Therapy & Customized
Splinting > Conditions
Hand, Wrist, Forearm & Elbow Conditions > Scaphoid Fracture
Scaphoid Fracture Hand Therapy
“Working with a knowledgeable hand therapist can make the difference between success and failure in complex hand surgical cases. The therapist extends the continuum of our care, as well as functioning as coach and trainer for our patients.”
Marybeth Ezaki, MD, Past President, American Society for Surgery of the Hand
In Phoenix Rehab, our senior hand therapists are experienced licensed and dedicated therapists (physiotherapists and/or occupational therapists) who specialized ONLY in the rehabilitation, treatment and management of painful fingers, hands, wrists, forearm & elbow conditions, because of interest, passion and expertise.
A X-ray showing a fracture through the waist of the scaphoid
The scaphoid is one of the eight small bones in the wrist called carpal bones. It is located just below the thumb and is the most commonly fractured (broken) carpal bone.
Some areas of the scaphoid have poor blood supply and may have difficulty healing and there is higher risk of avascular necrosis for scaphoid fractures.
What are the symptoms of a scaphoid fracture?
Common symptoms include pain with movement of the wrist or thumb.
- A person may experience difficulty pinching or holding items.
- The thumb side of the wrist may be tender to pressure.
- There may also be swelling and bruising at the base of the thumb and wrist.
Sometimes there is only mild pain, and the injury is mistaken for a wrist sprain.
What causes a scaphoid fracture?
A scaphoid fracture is usually caused by a fall on an outstretched hand with the wrist bent backward.
Of course it can also be caused by a direct hit to the wrist, such as in a car accident or contact sport.
It is most common in active young adults.
What is the treatment for a scaphoid fracture?
If a scaphoid fracture is suspected, an X-ray of the wrist will be taken; however, sometimes the fracture is not seen right away.
If nothing is seen on an X-ray, the wrist may be placed in a cast or orthosis and then X-rayed again in two to three weeks.
An MRI may also be used for diagnosis.
Some fractures require immobilization in a cast or customized splint for eight weeks up to six months. The cast will include the wrist and thumb and may also include the elbow. The fingers will be free to move.
More complicated types of scaphoid fractures will likely require surgery to realign and stabilize the bone fragments.
What can a hand therapist do for me?
Our senior hand therapists may fabricate a custom orthosis to immobilize the wrist and thumb to protect the healing bone.
The therapist will also educate the patient on how to reduce pain and swelling in the hand.
When the cast is removed, hand therapy will focus on regaining motion, strength and functional use of the wrist and hand.
Example of an orthosis to protect the healing bone after a scaphoid fracture
Patients may also receive the following hand therapy treatment modalities:
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Phoenix Rehab physio Services
Phoenix Rehab Group works with specialist
physiotherapists and rehab therapists who are highly
trained, qualified, experienced and passionate to provide high level of
expert care to our patients.
PHYSIOTHERAPY & PHYSICAL THERAPY
HAND THERAPY & SPLINTING
Patients who sustained injuries to their elbows, forearms, hands, wrists
(sprains and fractures) and fingers, and requires Hand Therapy to increase the function of their hand
following injuries or post-operations as well as custom made hand splints.
Commonly treated hand pain injuries includes
CLINICAL PILATES & WELLNESS PILATES
Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility and breathing.
It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
TRADITIONAL CHINESE MEDICINE (TCM)
DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY
Sports and deep tissue release massage helps to increase nutrient-rich blood
flow to tired, tight and tense muscles to
- accelerate recovery and
- shorten downtime / recovery period required
It also prevents
muscles from scar tissue micro-tears (and potential ruptures), and increases muscle
Done regularly, it will keeps your muscles healthy and fit with body/movement-confidence. Read the benefits of regular deep tissue release therapy here.
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
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