Perth - Therapy for Distal Radius Fractures

At Palms Physiotherapy & Allied Health, we offer comprehensive treatment for Distal Radius Fractures, one of the most common types of fractures involving the wrist. This type of fracture typically occurs in the radius bone, which is located in the forearm and forms the wrist joint. Often caused by falls, trauma, or accidents, a distal radius fracture can result in significant pain, swelling, and impaired movement. 

Our team of expert physiotherapists, occupational therapists, and exercise physiologists are dedicated to helping you recover effectively and return to your normal activities.

What Is a Distal Radius Fracture?

A Distal Radius Fracture is a break or crack in the radius bone near the wrist, typically occurring within the bottom 2.5 cm of the bone. It is commonly referred to as a "wrist fracture" due to its proximity to the wrist joint. These fractures are particularly common in older adults with osteoporosis, as well as younger individuals who experience falls, sports injuries, or trauma.

The fracture can be classified based on its severity and the way the bone breaks:

• Non-displaced fracture: The bone cracks but stays in place.

• Displaced fracture: The bone breaks into two or more parts and shifts out of alignment.

• Comminuted fracture: The bone shatters into several pieces.

Distal radius fractures are often associated with Colles' Fracture, a specific type of distal radius fracture that involves the bone breaking and shifting backward.

Symptoms of a Distal Radius Fracture

The symptoms of a distal radius fracture can vary depending on the type and severity of the fracture. Common symptoms include:

1. Pain and Tenderness

• Severe pain in the wrist and forearm, especially when trying to move the wrist or touch the area, is a hallmark sign of a distal radius fracture.

• The pain is often sharp and immediate following the injury.

2. Swelling and Bruising

• Significant swelling and bruising around the wrist joint typically develop shortly after the fracture.

• The swelling may spread up to the forearm or down to the hand.

3. Deformity or Visible Misalignment

• In more severe cases, the wrist may appear deformed, with a noticeable bump or abnormal angle of the wrist joint.

• The forearm may look crooked or out of alignment if the fracture is displaced.

4. Limited Range of Motion

• Difficulty or inability to move the wrist or hand is common after a distal radius fracture.

• The joint may feel stiff or locked, and the wrist may be painful when attempting to move it.

5. Numbness or Tingling

• If the fracture causes pressure on nerves, you might experience numbness, tingling, or weakness in the hand or fingers.

Causes of Distal Radius Fractures

The most common cause of a distal radius fracture is a fall onto an outstretched hand (FOOSH), where the wrist takes the brunt of the impact. Other causes include:

1. Falls

• A fall, especially from a height or onto a hard surface, is the leading cause of distal radius fractures, particularly among older adults.

2. Sports Injuries

• Contact sports, such as football or rugby, or activities like skiing or skateboarding can lead to falls or trauma that result in wrist fractures.

3. Trauma or Accidents

• Car accidents, direct trauma from a blow to the arm, or other high-impact injuries can lead to distal radius fractures.

4. Osteoporosis and Aging

• People with osteoporosis or other conditions that weaken bones are more prone to fractures, as their bones are less dense and more fragile.

Diagnosing Distal Radius Fractures

To properly diagnose a distal radius fracture, our skilled physiotherapists and medical professionals may use the following diagnostic methods:

1. Physical Examination

• A thorough physical exam to assess the extent of the injury, tenderness, swelling, and visible deformities.

• Your healthcare provider will check for any misalignment or abnormal positioning of the wrist and forearm.

2. X-rays

• X-rays are typically used to confirm the presence of a distal radius fracture and assess the type and severity of the break.

• Multiple X-ray views are often necessary to get a full picture of the fracture’s alignment and extent.

3. CT Scan or MRI

• In some cases, CT scans or MRIs may be used to get a more detailed view of complex fractures or if the X-ray does not clearly show the injury.

Treatment for Distal Radius Fractures at Palms Physiotherapy & Allied Health

Treatment for a distal radius fracture varies depending on the severity of the fracture, whether the bones are displaced, and other factors. At Palms Physiotherapy & Allied Health, we offer a range of non-surgical and post-surgical treatment options to promote healing and restore function:

1. Immobilization with a Cast or Splint

• For non-displaced fractures, a cast or splint is typically applied to keep the wrist in place during the healing process.

• The cast or splint helps stabilize the bone and prevent further movement that could interfere with healing.

2. Physiotherapy Rehabilitation

• Manual Therapy: Hands-on treatments, such as joint mobilization and soft tissue therapy, can help alleviate pain and improve wrist function.

• Exercise Therapy: Once the fracture has healed sufficiently, physiotherapy exercises will focus on restoring strength, flexibility, and range of motion to the wrist. These exercises help prevent stiffness and improve overall wrist function.

• Grip Strengthening: Specific exercises to strengthen grip and improve hand function are important for returning to daily activities.

3. Occupational Therapy

• Adaptive Techniques: Our occupational therapists can help you learn how to modify activities during your recovery, providing adaptive tools or techniques to reduce strain on the wrist while it heals.

• Splints and Braces: In some cases, wrist splints or braces may be recommended to protect the wrist while allowing for movement and function during rehabilitation.

4. Surgical Treatment

• For more severe or displaced fractures, surgery may be necessary to realign the bones and secure them with pins, plates, or screws. Our team works closely with orthopedic surgeons to ensure a comprehensive recovery process after surgery.

Recovery and Rehabilitation After a Distal Radius Fracture

The recovery time for a distal radius fracture depends on the severity of the fracture and the treatment approach. For non-displaced fractures, recovery can take 6 to 8 weeks, whereas displaced fractures may require longer healing times or surgical intervention.

1. Post-Cast Rehabilitation

• Once the cast or splint is removed, rehabilitation is crucial to restore strength and mobility. Our physiotherapists will guide you through gentle exercises that focus on regaining wrist mobility, strength, and stability.

2. Preventing Long-Term Complications

• Complications such as joint stiffness, chronic pain, or post-traumatic arthritis can occur after a distal radius fracture. Our goal is to minimize these risks through personalized rehabilitation strategies, early intervention, and careful monitoring of progress.

Australian Resources for Distal Radius Fractures

For more information about Distal Radius Fractures, please refer to the following Australian resources:

• Better Health Channel – Distal Radius Fracture
  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/distal-radius-fracture

• Healthdirect Australia – Wrist Fracture
  https://www.healthdirect.gov.au/wrist-fracture

• Australian Physiotherapy Association – Distal Radius Fracture
  https://australian.physio/

Important disclaimer: This webpage contains general information only and is not intended to be relied upon as personal clinical advice. While we aim to keep information accurate and up to date, it may not reflect the most current research or your individual circumstances. Palms Physiotherapy & Allied Health does not accept liability for decisions made based on this information without an individualised assessment by an appropriately qualified health professional. If you have concerns, please contact us to book an assessment or speak with your GP/medical team.