How to rub your hand after removing the cast. Rehabilitation after a fracture of the bones of the legs

Movement is life, and everything that is for a long time without active movement, over time, it undergoes necrosis. Therefore, even for seriously ill patients, doctors recommend making at least a minimum of movements per day to maintain the viability of the body. In the case of an immobilized arm, the muscles stagnate and blood flow is disrupted. The period of recovery of a hand after a fracture depends on the physical capabilities and desires of the patient. It can last from several weeks to months.

Exercise after a broken arm

Performing the following exercises will solve the problem of swelling of the hand and help develop the hand - the joint, without which the limb loses its ability.

Sometimes patients in the first days after the removal of the cast cannot even hold a cup in their hand. To understand how naughty the hand has become, clench your hand into a fist. Take a piece of plasticine or, if available, plastic for modeling in your hand. Until he is warmed by the warmth of your hands, he will succumb with difficulty. Place the plastic in the center of your palm and try to break it with your fingers, knead it. When the piece warms up and softens, take a short break and repeat again. The main thing is not to rush and do the exercise. Repeat the exercise in the morning, afternoon and evening for a month.

Take a tennis ball in your hand and go to the wall. Throw the ball lightly at the wall and try to catch it after hitting it. Try not to make sudden jerks. Exercise is recommended to be performed for a short time, several times a day for a month. This will help the fingers gain dexterity and restore primary mobility. There will also be a reaction needed during the recovery phase.

Any exercises after a broken arm should be performed with the utmost care, because the limb that was injured is very vulnerable

How to develop a hand after a fracture

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Sit on a chair, close your hands in front of you, pressing your palms tightly against one another. Without separating the palms, tilt the hands in turn to the right and left wrists, allowing the joints to gradually develop. Be careful not to overdo it when tilting your hands towards the broken arm. Do as many repetitions as you need to feel a slight tension. Avoid sharp pain. Every day, as far as possible, lower the brushes lower and lower.

Use ping pong balls as a trainer. Take a few pieces in your hand and move them with your fingers so that they do not fall. Take 10 minutes to exercise. This development gives good result and contributes to the rapid recovery of the hand after a fracture.

To restore normal mobility of a broken limb, it is important to improve blood circulation. Massage contributes to this.

Exercise therapy after a fracture

To reduce the rehabilitation time of limbs after a fracture, methods such as exercise therapy and physiotherapy are important. The doctor will prescribe the appropriate procedures, depending on the period of immobilization of the affected limb and bone injury. It is also recommended to pay attention to a set of recovery exercises that can be performed at home.

To develop an injured limb, raise your shoulders up and in this position, simply swing your arm freely. Perform circular exercises in the elbow and shoulder joints clockwise and against it. Raise your arms up and down through the sides. Then raise and lower your hands, directing them in front of you. Clap with your arms extended forward and behind your back.

Swelling that persists on a broken leg for some time after the bandage has been removed is often referred to as post-cast swelling. In order to remove puffiness and restore proper movements in the limbs, rehabilitation measures are carried out, such as exercise therapy (physiotherapy exercises, for example), massage, physiotherapy (electrophoresis, paraffin), water procedures (baths with salt water).

I must say that the fight against edema should not be carried out fanatically, because overloads in this case can do much harm, and sometimes they lead to a new injury.

When are remedial procedures prescribed?

First of all, pay attention to their sequence. Often one procedure is a preparation for the next and is done one after the other with a short time interval.

For example, paraffin followed by electrophoresis works well. There are other combinations - electrophoresis after massage, ultrasound after paraffin, electrical stimulation after massage.

When planning rehabilitation, doctors take into account the following rule: after the first lesson in restorative gymnastics, local procedures (massage, electrical stimulation) are prescribed. After the following loads, general strengthening procedures can be prescribed - hydromassage, baths, sauna, general massage.

IN winter time do not forget that the lack of sunlight and vitamin D in the body must be filled with ultraviolet irradiation (UVR). This procedure increases immunity, a person's susceptibility to diseases decreases, and the absorption of food and vitamins improves.

Application of gels and ointments

After fractures, many different gels, ointments and creams are used. They have two directions. The first is cooling, the second is warming (Nicoflex, Finalgon). Cooling gels and ointments are suitable for removing edema - Lyoton-1000, Troxevasin.

long awaited moment - removal of plaster, but the leg (arm) is still weak and cannot be loaded. Ahead is the rehabilitation of her mobility and health, the restoration of motor abilities.

First of all, the limb should be washed in warm water with gel and a washcloth. Along with the dirt, the old skin will begin to peel off, because during the time it was in the plaster, the epithelial cells could not exfoliate. If necessary, you can use a scrub, and after washing, wipe the limb and grease with a nourishing cream.

Restoration of mobility and circulation

To restore former mobility, a course of physiotherapy exercises is needed. If it is not prescribed, you should develop the limb yourself. The most important, what to do after plaster removal- flexion-extension and rotational movements in the joints. It is desirable that home exercises complement exercise therapy under the supervision of a physician.

It is very important to restore proper blood circulation. When the plaster is removed, the limb is subjected to an unusual load and therefore swells. In these cases, simple rubbing helps. Unbend and bend your fingers to disperse blood through the vessels. Legs should be raised higher for swelling and elastic bandages should be used before a long load on them.

During rehabilitation after removal of plaster from different places the main thing is to move, because recovery problems are the result of fluid stagnation and little work of bones, muscles and joints. You need to overcome all the unpleasant sensations, make enough effort and spend a certain amount of time.

Gymnastics after plaster removal

You can do gymnastics right in the bath with water, since after removing the plaster it is very useful. Without sudden movements, bend and unbend the joint, performing its characteristic movements. You should not be afraid of pain, but it is important not to overdo it. Circular movements of the foot, in the early days, are not recommended. After gymnastics, you can stroke the joint with circular relaxing movements, but without massage.

After sleep, the leg should be bandaged with an elastic bandage, removed in the evening. The traumatologist will tell you whether to bandage only the ankle joint or the entire leg. Low-heeled shoes should be worn.

What to do after fractures

After removing the cast from the fracture site, it is necessary to eat foods rich in calcium. These are fermented milk products, milk, kefir, cottage cheese, also low-fat meat of turkey and chicken, fish. Do not forget about vegetables and fruits. For a more active regeneration of processes in cartilage, bones and ligaments, strong meat broth should be consumed. The menu introduces additional products that contain gelatin - jelly, marmalade, jelly.

To speed up the healing process, you can mix crushed onion, 20 grams of resin, 50 grams of olive oil, 15 grams of copper sulfate. Heat the mixture over low heat, without bringing to a boil, for 30 minutes. Lubricate the fracture site with the resulting remedy. Pain will help relieve a compress on a sore spot from raw grated potatoes.

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Very often, after a fracture and a long stay of a limb in a cast, swelling occurs in the damaged area. In order for the damaged bone to heal as soon as possible, it is necessary to get rid of the swelling. To do this, they resort to various medical physiotherapeutic measures, as well as folk methods.

Edema of any origin is an excessive accumulation of fluid in the intercellular space.

Puffiness after removal of the plaster occurs due to impaired blood circulation and lymph circulation in the damaged tissue. In most cases, there is no pain with swelling, only muscle stiffness and fatigue occur.

Swelling of a limb (arm or leg) after a fracture can go away on its own without special treatment as blood circulation in the tissues improves and their gradual recovery. But if the edema is very significant, auxiliary therapy is necessary.

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As a rule, doctors prescribe gels or ointments after bone fractures, which improve lymph flow and blood circulation. If necessary, it will be necessary to limit the mobility of the limb for some time and undergo phonophoresis with different medicines or electrophoresis, electrical muscle stimulation and ultraviolet irradiation.

At home, you can try using magnetic or ebonite disks, which you need to massage the swollen area for several minutes twice a day to improve blood flow and restore mobility to the injured limb.

An obligatory part of rehabilitation therapy is massage and gymnastics, as well as the development of the affected limb. An experienced instructor can help you create individual exercises, depending on the location of the injury and its severity.

Take blue clay and make a cake out of it, put it on the fracture site. This is very useful especially in the case when the joint has been damaged and the development of arthrosis needs to be prevented.

To relieve puffiness, it is useful to rub swollen places with fir oil every morning and at night.

You can also try making baths or compresses with a pharmacy tincture of arnica or an infusion of this herb. The infusion can be prepared as follows: pour two or three tablespoons of raw materials with one liter of water, leave for one hour and strain. The compress should be put before going to bed for 15 minutes.

Calendula infusion will help relieve swelling and pain after a fracture, which must be taken as a drink four times a day. To prepare a drink, place one tablespoon of flowers in a thermos and pour 500 milliliters of boiling water over them. After an hour, the infusion can be consumed. You can also mix equal amounts (one tablespoon each) of chamomile, St. John's wort and valerian. Brew this mixture with one glass of boiling water and leave for 15 minutes under the lid, then drink throughout the day.

It is very effective to use wormwood against edema. Pour two tablespoons of wormwood herb with one glass of boiling water and simmer over low heat for 10 minutes. After that, insist in heat for two hours and filter. To prepare a compress, take half a glass of aloe juice and a glass of the resulting infusion. Moisten a napkin with this composition and apply it to the edematous place. Renew this lotion every four hours.

Prolonged immobilization of the lower limb leads to impaired blood circulation, lymph outflow, partial muscle atrophy and weakening of the ligamentous apparatus. In order to prevent swelling, bruising, increased skin pigmentation and other consequences of long-term immobilization of the leg, experts recommend applying to the damaged area medicinal ointments.

How to smear a leg after an ankle fracture

There are several types of ointments that are recommended for use after removing the cast:

1. painkillers and anti-inflammatory;
2. decongestants;
3. healing;
4. herbal ointments.

REMEMBER! Any ointments have contraindications and side effects, so you should consult your doctor before using them.

Painkillers and anti-inflammatory drugs

Non-steroidal anti-inflammatory drugs relieve pain and reduce inflammation after an ankle fracture.

NSAIDs block the action of an enzyme in the body called cyclooxygenase (COX). This enzyme is involved in the production of prostaglandins - chemical substances, which act as "triggering factors" and "organizers" of the inflammatory response. Prostaglandins are produced by the body in response to injury and infection, and also cause pain , edema And inflammation .

IT IS IMPORTANT! Non-steroidal anti-inflammatory drugs block the production of prostaglandins, resulting in reduced swelling, inflammation and soreness.

Contraindications:

• individual intolerance to the components of the drug;
• peptic ulcer of the duodenum and stomach;
• bronchial asthma;
• polyposis of the nasal passages and paranasal sinuses;
• individual intolerance to aspirin (acetylsalicylic acid);
• dysfunction of the hematopoietic system;
• pregnancy;
• breastfeeding period;
• children under 6 years old.

It is used with caution when:

• severe violations of the liver and kidneys;
• heart failure.

Local adverse reactions:

• itching, irritation, rash;
• d generalized skin rash;
• bronchial spasm;
• increased sensitivity to UV radiation.

When the dose is exceeded, systemic side reactions develop - nausea, heartburn, loose stools, headaches, lethargy, swelling, increased blood pressure, etc.

Diclofenac gel

The preparation contains diclofenac sodium acetate . Full analogues of the gel in terms of pharmacological activity and chemical composition: Voltaren emulgel, Diklak gel, Diclomec, Doloxen, Clodifen, Olfen, Dicloran, Diclosan, Naklofen.

Diclofenac exhibits the following properties:

• has a mild local anesthetic and cooling effect due to the water-alcohol base;
• reduces the inflammatory process;
• exhibits anti-exudative action.

Flaws: slowly and only partially absorbed into the skin, pharmacological activity lasts less than 4 hours.

Mode of application: Apply the product to the damaged area 3-4 times a day with light massaging movements.

Ketorol gel

The main component of the gel is the active substance ketorolac . The drug has no analogues.

After applying the gel to the ankle, patients note:

• pronounced analgesic effect;
• prolonged pharmacological effect (6 - 9 hours).

Flaws: practically does not have an anti-inflammatory effect, it is not recommended to use it when driving.

Mode of application: apply in a uniform thin layer (about 1-2 cm of ointment) 3-4 times a day.

Fastum - gel

This medicine contains ketoprofen - an active substance that, after application to the skin, exhibits an analgesic effect. Analogues of Fastum gel include: Ketoprofen, Ketonal, Atrokol, Fort - gel.

Advantages:

• has a pronounced analgesic effect, but weaker than ketorol;
• exhibits an anti-inflammatory effect.

Flaws: absorption of ketoprofen is extremely slow, and the effect on the focus of inflammation is short-term (2-4 hours).

Mode of application: apply the gel 1-2 times a day on the ankle with a thin layer (about 1-2 cm of gel).

Nise gel

A drug that contains nimesulide . The gel exhibits the following pharmacological properties:

• pronounced cooling effect;
• strong analgesic and anti-inflammatory effect;
• prolonged analgesic effect that lasts at least 6 hours.

Minuses: a specific smell, a transient change in skin color is possible.

Application: apply a thin layer of ointment to the area of ​​damage, 3-4 times a day.

Indomethacin

Ointment contains indomethacin, dimethyl sulfoxide and has the following advantages:

• exhibits pronounced anti-inflammatory and analgesic activity;
• exposure to dimethyl sulfoxide has a decongestant effect;
• low price category.

Application: rub 4-5 cm of ointment 2-3 times a day. The duration of treatment is up to 10 days.

Combined drugs

Combined agents include ointments that contain not only a non-steroidal anti-inflammatory component, but also additional substances: menthol, methyl salicylate, linseed oil. The combination of components significantly increases the effectiveness of the drug. For example, flax oil accelerates tissue regeneration, while menthol has a cooling and analgesic effect.

Combination drugs are: Dicloran(diclofenac, menthol, methyl salicylate, flaxseed oil), Boly-nov asset(diclofenac, methyl salicylate, flax oil), Fanigan(diclofenac, menthol, methyl salicylate, linseed oil).

Rules for the use of local NSAIDs

1. Remember to wash your hands thoroughly before and after using the ointment.
2. If the ointment gets on the mucous membranes, immediately rinse these places with cold water.
3. It is not recommended to apply the ointment to irritated skin or open wounds.
4. When using the gel, airtight dressings and elastic bandages should not be applied.
5. Before applying the gel, wash and dry the affected area. Squeeze the gel from the tube onto the tip of your finger and apply it to the skin with light massage movements, covering the areas around the affected area.
6. If symptoms of an overdose or signs of intolerance appear, immediately wash off the ointment with a warm stream of water.

Decongestant ointments after gypsum

Often after removal of the plaster cast the patient notes the presence of edema or bruising in the area of ​​the fracture. To reduce the unpleasant consequences after an ankle injury, use ointments based on heparin and troxerutin .

Troxerutin, like heparin, blocks the formation of thrombin, increases blood flow and activates tissue metabolism. After applying the ointment, the process of resolving the hematoma and the disappearance of swelling of the tissues is noted.

Contraindications:

• increased susceptibility to the components of the drug;
• bleeding;
• age up to 1 year;
• damage to the skin (purulent processes, the presence of an open wound).

Carefully use for people with bleeding disorders, thrombocytopenia, as well as pregnant women and women during lactation.

Side effects: with prolonged use, the occurrence of allergic reactions (itching, redness and tingling in the area of ​​\u200b\u200bapplication) is noted.

ATTENTION! Ointments based on heparin and troxerutin should not be used simultaneously with non-steroidal anti-inflammatory drugs.

Heparin ointment

Heparin ointment contains heparin, anesthesin And benzyl nicotinate . Substance anesthesin acts as a surface anesthetic and has a local analgesic effect. benzyl nicotinate - a vasodilator component that increases the lumen of blood vessels, increases blood circulation in the skin and subcutaneous tissue.

Mode of application: Apply the ointment to the ankle area (2-4 cm) 2-3 times a day. The duration of treatment takes 5-7 days.

Dolobene gel

A complex preparation that contains dimethyl sulfoxide, heparin and dexpanthenol . Dimethyl sulfoxide (dimexide), improves tissue regeneration, normalizes the blood circulation process and accelerates metabolic processes in the affected area. Dimexide has anti-inflammatory, anti-exudative and analgesic effects. Dexpanthenol - accelerates the restoration of damaged tissues and normalizes cellular metabolism.

Mode of application: apply the gel to the affected area 3-4 times a day. The duration of the course of treatment is up to 2 weeks.

Lyoton 1000

The composition of the ointment except heparin are included neroli and lavender oils that have a cooling and healing effect. Apply the gel to the affected area 1-3 times a day. The course of treatment is 1 week.

Healing agents

Specialists prescribe healing ointments only when diagnosing slowly accreting bone tissue of the ankle and in the presence of wounds after removal of the cast.

Methyluracil

Anabolic drug. The ointment stimulates regeneration processes and has a pronounced anti-inflammatory effect.

It is forbidden to use: people with hypersensitivity to the drug, when diagnosing diseases of the bone marrow, during pregnancy and lactation. When using the ointment, an allergic reaction may occur: redness, itching and a short burning sensation of the skin.

Mode of application: apply a small layer on the injured area. It is recommended to use the ointment no more than twice a day. The duration of treatment is usually two to four weeks.

Bepanthen

Active ingredient of the ointment dexpanthenol , which in the tissues turns into pantothenic acid, which is necessary for cell metabolism. The ointment accelerates the regeneration of damaged skin.

Contraindications: hypersensitivity to dexpanthenol.

Adverse reactions: allergic rashes (urticaria, eczema, etc.).

Mode of application: up to 8 times a day, for 2-3 weeks.

Herbal preparations

To eliminate the effects of prolonged immobilization, doctors recommend using ointments from herbal ingredients.

The most prescribed herbal remedies for the treatment of ankle injuries include Zhivokost and Venitan.

Zhivokost (comfrey ointment)

Ointment contains comfrey, vitamin E, allantoin and beeswax . Zhivokost has anti-inflammatory, antioxidant and regenerating effects, promotes bone regeneration in fractures. Allantoin has a healing effect, stimulating the formation of bone tissue and cell regeneration. Beeswax reduces inflammation.

Side effects: allergic rash, itching.

Application restriction: hypersensitivity to the components of the ointment.

Mode of application: Apply the ointment to the ankle area 2 or 3 times a day, you can cover it with a bandage. The average duration of treatment is no more than 2 - 3 weeks.

Venitan

Contains aescin (Horse chestnut seed extract). The drug accelerates the resorption of edema, inhibits inflammation and improves microcirculation.

Contraindications: hypersensitivity to the drug, pregnancy, lactation.

Side effects: hives, rash, itching.

Mode of application: apply the ointment with light massage movements, evenly distributing over the skin area 2-3 times a day.