Functional exercise is carried out as early as possible with fixation and stabilisation.
The disadvantage of non-surgical treatment is the long immobilisation time, usually requiring six weeks in a cast, during which time the interphalangeal joints can be moved and, at the same time, the shoulder and elbow joints must be exercised. After removal of the cast, flexion, extension and rotation of the wrist can be gradually resumed.
In surgically treated patients, after assessment of the stability of the internal fixation, activity and physiotherapy can be started early, including flexion and rotation of the wrist, flexion and extension of the interphalangeal joints of the fingers, and rehabilitation of the shoulder and elbow joints. 6-8 weeks after good recovery has been established, resistance exercises can be performed.
If available, they can receive guidance from a professional physiotherapist or go to a rehabilitation hospital for rehab.