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How to Treat a Wrist Fracture

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A wrist fracture can include fractures of the radial and/or ulnar bones as well as many other bones in the wrist. This is a fairly common injury. [1] In fact, the radial bone is the most commonly fractured bone in the arm. One in ten fractures in the United States is a radial fracture. [2] You can break your wrist when you fall or hit something. People who are particularly at risk for wrist fractures are athletes who play high-impact sports and people with osteoporosis (thin and fragile bones). When treating a wrist fracture, you may need to wear a splint or cast until the bone heals. Read on to learn some ways to treat a broken wrist.

Receiving treatment

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Image titled Cope With a Broken Wrist Step 1

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Go see a doctor. A wrist fracture is a condition that requires medical attention to heal properly. If you don’t feel much pain, you can wait until you see your doctor. [3] If you have any of the following symptoms, you should go to the emergency room right away: [4]

  • Lots of pain and swelling
  • Numbness in the wrist, hand or fingers
  • Wrists are deformed, bent or crooked
  • Open fracture (break with a piece of bone sticking out of the skin)
  • Pale fingers
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Image titled Cope With a Broken Wrist Step 2

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Understand the treatment process. Most wrist fractures are treated initially with a splint, which is a rigid plastic, fiberglass, or metal rod that is fixed to the wrist with a bandage. [5] Splints are usually used for a week until swelling subsides. [6]

  • Once the initial swelling has subsided, you will usually have a plaster cast or fiberglass cast after a few days or a week. [7]
  • You may need a second cast in 2-3 weeks if the swelling continues to decrease and the original cast becomes loose. [8] [9]
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Image titled Cope With a Broken Wrist Step 3

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Wait 6-8 weeks after the cast. Most wrist fractures heal within 6-8 weeks with proper treatment. That means you’ll be in a cast most of the time. [10]

  • Your doctor will usually conduct x-rays during this period to make sure your wrist is healing properly.
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Image titled Cope With a Broken Wrist Step 4

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Visit a physical therapist. After the cast is removed, you may be referred to a physical therapist. Physical therapy can help you regain strength and mobility in your wrist after an injury. [11]

  • If you don’t need physical therapy with a specialist, your doctor may be able to recommend exercises for you to do at home. Remember to follow your doctor’s instructions so that your wrist can fully recover.

Reduce pain and swelling

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Image titled Cope With a Broken Wrist Step 5

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Elevate the wrist. Elevating the wrist above heart level is one way to help reduce swelling and pain. It is important that you elevate your wrist for at least the first 48-72 hours after the cast. Your doctor may advise you to keep your wrist elevated for longer. [12]

  • You may also need to keep your wrists elevated while you sleep or throughout the day. Try resting your hand on a stack of pillows.
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Image titled Cope With a Broken Wrist Step 6

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Apply ice to your wrist. Ice therapy can help reduce swelling and pain. Remember to keep the cast dry while applying ice. [13]

  • Place the ice in a zippered plastic bag. Remember that the ice bag must be sealed to prevent water leakage. Wrap a towel around the ice pack to make sure condensation doesn’t drip onto the dough.
  • You can also replace the ice pack with a bag of frozen vegetables. Choose vegetables that are small and even, such as corn or beans. (Of course, you shouldn’t eat it after you’ve used the bag of vegetables to apply it.) [14]
  • Apply ice pack to wrist for 15-20 minutes, every 2-3 hours. Apply ice for the first 2-3 days or as advised by your doctor. [15]
  • Store-bought gel ice packs are also very helpful. These ice packs can be frozen and used many times, without melting and leaching into the dough. You can find ice packs at medical equipment stores and pharmacies.
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Image titled Cope With a Broken Wrist Step 7

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Take over-the-counter pain relievers. Wrist pain can often be treated with over-the-counter pain relievers. [16] You should consult your doctor about which pain reliever is right for you. Some pain relievers can affect diseases or medications you are taking. Your doctor may recommend a combination of ibuprofen and acetaminophen/paracetamp to ease pain and reduce swelling. These drugs are more effective when combined instead of just one. [17]

  • Ibuprofen is an NSAID (non-steroidal anti-inflammatory drug). This class of drugs works to lower fever and reduce swelling by blocking the body’s production of prostaglandins. Other NSAIDs include naproxen sodium and aspirin, but aspirin has a longer anticoagulant effect than other NSAIDs. [18]
  • Your doctor may not give you aspirin if you have hemophilia, asthma, anemia, or other medical conditions. Aspirin can interact with many diseases and medications. [19]
  • When giving pain relievers to young children, be sure to take them with a pediatric formula and use the correct dose for the child’s age and weight. [20] Aspirin is not recommended for children under 18 years of age.
  • There is a risk of liver damage when taking acetaminophen, so you should only take it as much as your doctor recommends. [21]
  • Do not take over-the-counter pain relievers for more than 10 days (for children, 5 days) unless directed by your doctor. If the pain is still there after 10 days, see your doctor. [22]
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Image titled Cope With a Broken Wrist Step 8

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Move your fingers and rotate your elbows. It is important to exercise the joints that are not cast, such as the elbows and fingers, to maintain blood circulation. [23] This will help speed recovery and increase mobility. [24]

  • If you feel pain when moving your elbow or finger, contact your doctor.
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Image titled Cope With a Broken Wrist Step 9

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Avoid using anything to poke the dough. You may feel an itch under the cast and want to scratch. Do not! This action may damage the skin or damage the powder. Do not poke the inside of the dough with anything. [25]

  • Try lifting the dough or using a hair dryer to blow it on the “low” or “cool” setting. [26]
  • Also, don’t sprinkle chalk on the inside of the dough. Anti-itch powder can cause irritation when trapped underneath the powder. [27]
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Image titled Cope With a Broken Wrist Step 10

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Use mpeskin patches to prevent rubbing. The edges of the powder can rub against the skin or cause irritation. You can stick a piece of mpeskin (a soft cloth with glue on the back) to the area where the powder is applied. The mpeskin patch is available at drugstores. [28]

  • Apply the mpeskin patch to clean, dry skin. Replace the patch with a new one when it becomes dirty or loses its stickiness.
  • If the edge of the powder is too rough, you can use a nail file to smooth it out. Do not peel, cut or break the dough.
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Image titled Cope With a Broken Wrist Step 11

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Know when to call your doctor. Most wrist fractures heal within a few weeks with proper care. You should call your doctor if you have any of the following: [29]

  • Numbness or tingling in the hand or finger
  • Cold, pale, or bluish fingers
  • Increased pain or swelling after the cast
  • Abraded or irritated skin at the edge of the powder
  • There are cracks or soft spots on the dough
  • Dough is wet, loose or too tight
  • The powder has a bad odor or causes persistent itching
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Daily activities with cast hands

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Image titled Cope With a Broken Wrist Step 12

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Avoid wetting the dough. Most plasters are plaster, so they are easily damaged by water. Wet dough is a favorable environment for mold to grow inside the powder layer. Wet powder can also cause ulcers on the skin under the powder. Therefore, you need to be careful not to let the dough get wet. [30]

  • Wrap a strong plastic bag (such as a garbage bag) over the powder when showering. Hold the cast arm away from the shower or bath to reduce the risk of water entering the cast.
  • Wrap a towel or small towel around the top of the dough to prevent water from getting into the dough.
  • You can buy waterproof padding to protect the powder from your doctor’s office or medical device stores.
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Image titled Cope With a Broken Wrist Step 13

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Dry the powder as soon as it gets wet. If the powder is wet, blot with a towel, then use a hair dryer on “low” or “cool” setting to blow for 15-30 minutes. [31]

  • Call your doctor if the dough is still wet or soft after you have tried to dry it. You may need to replace the powder with a new one.
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Image titled Cope With a Broken Wrist Step 14

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Put everything in your hand. If your fingers are cold during the cast, you may have a circulation problem (or maybe it’s just the cold air in the house). Try elevating your wrists and wrapping a sock over your hand to keep your fingers warm. [32]

  • You can move your fingers to help restore blood circulation.
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Image titled Cope With a Broken Wrist Step 15

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Choose clothes that are easy to wear. While in a cast, you may find it difficult to put on clothes that need to be buttoned or zipped. It’s not a good idea to wear a shirt that fits snugly or has tight sleeves, as you won’t be able to get through your cast arm.

  • Choose loose and stretchy clothing. If you wear elastic waist pants or skirts, you won’t have to fumble with buttons or zips.
  • Wearing short-sleeved or sleeveless tops is a good idea.
  • Using your good hand, gently slide the cast into the sleeve. Try to limit your use of the cast arm.
  • Wear a scarf or blanket to stay warm instead of a jacket that is often difficult to put on. A pullover or sleeveless top may be an easier choice than an out jacket.
  • Don’t be afraid to ask others for help when needed.
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Image titled Cope With a Broken Wrist Step 16

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Ask for assistance in taking notes in class. If you break your dominant wrist while attending school, you may need to have someone take notes or use some other device while your wrist is still recovering. Talk to your teacher or your school’s disability support department.

  • If you can practice writing with your non-dominant hand, it helps, but it’s also difficult and not a permanent solution.
  • If you break your non-dominant hand, use a heavy object like a book or paperweight to hold the page while you write. Try to avoid using your sore hand.
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Image titled Cope With a Broken Wrist Step 17

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Use healthy hands in daily activities. When possible, use your uninjured hand during everyday activities, such as brushing your teeth or eating. This will help reduce inflammation in the broken wrist.

  • Do not lift or hold objects with your sore hand. You may get injured again and it will take longer to heal.
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Image titled Cope With a Broken Wrist Step 18

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Avoid driving or operating machinery. This is especially important if you have broken your dominant wrist. It is not safe to drive with your hand in a cast, and your doctor will usually advise you not to drive. [33] [34]

  • While the law does not prohibit driving with your arm in a cast, you should use your brain to decide whether or not to drive. [35]
  • You should also avoid operating other machines – especially machines that require the use of both hands.
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Recovery after removing the powder

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Image titled Cope With a Broken Wrist Step 19

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Care for arms and wrists after cast removal. You will feel dry and perhaps a little swollen after the cast is removed.

  • The skin in the place where the cast was recently removed may also be dry or flaky. The muscles appear smaller than before the cast, and this is normal. [36]
  • Soak arm/wrist in warm water for 5-10 minutes. Gently pat dry with a towel. [37]
  • Apply moisturizer to wrists and arms to soften skin.
  • To reduce swelling, you can take ibuprofen or aspirin as recommended by your doctor.
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Image titled Cope With a Broken Wrist Step 20

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Return to normal activities as advised by your doctor or physical therapist. It may take a while for you to fully return to normal activities. Specifically, you need to wait 1-2 months before you can resume light exercises like swimming or cardio exercises. For more vigorous activities like playing sports, you may have to wait 3-6 months. [38]

  • Be careful not to injure the wrist further. Wearing a splint can help prevent future wrist injuries.
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    Image titled Cope With a Broken Wrist Step 21

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    Remember that recovery takes time. You don’t have to just remove the cast and your hand is completely healed. Severe fractures can take up to 6 months or longer to heal. [39]

    • You may continue to have pain or stiffness in your wrist for months or years after the fracture. [40] [41]
    • Your age and overall health also affect recovery. Children and adolescents usually heal faster than adults. Older people and people with osteoporosis or osteoarthritis may not make a quick or complete recovery. [42]

    • Advice

    • Try to raise your arm above heart level when you feel severe pain. This position will help blood and fluid flow back to the heart, reducing pain and swelling a little.
    • Try to keep your arms elevated while you sleep. Lie on your back and place a pillow under your wrists.
    • If you need to fly with a cast, you should check with the airline. You may not be able to fly for 24-48 hours after the cast. [43]
    • You can write by hand in a cast. Use a marker to avoid getting ink on clothes or paper. [44]
    • If you have trouble opening the bottle cap, you can clamp the bottle between your thighs/knees and use your good hand to open the cap.

    Warning

    • Seek medical attention for a broken wrist. You can have serious complications if not treated properly.

    A wrist fracture can include fractures of the radial and/or ulnar bones as well as many other bones in the wrist. This is a fairly common injury. [1] In fact, the radial bone is the most commonly fractured bone in the arm. One in ten fractures in the United States is a radial fracture. [2] You can break your wrist when you fall or hit something. People who are particularly at risk for wrist fractures are athletes who play high-impact sports and people with osteoporosis (thin and fragile bones). When treating a wrist fracture, you may need to wear a splint or cast until the bone heals. Read on to learn some ways to treat a broken wrist.

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