Wrist fracture care guide

1. Diagnosis and first aid

If you suspect a wrist fracture, it is important to seek medical attention promptly. Typical signs of a fracture include significant pain, swelling, and visible deformity of the wrist. The diagnosis is confirmed with an X-ray examination.

Immediately after the injury, pain and swelling can be relieved with first-aid measures. Apply a cold pack to the injured area (protecting the skin with a towel, for example) and keep the hand elevated, preferably above heart level. This helps reduce swelling and can make you more comfortable before further treatment.

2. Medical treatment

The treatment of a wrist fracture depends on the type and severity of the fracture. The first step is an X-ray, which confirms the fracture and helps assess its position and characteristics.

In milder cases, treatment with a cast or splint is sufficient. The cast or splint supports the wrist and allows the bone to heal in the correct position. Immobilisation typically lasts for about 4–6 weeks.

In some cases, if the fracture alignment cannot be adequately corrected, surgical treatment may be required. During surgery, the fracture is realigned and stabilised, usually with metal plates or screws.

3. Pain management

Prescription pain medication or over-the-counter pain relievers such as ibuprofen or paracetamol are usually effective in managing pain. After casting, these medications are often sufficient to control discomfort.

4. Home care

Rest and support the wrist:
Keep the cast or splint in place for the entire period recommended by your doctor. Avoid heavy lifting and movements that strain the wrist. With a casted wrist, so-called “coffee cup weight bearing” is recommended—meaning you should not lift anything heavier than a cup of coffee.

Move your fingers regularly:
Gentle and frequent finger movements help prevent stiffness and promote blood circulation while wearing a cast or splint.

5. Follow-up and rehabilitation

Follow-up appointments:
During cast treatment, healing is monitored through follow-up visits. Depending on the type of fracture, one or more control imaging studies may be needed to ensure the bone is healing in the correct position.

Physiotherapy and rehabilitation:
After the cast is removed, a doctor or physiotherapist will provide individual exercises to restore wrist mobility, strength, and normal function. Performing these exercises regularly as instructed is essential for optimal recovery.

6. Return to normal activity

Even after the fracture has healed, regaining full wrist strength and mobility may take several weeks. It is important to progress gradually and listen to your body during recovery.

Avoid heavy loading and sports activities until your doctor has given permission to resume them.

7. When to contact a doctor?

Contact a doctor if:

• The cast or splint feels too tight and causes finger swelling or numbness
• Pain worsens significantly or new symptoms appear
• The cast or splint breaks or becomes severely wet

Wrist fractures usually heal well with proper treatment and rehabilitation.