Wrist Hand Injury Day 1 Exercises Hand & Wrist Occupational, Physical Therapy
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- čas přidán 10. 07. 2024
- www.labordetherapy.com/
LaBorde Occupational and Physical Therapy Center
2727 Kaliste Saloom Road, Lafayette LA.
#1 of 4 Video Series watched by patients on their first 4 visits to Therapy for a wrist or hand injury, (helpful for wrist, forearm, hand fracture, sprain, strain, ligament tear, tendonitis) Series Includes hand & wrist exercise, management of edema, posture and sleeping position to assist in healing by Claudia Barfield LaBorde is a Certified Hand Therapist and specialist in the Shoulder, Elbow and Hand. Use of Heat and cold explained to control swelling, and stiffness and assist with gaining Range of Motion. This includes Contrast Baths, Paraffin Baths. Exercise - helpful hints on how much is enough - is too much, and not enough.
Just an update on my progress... I broke my wrist about y weeks ago, had surgery 5 weeks ago having titanium plate and screws placed. I started doing your routine working up to about 10 times a day plus contrast baths. I followed up with my surgeon yesterday and he said that he has never seen such great progress in such a short time. He said I have 90% ROM. He said I should have 100% in 4 weeks. I start with a real Live PT tomorrow for strengthening. Thank you so much!
I am so glad that you have found these videos. I have more and will try to post them asap so that you can have as much info as possible. But these will not take the place of therapy. If yoiu can combine these with a few sessions at least of therapy you will have the greatest benifit.
Three days out of cast very for radio fracture very stiff good amount of swelling and scar tissue. First doctor said I should get surgery by the time I saw the second opinion doctor it was 15 days and he said no to surgery. second day out of cast and I've got about 25% range of motion in my wrist. Doing exercises often maybe every 45 minutes for 5 or 10 minutes no pain afterwards is it okay to keep doing it I want to heal quick.
Your video was the fundamental thing that helped rehabilitate my broken wrist after cast was removed. Just don't know how to thank you enough!
If this has helped you - please like us on Facebook - and a comment would even help us more ! Thanks for your feedback here! Claudia
LaBorde Therapy Center
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Thanks for the workouts! Look forward back to my 27 year old active life and work.
Thanks you so much - after just 3 days of doing these exercises my wrist is 100% improved and my fingers are now moving - will continue onwards and upwards.
Thank you for posting this. I have been doing these exercises for a few days after getting a wrist cast and finger splint after being in a auto accident about a month ago. These excercises are definitely helping me get my wrist and finger mobility back.
Brian Heasley Yay. Thanks for letting me know ! And sorry for the slow response
I have been exercising this the past ten mins and can feel the warmth in my wrist already. I hope this helps me in my recovery
Thank you to and hopefully i can play the guitar again. It's a very painful injury.
Thank you..I have been having bad Wrist problems for awhile now and these workouts seem effective..I will keep doing them until it is 100%
I haven't attended my first PT appointment since the removal of my cast but I am frustrated with the limitations of the range of motion of my wrist. I did a few of your exercises and see a great improvement within the range of motion that I have. Thank you for the time you invested in the making of this video.
These moves are good, they are working for my hand in a good way... Thank you and I look forward to have more posts from you.. great work by you and your people around
WOW! That hook fist is very difficult for me right now, 4 months post surgery. Thanks for posting this video. It is very helpful!
I haven't seen a physician. I heard such injuries might require a surgery in some cases, while I prefer to try exercises/physiotherapy first.Thank you very much for your help, Mz/Dr. LaBorde, I really appreciate it.
Very well explained and demonstrated.. really informative. Thank you Claudia
I am so happy to hear that. Thanks for the note.
This was extremely helpful I got my cast off today from a distal radius fracture that requires surgery.
Really great video I appreciate the fact that you told me why I needed to do each exercise. Your instructions were very clear thanks a bunch
Gail Lawley thanks so much. Sorry for the slow response!
Thanks Claudia, most useful.
Mam please make a video on treatment of CRPS type 1 post wrist fracture. I benefited a lot from your therapy but have to curtail exercise due to extreme pain.
God bless you! I’m on the mend!
Thank you so much! These exercises hurt but they are clearly helping 😃
Thank you for your sharing. I had a total broken ulna and distal radius in my right arm for 6 weeks after surgery done next day. I am in pain and recovering through exercises and massage from these similar communities that I am learning.
Wonderful. Don't get discouraged, go slow but be persistent!
I've found a lot of 'bad' videos on this subject throughout youtube in my search to heal my wrist, but you'rs is amongst the best.
Thank you very much for your no-nonsense, helpful video. It is not flashy, but it is effective.
It is also my first time hearing about the 1 hour rule, but what a great rule of thumb. Thanks again.
Mat Danskin thanks so much and sorry for the slow response. Hope you are doing well
Thanks so much for showing these great excercises which I need. My right hand is painful.
I can't bend my fingers to make fist. I have been trying few times to do these excellent excercises. I will keep watching you.
You're so welcome!
Wow - I am so excited to hear this. Thaks for letting me know!
Thanks, wish I lived in your area, I would go to your clinic. I have had surgery 19 days ago, have a titanium plate, great surgeon here in Richmond. I want to obtain full recovery of my wrist motion ASAP, so this is a fantastic start! Thanks for posting this video.
I had a distal radial fracture august 30th, ORIF on the 31st. I had on a splint until September 8th at first ortho f/u appointment. The doc said I did not need a hard cast and that I needed to start PT or OT. I don’t have insurance so I have to do these exercises myself. But isn’t it too soon to be moving my wrist? The bones haven’t even had tine to heal. There is still swelling and I have very limited range of motion and with pain. Please let me know if it’s too soon to start exercises.
Let your Dr. know that you cannot go to therapy and ask him if you can start the exercises that I am suggesting. It is most likely OK if he referred you to therapy but be sure. Often the movement will actually help with healing if done correctly. Only actively, not pushing with the other hand.
THANK YOU so much for your clear and helpful advice.
Thanks for the video!
just started physical therapy today.Thanks for your video!
These are great exercises no doubt.
does your wrist still hurt?
Not really. A little tight. I fave full range of motion back. These exercises help. For me, hardest part is Pronation and Supernation. Getting better every day. Thanks. God bless.
Thanks so much for letting me know!
If this has helped you - please like us on Facebook - and a comment would even help us move ! Thanks for your feedback here!
LaBorde Therapy Center
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Thanks for this video I'm really motivated to get better I'm really pushing myself for these exercises
If this has helped you - please like us on Facebook - and a comment would even help us more ! Thanks for your feedback here! Claudia
LaBorde Therapy Center
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great video.....meticulously done....thanks
Thanks for the demo , its very much helpfull
Thank you!!😊
Thank you so much. I fractured both the ulna and radius. Just got out of the cast 2 days ago and have not yet decided upon where to do my physio....I would definitely do it with you if I lived in your area!
Thanks Claudia, very helpful. Will you be posting the videos on passive wrist exercises that you have referred to or are those best informed by one's regular therapist?
Great video. Thanks!
I can't thank you enough. These exercises are more inclusive and thoroughly explained than others I have found online, and they have enabled me to increase my wrist extension and rotation for the first time. I had been worried that I would never be able to rotate my palm upward to more than a 45-degree angle again. My doctor tells me almost nothng about what I can expect in terms of range and pain longterm as he fears liability for a mistake that was made by the clinic. The ulnar distal head protrudes a disconcerting amount and I am afraid that a misalignment was set.
Similar here. My cast was too tight and has left me with a disfigured hand, especially thumb alignment and a hollowed out palm. Also, less blood flow to my thumb, surgeon suggested an operation, taking a vein from my arm to my thumb.
He mentioned necrosis. All this from a very tiny fracture in one of the smallest of bones. If I could go back, I would decline the acrylic cast, there's no room for error as they set so rapidly, it can't be adjusted, only removed and recast.
Just a hand/wrist splint would have been enough, but it's too late now.
I hope you have a better outcome than I do.
@@margaretr5701 We should talk.
Thank you very much! This video is a wrist saver.
So helpful! Many thanks
Thanks for showing. I can't even make the straight fist. It is four months since the operation. Appreciate any help.
Thank you very much.
Day 2 in my cast for radial fracture and all fingers were so stiff. I am glad I found these exercises to do while casted. I go for surgery consult tomorrow and hope I don't need a plate. Thank you for this information.
So happy they helped you! Thanks for the comment. If this has helped you - please like us on Facebook - and a comment would even help us move ! Thanks for your feedback here!
LaBorde Therapy Center
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Awesome video. 👍🏼👍🏼
great exercises! Started day after my fracture, the following day I noticed improvemnt already!
If this has helped you - please like us on Facebook - and a comment would even help us move ! Thanks for your feedback here!
LaBorde Therapy Center
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I shared your link on a skating group on face book! nd I will like you on facebook!
Thats how I broke my wrist, Skating! Skating is dangerous More than people think .
We see tons of injuries from skating. But if the protective braces & helmets are worn, much of the danger is alleviated. I say better to be active and take some risks. Hope you heal quickly!
THANK YOU SO MUCH!
Don't give up, ask your PT if there is a dynamic splint that might help. These are similar to braces that are put on teeth. They use rubberbands, or springs or some type of traction to put a slow stretch on your wrist and can be very helpful in stubborn cases.
i get my cast off in about eight days. this will be very helpful until i can get my therapy scheduled
Thank you! This video was a great help following surgery for a fractured wrist last year--i shared it with my orthopedic surgeon after my PT told me I had a great start with my DIY therapy! Do you have anything similar for the elbow? Minor radial head chip, but now 2 weeks out and I need to start focusing on increasing arm extension/straightening.
this exercises helped me very much :))) thank you :)))
TY for this video very helpful I broke my wrist last Saturday
Claudia, thank you so much for this video!! I never had a cast but had screws and plates from a distal radius break. my dr said to start PT at 2 1/2 weeks but there is a waiting list in my area. started doing your exercises. just wondered if any of these are too much so soon?
curlyhorsecountry1 I am sorry for the slow response. I hope you did well.
Hi Claudia 2 weeks ago I took some xrays and was told I have a wrist contusion can these videos help with that
Thank you I have found this video very helpful. Is there the next stage you spoke of using your good hand to help promote extension? I am 9 weeks post op and I still have no up movement in my wrist and only a little down.
Thanks so much for letting me know this helped! I have been planning to put the next one on - but have been too busy! I will try my best.
If this has helped you - please like us on Facebook - and a comment would even help us move ! Thanks for your feedback here!
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oops I finally added more videos - sorry for the delay - look for day1, 2 and 3 - same title. Hope they help - if they do ---- If this has helped you - please like us on Facebook - and a comment would even help us move ! Thanks for your feedback here!
LaBorde Therapy Center
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Thanks hopefully some day I can again play guitar!
hey man, how long it took you to fully recover? i'm also a guitar player and my wrist is stiff as fuck after removing a cast
@@veljko6175 how long did it recover for u bro
@@alexisluciano7547 i was able to play guitar 5,6 days after cast removal. I went to the therapy 10 times after that. It took me some time to get the strenght back in that hand, but healing process took way less than i expected. I was able to do push ups and pull ups after only 45 days, so don't worry bro, everything will be just fine
veljko markovic shit man I hadn’t went to the hospital it’s been 9 days it’s feeling ok my mom is putting it back in she’s popping it back in she’s massaging it it’s working what do u do in therapy
@@alexisluciano7547 You should go to the doctor anyway, it can couse serious trouble if something is broken and you don't wear a cast. You do wrist excersises in therapy, it's very painful but important to get your wrist function back
So it's ok to flex/extend firmly? It's so tight that it feels wrong to do so :)
How long does it take for the swelling to go down it's now 5 days since the cast was removed
I had wrist surgery which included a plate and screws as well as a carpal tunnel release for a pinched nerve that happened because of the fall. I find your video very helpful-thank you for posting. I had surgery on 9-9-19. My question is, what movements should i be able to do when...what's the timeline for the recovery process? Thanks again!
Is there a second video? This is so good but I want to go onto whats next? You mentioned using different muscles pushing rather than using your own muscles? I assume its resistance excercising? Thank you.
Very good video
Wrist isometrics would be the best thing for you. I will try to post some for you in the near future. Have you seen a physician for this as it could be something significant that requires mor than just exercise.
THANKS SO MUCH FOR THE VIDEO! i just want some info, ok please i need your help! well i have a wrist fracture and i got 1 k wire inserted in my wrist, just got the cast removed yesterday and doctor said its healed but he didnt remove the k wire yet, he said come back in two weeks and he wants me to come bak with wrist which good motion. but im worried, im wondering if i can move my wrist up down etc.. with the k wire inside?i have only a bandage wrapped around my wrist. PLEASE REPLY ASAP! THNKS!
how many months after the undergo the operation before the exercises
Thanks blessed day
Thank for a very patient and thorough explanation of these excersices.
Just been cleared off from the doc after 1 month of a fracture!
I've had a distal radius fracture and doing any kind of wrist turning is still a bit painful, even a bit.
Also i'm a bit sad that I'm able to do very little at this point! But I guess it will take some patience and perseverence!
Thank you Camarila! I know you will not give up. It would be great if you could find a Certified Hand Therapist in your area to help you get through the rehab. But if not I have tried to give you as much info as possible to help in the process.
@@LaBordeTherapy
Thank you for your concern.
I've been to the a doctor in fracture clinic and they just showed a few basic excerisices and said I can look up excersices on the internet and go be free :D.
I'm fine with that! My fingers weren't as difficult to start moving as the wrist!
it's a bit difficult to find specialists where I live (Orkney).
Thanks a million for the video.
I got a Q for you. My wrists were cuffed and then beaten by some mafia gang in a 3rd world country.They had mistaken me for someone else. That happened about one year ago. I got the feeling back to my thumb (was numb) after 6 moths, but the wrists (esp. my left ) hurts when I pull or lift some objects. Both wrists feel "woogly"/ not as solid (strong) as before. Are there any exercise you can suggest for me ? Thank you.
Thank you got to start somewhere
I just removed my splint after a small finger laceration, i was in surgery to repair the 70% tendon damaged and nerve. The split was on for almost 6.5 days. Im scared to move my fingers for these exercises in case of serious pain...would i rip the repaired tendon if i do these? the extensor is my main concern...
Hi Claudia
thank you very much for your videos
i have got a fracture in my right wrist the surgeon did the surgery on 15 december 2015
the swelling and stiffness are reduced but i still cant do the active supination
any advices plz ?
shall i force it with my left hand ?
thx a lot
Karim Ayari i am just seeing this. So sorry. Hope you gained the motion back
Very very helpful video...really appreciate maam
Your very welcome!
Hello, Claudia, thank you for the wrist exercise, I am had a hairline fracture on my right wrist, due to a scooter accident ,I also injured my knee is which is worrying me more, though the X-ray showed no fracture, I had flesh wound which had required stitches. Now the problem is,I am unable to bend my knee because of knee effusion and it been over 2 months.I am under going wax. Therapy.I would appreciate if you could suggest me a few exercise, a video would be great help,thank you
I had ulnar impaction and had surgery last year in March, haven't fully healed. I still have a the plate/screws on my ulna from the surgery, and I don't have full range of motion back. Would these exercises help, or are there different ones that may be better? Would like to be able to get back to a point I can start strength training again.
Sorry for very slow response. Its definitely OK to do these exercises now unless you had trouble healing for some reason or complications! Hope you had a good result.
It's not fractured (I mentioned that in my comment) and it's getting better now.
Please let me know if aggressive therapy is dangerous? I believe it is
This is Excellent, Thank you so much for this
Any tips when you cant turn your arm for palm to face up.? My right wrist will not turn that far at all
i broke my ulna and radius near my wrist the ulna was bent because my radius was behind the ulna now my fingers are stiff. I had 2 surgery's first i had 1 pin but my radius shifted 30 degrees and i had to have a tee plate and 5 screws.
My problem is I've been out of my cast for a month after a 4th metacarpal break. My knuckles qt the base of my fingers are so swollen I cannot make a fist. How do I get rid of the swelling? I've tried compression gloves and reverse massage. I can't take ibuprofen.
In a one day how many times we have to do excercise and for how many minutes at a time for Wrist fracture after Cast/Plaster is removed.
Just got outta cast n pins were pulled this hurts so bad.
Hello Ma'am, I saw the video and was trying to do, the wrist extension with a fist not able to do it at all. I had Diapunch Fragment in Distal Radial fracture... Should I continue with it and keep pushing myself?
This is a question for your physician as only he will know how your healing has progressed and how hard you can be pushed. If he has OK'd active ROM you can certainly do all the Active exercises - that is the ones that you use your own muscles for but do not push with your non affected hand.
I had surgery 4 weeks ago for dislocation and fractures, I am still in cast for another 2 weeks then 8 weeks of OT. My fingers and thumb were numb until this week...my fingers now have feeling except for part of index finger and my thumb slight. My thumb is not flexible. Won’t bend at any joint. Any advice ...thank you. I am supposed to be rolling over palms up and palms down. Very very difficult ..
Marge, it sounds like you may have had a very complicated fracture and these take longer to heal. Its hard to rotate the forearm in some casts, so I would suggest doing this very gently and wait until this is removed to expect much improvement. Numbness - be sure to let your physician know about this and work on your sleeping and sitting posture - explained in the video. You want to really watch "kinking the hose" as described in the video so your nerve can have the best atmosphere for healing. The rest I cannot give you advice with out seeing you. You may want to ask your physician if you can see a hand therapist now for home exercises at least one time before the cast is removed.
Very good madam tank you ...how many time perday
Thanks for your note. I hope that you did find a therapist to help you. How are you doing now?
www.braceshop.com/deroyal-derom-dynamic-wrist-splint.htm?gclid=CLiqw4yx8LwCFRAV7AodLCUAZA
this is a "pre-fab" wrist splint that can be used if the therapist is not able to fabricate one. This must be used only with a physicians and therapists approval however as it can actually cause harm if its not appropriate.
Hello, I am not sure about the difference between the thumb a duction and the thumb extension. I have reviewed the video many times and I’m not seeing the difference. Also on the wrist extension exercise is it OK if I have my arm resting on the edge of a table? If I try holding my arm up in the air like you are I end up bending my whole arm instead of just my wrist.
yes, it is best to rest your arm on the edge of the table
Thumb Extension: Place the palm of your hand flat on a table. Then stretch your thumb out, or open as wide as you can while keeping your hand and thumb flat on the table. The goal would be to form and "L" with your thumb and index finger.
Thumb Abduction: Similar to above , but you do not keep your hand flat on a table. Pull your thumb away from the palm of your hand with the same goal, to make an "L" with your thumb and index finger.
Claudia are you going to continue with this recovery program? The title says Day 1. After I do these for a week or so, then what?
And do you recommend ice if the break was 8 weeks ago?
Ma'am you have given good explanation but I couldn't do suponation exercise because my wrist is not turning 44days have been completed how long it will take to do suponation exercise
Hi Claudia,
I had distal radius fracture. after taking my cast I am unable to pronate my arm.
I am going physiotheraphy for pasr 4 weeks . still I have issue with pronation.
please help me .I require your advice further.
Its hard to help you without knowing the total picture of what is going on. Ask your therapists if the video exercises would be helpful or if possibly some type of splint would assist in your rehab
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Do you think if a sprain in the wrist was derelict and still train with the pain for a week, will it lead to tendonitis? Cause my sprain or what pain it is, was still coming back when I train, but the inflammation was gone, its 6 months old now and I dont want to make it last longer, anyone help me?
Mark Its hard to tell with out seeing you. But I would follow the 1 hour rule as described in the videos and focus on isometric strengthening until the pain is gone. There are many problems that are serious that can cause pain in the wrist. I would suggest you go to a physician who is a Hand Specialist and then see a CHT - Certified Hand Therapist. Hope that helps and let me know what the result is.
Okay, I tried the one hour rule.. Is it correct that I started to the wrist exercises and skip the finger ones? Ive tried it today and I stop, because when I do a fist and moves my wrist upwards theres a little bit pain on where my wrist pain is, but the other exercises are fine...
And after some repetitions and rest, I would massage my wrist and theres something popping inside (This also occurs every morning and after taking a Bath, I dont know why)..
Should I continue with it?
Mark so sorry just seeing this. Hope you did well
Hello. About two months ago, I was angry so I punched a wooden couch which caused my wrist to hurt really and I'm also not able to move it as far as the other one. It's been a long time now and I'm starting to worry about it, since it hasn't been broken or anything. Is it normal? Will I ever recover the possibility of moving it to it's full potential again? Should I do some exercises? Thank you for your response. I'm 16, by the way, if that could possibly help.
Wow. I got my cast off on March 7th. Been going twice a week for physio and doing exercises. So far I don't see much progress. I have a Smith fracture. I had a box in my hand when I fell. I don't know if it is worse breaking it thus way or the more common way. Terrible swelling at first when cast removed. A lot better as far as that goes. I can't bend my hand up at all, only down. Terrible. I am almost 64. Can't make a fist even though doung those exercises.
my scafoid bone is broken then i had an operation doctors put implant my wrist then doc put the plaster cast almost 5 week.yesterday i get rid of cast .now can i do these moves ? I tried a few move and my wrist pain very when doin these exercises. I am waiting your answer asap
You should get them approved by your Dr. Ask him if you can do Active Range of motion. This is probably OK if your cast is removed. Just remember the one hour rule and do not force movement. Just move it "actively" with your own muscles like I show in the video. But get approval from your physician, This is an area of the wrist where there is low blood supply so you want to follow his instructions carefully.
only can do fists , 3 months and not much movement of wrist movement yet, broke radious & ulna, plate and 11 screws in P.T. for a month or so. getting frustrated ;(
Sorry no response, just seeing this. Hope you had a good result eventually.
Applause!
Look for a Certified Hand Therapist - you can find one in your area by going to the "Americal Society of Hand Therapists". I wish you the best.
I think following the instructions on this video may help you. You may have fractured this - so please see a physician first and get his approval before doing any type of exercise. But for a "boxers " fracture - this would be the program that we would us. How are you doing now?
Can't even bend my fingers enough to make a hook fist....bad wrist break... surgery with plate.....who would of thought fingers would cease up so fast in 3 weeks
hurts😢
Remember the 1 hour rule and cut back if pain is increased for more than one hour or it begins to swell. If it is painful, check with your medical provider about continuing, and be sure you are cleared for exercise by them.
I got many of motion after wrist orif but still i cant do supination
This is often the most stubborn movement. Keep trying and it often comes little by little.
You could definitely rip the tendon if it is not healed enough to move. Only your Dr and Hand Therapist can tell you if you are ready for exercise. Please do not do any exercise until you have geen given specific ones b yyour Dr. of Hand therapist.