Any precautions with broken wrist/cast on bc side?

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Aruba
Aruba Member Posts: 543
edited June 2014 in Lymphedema

 Hi,

I had to enliven my end of year by falling while shoveling snow behind car on 12/30.  Broke both  ulna and radius and was put in a temp. cast.  Met with ortho last Thurs. One small part of radius under watch a week and if bones don't move, no surgery.  So that is tomorrow and I'll have xray and learn more.  Still in more pain than I think I should be in this far along and fingers slightly swollen.  I have not had lymphedema in arm at all and soo want to avoid any additional risk.  Of course I had them do bp in right arm etc. Any other suggestions?

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  • Aruba
    Aruba Member Posts: 543
    edited January 2014

    Ortho put on regular cast last week.

  • LindaKR
    LindaKR Member Posts: 1,577
    edited January 2014

    Make and appointment with a Lymphedema therapist, and they'll teach you what to do to help avoid LE issues!  Good luck!

  • Kicks
    Kicks Member Posts: 4,131
    edited January 2014

    Sounds like me a year ago this month.  Well not exactly - I came out of the bathroom and was walking down the hall when I slipped on one of the bones the dogs have all over the house and landed on my butt and hands.  Nothing seemed bad so I got us but right wrist then started really hurting.  Pulled sleeve and glove off immediately.

    When Hubby got home, he took me to UC and sure enough both bone broken and slightly mis aligned so they splinted it and sent me home with an appt on Mon with the orthopedist.  Saw him and he thought that should be OK but wanted the orthopedic surgeon to see it the next Mon so new splint.  In that week, they did not stay even close together so surgery was the only option.

    My LE did not bother me at all during that time.  My LE guy was  in surgery to wrap my arm above the forearm cast they put on so my elbow and above had the support it needed (elbow's my worst LE area).  He was therre  when I woke up with plenty of wraps and directions of how to do to short wrap and if I had to wrap fingers (didn't).  Healed fine and I have no limitations.

    Pain was HUGE for 2 -3 mths post surgery.  I'm a 'tough old board' who has had many sports related injuries throughout my life but the pain with wrist was BAD!  I took a lot of pain meds during that time but healing is helped with keeping pain under control - so I did. 

    Wrist is fine now but with the bitter cold we get here all winter - it aches a little bit occasionaly but quite tolerable .  It isn't quite as limber as it once was but good.  I took up fly fishing after IBC DX and you need to keep wrist 'stiffer' when casting than with spinning or bait casting.  So as much as I would rather not have 'messed up " wrist - my fly casting is better.

    An appt. with a Certified LymphEdema Therapist is a good idea!  Not some pt that claims they "know all about LE" -can possibably do more harm.   Even without an injury, see a CLET is to establish a baseline in case you do need to ever deal with the monster - LE.  You will be given info to make you better informed and pro-active.

    Thoughts/Prayers that your wrist is 'being good' and staying in place. 

  • Aruba
    Aruba Member Posts: 543
    edited January 2014

    thanks so much for your replies.  I asked my BS surgeon about LE specialist after learning about it and was told not needed since no symptoms.  That was a year ago so now with this break, thought came to my head instantly.  Can one get a LE base without any referrals etc?

  • Kicks
    Kicks Member Posts: 4,131
    edited January 2014

    Others can give you better answers on that than I can.  My care is through VA so I have a VA CLET.

    It is best to get a 'baseline' to work from before you have issues if you do wind up with some.  And info. 

    As others will say unfortunately MANY Drs have no clue - I was fortunate.

  • Binney4
    Binney4 Member Posts: 8,609
    edited January 2014

    Aruba, probably not, though you can call one and ask. Here's how to find one near you:

    http://www.stepup-speakout.org/Finding_a_Qualified...

    Any doctor on your team can write a referral--try your PC or the ortho. Keep us posted!

    Gentle hugs,
    Binney

  • carol57
    carol57 Member Posts: 3,567
    edited January 2014

    Aruba, it's a long shot, but try calling any lymphedema clinics that are in driving distance and ask if they do free screenings.  Or call your regional Komen chapter and ask if they've funded any lymphedema clinics that offer education sessions and free screenings.  These are few and far between, but they do exist.  There's a clinic an hour from me that does this, and they measure using a perometer, which is highly accurate and provides the patient with a nice printout to hang onto for future reference.  

    In my perfect world, a BC diagnosis comes automatically with professionally done baseline arm measures, but our world is far from perfect.  There's a lot being published in lymphedema literature calling for universal baselines, so someday maybe, but these things seem to move at a snail's pace.  

  • Aruba
    Aruba Member Posts: 543
    edited January 2014

    Thanks for the link and advice!  One place mentioned is about 30 mins from here in my hospital system.  Funny how know Dr. on my team sees any need for this.  I tink they reason no need if no problem.  Just back from Dr. No surgery!! Bones holding in place ok so he will see me in 3 weeks and take off cast, do more xrays and either recast if still tender or give me a portable one of some type for a few more weeks! Pain due to still being in acute stage of healing, but I'll take it vs surgery :}   Thanks again for your input!

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