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  1. #51
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    Hi Ryki! Sounds like you are coming around pretty good! You get used to the DynaSplint after you have worn it for a bit. I have always tossed and turned in bed, so in order to eliminate that I sleep in a recliner so my arm will stay in one place while I sleep. As you tighten up the tension on the splint it will hurt a little until you get accustomed to it. No pain no gain! I went to the Dr. last week and he said he thought it was helping so he ordered me to wear it for another month. You could wear it during the day if you are concerned about sleep, but you can't really do much but sit with your arm still. That's why I wear it at night. I'm still doing my PT exercises and have been able to lift a little bit of weight with my arm. I still have some pain if I move my arm wrong and my wrist is stiff every day when I wake up. The Dr. said it will probably be like that forever and I'll just have to do exercises to loosen it up every day. My wrist pops a lot when I do the exercises and feels better afterwards. I had a lot of pain in my wrist in the beginning and it will eventually go away. The exercises really helped my wrist. Plus I massaged my forearm a lot. That helped with numbness. I have had to exercise my shoulder too. This is week 16 for me. My next Dr. appointment is next month. I'll give an update soon.

  2. #52
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    Hi Ryki! Sounds like you are coming around pretty good! The pain in the wrist is normal. After a while that will go away. The PT exercises helps along with massaging your arm. I discovered that massaging helped the numbness go away too. I remember at first when the splint first came off I thought I had broke my wrist it hurt so bad! The DynaSplint is not too bad. I sleep in a recliner at night because I toss and turn in bed too bad and need my arm to rest in one place. When the tension is tightened it is somewhat uncomfortable until you get used to it. The Dr. thought it was helping me and ordered me to wear it for another month. Currently I'm in my 16th week. I have another Dr. appointment next month. I'll post an update soon.

  3. #53
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    Sorry I posted the same message twice...I couldn't find my first message once I posted. :P

  4. #54
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    think im gonna give the dynasplint a miss, im not one for sitting still alot!

    I had my 1st PT session yesterday. I thought I was going to get 'beasted' but it was prettty miminal in the end. I've been given 5 minute 'gentle' exercises to do every hour until my next app on thurs. My range is 85 - 115 which is what I thought to start with. Loads of cracks, pops and squelchs when doing the exercises, it drives the wife nuts! lol

    My wrist doesn't hurt as much now either which is nice!!!

    I shall report back next thurs!

  5. #55
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    I went to the Dr. yesterday and he said that I have plateaued in progress of extension/flex which is currently 15/125. I still need to continue PT exercises and see if I can get more extension, but it doesn't look promising. He told me from the beginning that it might not ever be the same as it was. My supanation/pronation is very good...no issues there. My wrist pops 2-3 times a day when exercising it. I haven't experienced any clicking noises thank goodness but I can barely touch my shoulder. I'm now at 19 weeks post surgery. I've been released from the Dr. and no more follow-up appointments are needed he said. How are you doing ryki?

  6. #56
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    Hey Purrsey!

    All is going very well I feel for me! For 1st couple of weeks out of cast (weeks 6 to 9 post op) I had two 20 min PT sessions a week and alongside that I did 10-15min exercises every hour every day and things were going smooth!

    Then I went to 1 session a week and plateaued (weeks 9 to 11 post op) as I was starting my PT sessions at 65/120 and finishing at 60/120 everytime! I then changed my PT person and my home excerises and things have improved! I found that massaging the muscles for 10 mins three times a day helps to relax them enough for me to stretch them during my exercises!

    I'm now 55/120 at week 13 post op. I had doc check up last week, my sup/pronation is excellent, prob 2 degrees off perfect! In terms of final outcome for my extension/flexion he thinks 15/125 is what i'll be able to finally manage! He also told me that I split the head of my Ulna too which I didn't even realise!


    Went back to work yesterday and also got back on my bike too (to get to work!lol) with my nice shiny new helmet! A bit strange having one arm bent but I'm managing!

    Have you managed to squeeze a few more degrees since writing your last comment? Hows the wrist popping? Doe's it ache much still? I haven't got any pops, sometimes it'll sqwelch but its very rare. It really aches around the Ulna on the inside of my arm but thats only when I've exercised.

    Got another doc appointment in 3 months.

  7. #57
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    Hi ryki!

    Sounds like you are coming along well! So glad you changed your PT person! What a difference that made! I haven't changed any from 15/125. I have a feeling that might be as good as it gets for me. My wrist still pops during exercise everyday. It feels so much better once it pops. I don't have a whole lot of aching, just stiffness every day when I get up. Once I start using my arm the stiffness goes away. I still don't have all of my strength back, but I'm working on it. I bought a little red wagon to carry groceries and heavy items from my car to the house. I hurt my other arm (good elbow) by carrying too much trying to compensate for bad arm. I think I have tennis elbow in it or something. I feel like I can't lift much now until I heal further. It stinks! You don't realize how much you lift things until you don't have the option any more. I'm glad you discovered the wonders of massaging your arm. It really helped me with the numbness. I'm looking to purchase a Nike Golf Sleeve to cover my arm for when I go to the pool. I've also been using 100 spf sunscreen on my surgical scar when outdoors. Doctor said to protect it for at least a year. Keep us posted on the results of your next doctor appointment!

  8. #58
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    5 weeks

    Hi All,

    Really glad I can upon this site. Found it while sitting with my wife in the hospital. She fell of her bike, just street riding for enjoyment. She dislocated her right elbow and shattered RH. The implant was placed on June 1, 2011. She sat in a partial cast for 2 weeks. Originally the Dr wanted her to begin moving within 2-3 days. However because of the extent of damage to the elbow, including the metal plate with 8 screws, he had her hold off for 2 weeks. We began working pysical therapy/phisio therapy (PT) during the third week with just her and I. I've had a lot experience with PT so I did what I could. Her flextion and extension are max at 35 and 105. We've transitioned to licenced PT and it is working well. The concern is that she stiffens up very quickly. Every day when she starts PT she has to work for 20 plus minutes just to get to where she was the day before. The PT is now using heat to loosen her up first then they are using electro stimulation then rolling into the exercise routine. The Dr already told her that because of the amount of repair that she had to have, he would be happy with 20 degrees extension but flextion she can go as far as she can handle. He is concerned about ripping certain sutures which I do not fully understand. I am hoping that she can do better than 20 degrees but I am happy that she is okay. Did all encounter breaking through the same barrier each time they starting a different days PT?

    thank you,

    JAPR

  9. #59
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    Shoulder movment

    Hi there,

    My wife's shoulder seems to be over compensating significanly when extending and flexing her arm after the RH replacment. It makes her look like she is extending and flexing further than she actually is and I am concerned about shoulder injury to add to the elbow injury. Did anyone else encounter this problem? Did you find anyway to hold the shoulder still while working on flextion and extension.

    thanks,

    J

  10. #60
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    Hi JAPR,

    Sorry to hear of your wife's accident. Did she have an implant put in or were they able to save the radial head pieces with a metal plate and screws? I too had to wait 2 weeks before I could take the 1/2 splint off. When they did take it off my wrist hurt so bad I could barely move. My shoulder hurt when I did my exercises so I began doing shoulder exercises which helped immensely. You might ask your PT to add shoulder exercises to her daily therapy. My recovery has been a slow process and has definitely not happened overnight. Tomorrow will be 7 months to the day of my accident. I still have some stiffness daily, but once I actively use my arm it goes away. Hope this helps and keep us posted on her recovery.

  11. #61
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    6 Weeks

    Hi Purrsey,

    Thank you for the suggestion.

    She had a RH implant plus she broke the Ulna right at the Olecranon as well as shattering a piece of the Olecranan. The Dr had to plate the Ulna to the Olecranon with 8 screws and from what the Dr said the part that kept her imobalized for those couple of weeks was that he had to also suture a couple of things together (not sure I completely understand this part) to compensate for the shattered piece of the Olecranon so that the elbow does not disslocate.

    I will surely begin working with her on shoulder exercises and recommend to PT.

    With the limited range of motion that these surgerys cause at first, do you happen to remember what exercises you did at the very beginning in-order to work on your bicept and tricept strength?

    It is very hard at the moment because her range of motion seems to be limited to passive rather that active motion.

    I'm glad to hear that while you do get stiffnes it sounds like you've advanced well in 7 month.

    Best,

    JAPR

  12. #62
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    Hi ryki,

    I'm just following up to see how your exercises are going? I'm hoping all is well! Hope to hear from you soon.

  13. #63
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    JAPR,

    I'm going to provide a pdf link that has shoulder exercises to try. I'll post it as soon as I find it.

  14. #64
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    Hi JAPR,

    OMG! Her injury sounds to be a little more complicated. I've attached a pdf link that you can go to and print off the various exercises for the wrist/arm/shoulder from The Ohio State University Medical Center. These PT exercises were also approved by my Orthopedic Specialist. The PT can recommend how many reps and how often to do them in a day. The exercises worked for me but it took some time. Be careful not to push it too hard for she can overstretch the ligaments (Hypermobility) and that's a whole other issue. Keep us posted on her progress.

    http://www.medicalcenter.osu.edu/pat...r/elb-fore.pdf

  15. #65
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    Hi Purssey and Ryki,

    Hi Purssey, thank you very much for the link to the exercise routine. We are always looking for different ways to address some of these exercises just to keep them interesting and motivating.

    Hi Ryki, I was looking at a few past postings and came accross your xrays. They look very similar to what my wife had done. Both the RH replacement and the Ulna and Olecranon plated back together. Did your Ulna and Olecronon completely break from each other and is that why they were plated or did the ulna fracture and they put the plate on plus wrap it with a wire band to help heal the fracture. My wife is a surgery nurse and she is thinking it is a wire band to keep the ulna together. How are you feeling and how is your progress?

    PS I will post her xrays once we get them back from the Dr.

    Best,

    JAPR

  16. #66
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    Hey JAPR, I have been reading your comments and it does sound like your wife has an almost identical injury to mine but on the right elbow. My Ulna was as good as broken completely and yes my Olecranon was damaged too, it 'split apart.'

    The wiring I presumed was to hold the Radial Head and Ulna in position and stop them from dislocating? Maybe I should ask the doctor about this (or listen when he does tell me!) ! Does your wife have something like this too? Or maybe this is what the sutures are doing? Maybe they 'bound' some tissue together to keep things 'snug' and then expect through PT for this to fix itself? These are massive guesses, I'm no doctor!

    Great news that she's doing PT already. I seem to be the only one ever to be put in a full cast for 7 weeks for this injury so my PT has been alot different!! I think my muscles built up too well whilst in the cast as I was still using them ALOT (the muscle that runs along the top of the arm from the joint was absolutely massive!) and so now it has hindered me abit as I have alot of scar tissue to try and work as its too tight and strong!

    35 Ext is awesome I think. I'm only at 45 Ext and I'm nearly 5 months post op! My doc only expects me to get to 15-20 Ext.

    Flexion is really poor for me. Its something I haven't concentrated on nowhere near as much as Extension, mostly as the Doc said I'd get 115-120 out of it which is what it was at when I had my last appointment in May. It hurts more trying to excerise in that direction and everything around my elbow feels insanely tight to the point were I can see my skin go white from pressure were the plate is poking out!

    In terms of stiffening, yes it still does stiffen up this far down the line. Example, I had a PT appointment last fri early morning. I had no time to 'warm up' so went straight to my appointment. At the start of the session I started at 60 Ext which is a barrier I had past a good month ago and it took the whole 20min session too get back to my current angle of 45 Ext. All because it has stiffened up overnight.

    In terms of shoulder movement, my shoulder also 'leans forward' alot which makes me feel like my arm is doing great during exercises when in actual fact its not, its just my shoulder sticking out! Aslong as your wife is concious of that movement she should just try to keep it to a minimum. Maybe exercise lying down?

    The exercises I like do at home (when life/work doesn't get in the way!) mainly involve lifting a heavy shopping bag of weights for 30 - 60 secs three times an hour (this is to remove any stiffeness built up) and then just holding a heavy dumbell in my hand and letting my arm muscles relax so that the weight naturally forces my arm downwards. Again 30-60 secs three times an hour. I use my elbow as a pivot (with cushions underneath) and hold the dumbell over the table edge. I first did this lying down to reduce the shoulder movement but have since prefered to do it sitting up. I used to use 6kg and really push myself but have tried out 2kg this week and I can hold it for longer periods and it feels more comfortable!!!!! Whether it will have done me any good, I will find out tommorow at my PT session!

    My PT session is once a week. They do 5 mins massage and the rest of the session is spent doing a technique called 'hold and relax' which involves me pulling my arm up with the therapist pushing against my arm for 5 secs and then me relaxing my arm whilst the therapist still continues pushing down (alot more gently though). Gradually my arm will get weaker and weaker until I cant pull up no more! Thats when we stop and measure!

    As I dont check this page much now, if either of you guys (or anyone else who comes across this msg) wants to add me on facebook to chat more then feel free. I'm happy to answer any questions that you may have. My name is Ricky Jordan (Weymouth, Dorset)
    link here (might need to log in to view it) >> facebook.com/profile.php?id=900020353 <<

  17. #67
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    I have a new x ray which is much clearer than the others I posted but this site wont let me display the, until ive made a few more posts so here they come . . . . .

  18. #68
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    little and often is the key to exercises . . . . .

  19. #69
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    make sure she still alows time for recovery too. If it gets too much then reduce or stop the exercise for a day

  20. #70
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    im wittering on now like a mad man sat in front of a computer screen at 12.15am, oh wait I am!

  21. #71
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  22. #72
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    well switching to a lighter weight and doing more exercise often doesnt to seem to have done me any favours. I should be hitting 50/45 Ext at the start of my PT session, today I was at 55 and I finished on 50. Disappointed massively. Think I'm gonna switch back to the heavy weights and just push myself insanely!

  23. #73
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    Hi Ryki,

    I was just thinking along the same lines as you yesterday. I believe you may have a very good point. Less exercise with more frequency. Right now she is trying to do a full work out two to three times a day which seems to be a barrier because her arm seems to thighten more. I'm going to write up a schedule for her to do stretches every two hours while awake. Then do one full work out each day rotating the part of the arm that she works on from one day to the next. I work out a lot and if I tried to work out my arms every day or more than once a day I'd have nothing left.

    You're xray does look very similar to hers The Dr told her that if and when she get to 30-120 he will be satisfied. She has a complete brake in the Ulna from the Olecronon. When we saw it on the xray it looked almost scary. Doc said that bone should grow back in and if it does not then they may go back and put some filler in between the two pieces. For now he did not want any thing in their because of fear that the filler would create friction elswhere and cause asthritis. My wife (a surgery nurse) calls this people bondo like they use on a car.

    She is currently wearing a brace for flexsion and extension but it is not dynasplint. We are still fighting with insurance to get the dynasplit. Did you end up using it and what are your thoughts? I read a lot of different opinions on it both good and bad.

    The brace she is wearing you crank a knob and then leave it on for several hours. At first she was trying to crank it two quickly and to much and only could stand it for 30 minutes but that did not do any thing.

  24. #74
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    Dynasplint

    Hi has anyone used the dyansplint for elbow extension?

    If so does anyone know if the dynasplint elbow extension brace work for either a left or right arm?

    I know some of dynasplint's stuff is left/right specific but I was wondering if anyone knew specifically about the elbow extension brace.

    thanks,

    JAPR

  25. #75
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    I haven't used any brace or supports but Purrsey has. What is it that your wife is using? I looked into Dynasplint but was put off at the fact they don't have prices on their website and also that everyone who has used a Dynasplint on this thread has gone through Insurers to get one which made me think it might be too expensive!

    I have another PT sessions today. I have been using a heavy weight all week and as a result my arm has been aching loads, hopefully this is a sign of improvement!

    I have found a way to reduce shoulder movement too. If you lie down on your side with the injured arm outstretched along the floor (which should actually be stuck up in the air!) then you are putting all your body weight onto that shoulder that is movng therefore it should be restricted now!

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