Transitioning out of a cast or surgical pin requires structured progressive mobilization. Here is what to expect during your hand therapy journey.
Sustaining a distal radius or scaphoid fracture disrupts both bone integrity and surrounding flexor tendons. Once your orthopedic surgeon clears you for movement, structured hand therapy is key to preventing long-term stiffness.
### Phase 1: Weeks 1–4 (Cast / Post-Cast Phase)
Focus on active digit movement (making full fists), shoulder and elbow range of motion, and controlling localized swelling through elevation and compression sleeves.
### Phase 2: Weeks 4–8 (Active Range of Motion)
Gentle active wrist flexion, extension, and radial/ulnar deviation. Therapists introduce soft medical resistance putty to begin intrinsic hand muscle recruitment.
### Phase 3: Weeks 8+ (Progressive Strengthening)
Transitioning to targeted grip strengtheners, heavy putty pinches, and real-world functional tasks like turning door handles and lifting heavy items safely.
