Wrist and hand fractures are quite common after a fall onto one’s hands. The treatment after will depend upon the severity. For many, the fracture will be “stable” and will be placed into a splint or cast. Others, however, may need surgery to stabilize the fracture. This is common and the outcomes are typically good.

That said, regardless of the immediate medical treatment, some “hand therapy” afterward is advised. There are 3 big components to maximizing recovery – motion, dexterity, and strength.

After a period of immobilization (splint or cast) the wrist and hand will be stiff. It may take days or even weeks to get back normal motion. Often the help of a skilled therapy provider is beneficial to guide and speed the process safely. Even in skilled hands, some slight loss of motion in the wrist or hand is common, however the end motion should be sufficient for daily life.

The next concern of many is dexterity of the wrist and hand. We do lots with our hands daily, so hand dexterity is important. This is typically an easy one. Start doing as many fine motor tasks at home as you can. Play with buttons, thread screws or bolts. Make those fingers move.

Finally, strength – again generally an easy one. Start with a stress ball or some putty and squeeze it all day and night. Every free moment be squeezing something. Next you can begin to work on general wrist and forearm strengthening using either small dumbbells or household items as substitutes.

Bottom line – most people will be just fine and normal again after a wrist or hand fracture provided they put in the time to address motion, dexterity, and strength. And to make sure this happens it is highly recommended to see a therapy provider to help this process along.