Fractures in hand and wrist bones among climbers

The most common wrist fracture in climbing is to the scaphoid-bone. In this article we'll dive into how to recover and rebuild Strength and Mobility after Hand and Wrist Bone Fractures.

Photo by Hu Chen / Unsplash

Introduction:

A hand and wrist bone injury can pose a significant challenge for any climber, requiring a break from the sport to ensure optimal healing. In particular, the scaphoid bone, a small bone located next to the thumb and just below the wrist, is particularly vulnerable to fractures.

This article will explore the symptoms, treatment options, and rehabilitation process after a hand and wrist bone fracture, providing valuable insights on how you can make a stronger comeback to climbing.

Symptoms and Causes:

Hand and wrist bone fractures commonly occur among individuals participating in sports such as skateboarding, BMX, snowboarding, horseback riding, and, of course, climbing.

The most common symptoms include acute wrist pain on loading, tenderness below the thumb, and swelling around the injured area. A fracture is typically result from falls, landing on an outstretched arm, or direct impact to the wrist.

Treatment Options:

When a fracture in a hand and wrist bone is diagnosed, careful treatment is required to promote proper healing. Typically, the treatment involves wearing a cast or splint for 6-9 weeks, and in some cases, a stabilizing surgery may be necessary. However, it is crucial to initiate physiotherapy as soon as possible to maintain strength and mobility in the rest of the body.

Rehabilitation:

After the removal of the cast or splint, an intensive rehabilitation process begins, focusing on regaining mobility and strength in the hand and wrist while improving overall wrist function.

Without surgery, the rehabilitation period is expected to take between 8 and 12 weeks before resuming climbing. With surgery, the recovery time is typically between 6 and 12 weeks. It is important to follow the recommended rehabilitation plan and work closely with a physiotherapist to achieve the best results.

Rehabilitation Exercises:

During the rehabilitation process, your physiotherapist will introduce a series of specific exercises aimed at improving hand and wrist function. These exercises may include gentle stretching, progressive strength training programs, and coordination exercises. Additionally, manual therapy such as massage and manipulation may be used to promote wrist, hand, and finger mobility and function.

What to Expect During Rehabilitation:

Throughout the rehabilitation period, climbers will gradually rebuild strength in their wrists and hands. Exercises will focus on strengthening the muscles around the wrist, improving grip strength, and increasing hand flexibility.

Additionally, a physio should guide climbers through functional movements that mimic climbing patterns to prepare them for a safe return to the sport.

Preventive Measures and Aftercare:

Good rehab programs teach how to maintain physical fitness, including stretching and strengthening, to reduce the risk of future injuries.

Climbers should also be mindful of technique and body positioning during climbing to avoid unnecessary strain on the wrists. Climbers should be attentive to any early warning signs of discomfort or pain in the wrist and seek professional help if any issues arise.

Closing thoughts:

Remember, as a climber, you are resilient and determined. Although a hand and wrist bone fracture may slow you down temporarily, it is just another challenge to conquer on your climbing journey. Trust in the expertise of your physiotherapist, stay committed to your rehabilitation, and soon enough, you'll be back on the rocks, stronger and more motivated than ever.

So, lace up your shoes, grab your gear, and get ready to embrace the thrill of climbing once again. The mountains are calling, and you'll be ready to answer with confidence and resilience. Keep climbing, keep pushing your limits, and never let anything hold you back from reaching new heights.