as football, basketball, and skiing can lead to wrist fractures. Sports that involve a high risk of falls or direct blows to the wrist are particularly likely to result in this type of injury.

3. Traumatic Incidents: Car accidents or other high-energy traumas can cause severe wrist fractures. These incidents can result in multiple fractures and significant displacement of the bone.

4. Osteoporosis: Individuals with weakened bones are more susceptible to fractures from minor falls or injuries. Osteoporosis, which reduces bone density and strength, increases the risk of fractures in older adults, particularly women.

Symptoms of Distal Radius Fractures

Recognizing the symptoms of a distal radius fracture is crucial for seeking timely medical attention. Common symptoms include:

1. Severe Pain: Intense pain in the wrist and forearm, especially when moving or applying pressure. The pain may be sharp and immediately following the injury.

2. Swelling: Noticeable swelling around the wrist area. Swelling can increase rapidly after the injury and may make the wrist appear larger than usual.

3. Bruising: Discoloration and bruising around the wrist. Bruising may spread to the hand and forearm, indicating bleeding under the skin.

4. Deformity: A visible deformity or abnormal bend in the wrist. The wrist may appear crooked or bent at an unusual angle.

5. Limited Mobility: Difficulty or inability to move the wrist and fingers. Stiffness and reduced range of motion are common, making it hard to perform daily activities.

6. Numbness: Tingling or numbness in the hand or fingers, indicating nerve involvement. This can result from swelling or bone fragments pressing on nerves.

Diagnosis

Accurate diagnosis is essential to determine the extent of the fracture and plan appropriate treatment. At our clinic, a thorough diagnostic process includes:

• Physical Examination: A detailed assessment of the wrist, hand, and forearm to check for tenderness, swelling, deformity, and range of motion. The examination helps identify any potential complications and guides the need for further imaging.

• X-rays: X-ray imaging is the primary tool for visualizing the fracture, determining its location, and assessing the alignment of the broken bones. X-rays are typically taken from multiple angles to get a complete view of the fracture.

• CT scans: In complex cases, a computed tomography (CT) scan may be used to provide a more detailed view of the fracture and surrounding structures. CT scans can help evaluate the extent of the fracture and plan surgical interventions if necessary.

• MRI: Magnetic resonance imaging (MRI) can be employed to evaluate soft tissue injuries, such as ligament or tendon damage, associated with the fracture. MRI is particularly useful for detecting injuries that may not be visible on X-rays or CT scans.

Treatment Options at Manhattan Physical Therapy

Our clinic offers a comprehensive approach to treating distal radius fractures, focusing on personalized care and rehabilitation. Treatment plans are tailored to the individual’s specific needs, ensuring optimal recovery and functionality.

Non-Surgical Treatment

For stable fractures or those with minimal displacement, non-surgical treatment options include:

1. Casting: Immobilization with a cast or splint is often the first line of treatment for stable fractures. The cast helps maintain bone alignment and allows for healing by providing a stable environment for the bone to mend.

2. Bracing: A removable brace may be used for less severe fractures, providing support while allowing for some mobility. Bracing can be particularly useful in the later stages of healing to transition from immobilization to more movement.

3. Physical Therapy: Early intervention with physical therapy is crucial for restoring strength, flexibility, and range of motion. Therapists at Manhattan Physical Therapy employ various techniques, including exercises, manual therapy, and modalities to enhance healing and function. Physical therapy may also include education on protective techniques and the use of adaptive devices to reduce stress on the healing bone.

Surgical Treatment

In cases where the fracture is unstable, displaced, or involves joint surfaces, surgical intervention may be necessary. Surgical options include:

1. Open Reduction and Internal Fixation (ORIF): This procedure involves repositioning the broken bones and securing them with metal plates, screws, or pins to ensure proper alignment and stability. ORIF is often used for complex fractures to restore the normal anatomy of the wrist and allow for early motion.

2. External Fixation: An external fixator is a metal frame that stabilizes the fracture from outside the body, used in cases of severe soft tissue damage or multiple fractures. This method allows for minimal disruption of the fracture site and can be adjusted externally to maintain alignment during healing.

Post-Surgical Rehabilitation

Post-surgical rehabilitation is essential for restoring function and preventing complications. It starts with early mobilization through gentle exercises to improve the range of motion and prevent stiffness. Progressive strengthening exercises rebuild wrist, forearm, and hand strength, preparing them for daily activities. Functional training includes task-specific exercises to enhance daily living skills and ensure a smooth transition back to normal life. Pain management techniques, such as cold therapy, ultrasound, and electrical stimulation, are used to manage pain and inflammation, ensuring patient comfort and promoting active participation in the rehabilitation process.

Advanced Therapeutic Modalities

In addition to standard treatments, Manhattan Physical Therapy utilizes advanced therapeutic modalities to enhance recovery:

• Ultrasound Therapy: Helps reduce pain and inflammation by promoting tissue healing through deep heat.

• Electrical Stimulation: Helps improve muscle strength, reduce pain, and enhance circulation in the affected area.

• Manual Therapy: Hands-on techniques including massage, mobilization, and manipulation to improve joint function and reduce pain.

Conclusion

Distal radius fractures can significantly impact daily activities and quality of life. Manhattan Physical Therapy offers comprehensive, personalized treatment plans to ensure optimal recovery. From accurate diagnosis to advanced rehabilitation techniques, their dedicated team provides exceptional care for patients with distal radius fractures. By choosing our clinic, patients can expect a holistic approach to treatment, focusing on restoring function, reducing pain, and enhancing overall well-being. For expert care and support, schedule an appointment at (680)-208-3884 and start your journey toward recovery today.