Distal Radius Fracture Rehab Protocol

Keys to a Successful Outcome

  • Brace should be worn at all times to allow the surgical elbow to heal accordingly.

  • No lifting with the surgical arm is allowed for at least six weeks post-op.

  • Avoid any excessive motions with the elbow for at least 12 weeks post-op. Cautiously begin ROM exercises at 3 weeks under the supervision of a physical therapist.

Phase
Brace
ROM
WB
Exercises
Weeks 0-2
Post-op dressing intact
None
NWB
Begin finger ROM and forearm rotation
Weeks 2-4
Wear at all times
None
NWB
Continue finger ROM, forearm rotation; begin elbow & shoulder ROM; initiate thumb IP blocking exercises.
Weeks 4-6
Wear at all times
Gentle AROM
NWB
Begin gentle wrist AROM; Continue previous ROM exercises.
Weeks 6+
Wean from brace
PROM>>AROM
PWB
Begin wrist PROM progress to AROM; Begin gentle strengthening exercises
Weeks 12+
None
FAROM
FWB
Continue working on strength, as needed.

 

*May remove for hygiene and exercises

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