Non Surgical Wrist Fracture Treatments Des Moines IA

This page provides useful content and local businesses that give access to Non-Surgical Wrist Fracture Treatments in Des Moines, IA. You will find helpful, informative articles about Non-Surgical Wrist Fracture Treatments, including "Wrist Fractures in the Elderly: Is Surgery Necessary?". You will also find local businesses that provide the products or services that you are looking for. Please scroll down to find the local resources in Des Moines, IA that will answer all of your questions about Non-Surgical Wrist Fracture Treatments.

Kerkhoff Chiropractic & Wellness Center
(515) 978-9074
260 Highway 6
Waukee, IA
Promotion
Complimentary consultation
This is our way of encouraging you to find out if your problem can be helped by Chiropractic care. It is also a way of acquainting you with our facilities and staff. While new patients are welcome, no one needs to feel any
Hours
Monday 9:00 AM - 6:00 PM
Tuesday 9:00 AM - 6:00 PM
Wednesday 9:00 AM - 6:00 PM
Thursday Closed
Friday 9:00 AM - 6:00 PM
Saturday Closed
Sunday Closed
Services
Applied Kinesiology, Auto Accidents, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Disc Herniation Treatment, Emergency Chiropractic Care, Holistic Chiropractic Care, Homeopathic Medicine, Massage Therapy, Pain Management, Pediatric Chiropractic, Personal Injury

E'Lite Massage Therapy
(515) 222-0555
1000 73rd St Ste 25
Windsor Heights, IA
Industry
Massage Practitioner, Physical Therapist

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Connections Massage Therapy Llc
(515) 277-0734
2907 Ingersoll Ave
Des Moines, IA
Industry
Massage Practitioner, Physical Therapist

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Epstein Frank Ba Lmt Cnmt Nctmb
(515) 274-3417
7019 del Matro Ave
Windsor Heights, IA
Industry
Massage Practitioner, Physical Therapist

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Des Moines Physical Therapy
(515) 251-3980
3514 Merle Hay Rd
Des Moines, IA
Industry
Physical Therapist

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Waukee Wellness & Chiropractic
(515) 978-9080
710 Alices Rd
Waukee, IA
Promotion
Call today to schedule an appointment! Saturdays open by appointment only.
Hours
Monday 7:00 AM - 12:00 PM
Tuesday 11:00 AM - 5:30 PM
Wednesday 7:00 AM - 2:00 PM
Thursday 11:00 AM - 5:30 PM
Friday 7:00 AM - 12:00 PM
Saturday Closed
Sunday Closed
Services
Applied Kinesiology, Auto Accidents, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Decompression Therapy, Disc Herniation Treatment, Emergency Chiropractic Care, Holistic Chiropractic Care, Homeopathic Medicine, Orthogonal Chiropractic, Pediatric Chiropractic, Personal Injury

Ingersoll Physical Therapy
(515) 282-4560
3209 Ingersoll Ave
Des Moines, IA
Industry
Physical Therapist

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Carney Kyla Do
(515) 271-1710
3200 Grand Ave
Des Moines, IA
Industry
Osteopath (DO), Physical Therapist

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Occupational Health Center
(515) 288-2269
320 Watson Powell Jr Way
Des Moines, IA
Industry
Osteopath (DO), Physical Therapist

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College-Massage & Healing Arts
(800) 433-3243
3601 Douglas Ave
Des Moines, IA
Industry
Massage Practitioner, Physical Therapist

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Wrist Fractures in the Elderly: Is Surgery Necessary?

Wrist fractures are common in older adults. In particular, distal radial fractures receive a lot of attention. The radius is one of two bones in the forearm (located on the thumb side of the forearm).

With a fall or traumatic injury, fracture at the end of the bone at the wrist can be considered unstable if the broken pieces have shifted and no longer line up as they should. Is it okay to put a cast on an unstable distal radial wrist fracture and let it heal as is? Or is surgery really needed to reset the bone perfectly?

That's the question orthopedic surgeons from the New York University Hospital for Joint Diseases asked. Their specific interest was in the older population. All patients included in the study were at least 65 years old. The average age was in the mid-70s. The goal was to compare results in patients with a distal radial fracture treated with cast immobilization to results for patients with the same diagnosis who were treated surgically.

You may wonder: doesn't putting an unstable wrist fracture in a cast cause the bone to heal crooked or with some kind of misalignment? Yes, that is exactly what happened with one group. The other group had surgery to reset the break and hold it together with a metal plate and wires or an external device and pins. Anyone with an open fracture (bone poking through the skin) was automatically placed in the surgical group.

The results were measured (before and after treatment) in several different ways. X-rays were taken. A special test of function was given called the Disabilities of the Arm, Shoulder, and Hand (DASH). Grip strength and wrist motion were measured and recorded. Pain intensity was recorded at regular intervals (at two, six, 12, 24, and 52 weeks after treatment was started).

In the end, the differences between the two groups were negligible. In other words, the differences in motion, pain, function, and strength were so small, there was no difference. Complications (e.g., nerve compression, tenosynovitis, stiffness, wrist pain) were equal between the two groups. Carpal tunnel syndrome was more of a problem in the group treated without surgery but the symptoms went away and were not permanent. Scores for the DASH test were basically the same for patients in both groups each time they were tested.

The two differences seen during follow-up didn't amount to anything significant. These included better grip strength in the group that had surgery when measured at the end of the first year. But this apparent weakness didn't seem to affect function. The X-rays showed a cleaner, more stable fracture site for the operative group. The break in the bones was set so that the surgical group had a more normal angle and length of bone. But again, the less optimal radiographic findings in the nonoperative group only translated into a small decrease in wrist motion that didn't affect function.

The researchers were careful to match patients between the two groups by age, se...

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