I had been really looking forward to day 17 – Thursday 20th July was my first appointment at the fracture clinic at Frimley Park. I say looking forward; I suppose there was an element of trepidation mixed in with the curiosity. I hoped I’d find out how my arm was progressing, if the bones were lining up, and above all that I’d be offered a more robust brace of some kind to give my wobbly arm more protection. I was also slightly nervous that there would be pain, that they’d try to manipulate my arm in some painful way (why, I have no idea?) or that fitting a new brace might hurt. Also that they’d look and say ‘I’m sorry, your bones are not going to meet up’. Totally irrational but that’s the nature of fear and the unknown!
We arrived in good time, not really sure what to expect. There were signs up warning people that if they needed both x-rays and plastering they could be in clinic for two to four hours. I knew I wouldn’t be getting plastered but settled in with a puzzle book in my bag, ready for a lengthy visit. The other clinic visitors appeared to be ankle and lower leg breaks at different stages of repair. One lad and his mum emerged smiling from the consultation rooms and went to the desk to hand in his crutches and leg brace. Job done! A few ladies with lower leg fractures were in wheelchairs. Once again I thanked my lucky stars.
In the event it was all quite quick. We were called in promptly and the doctor took a quick look and organised a chitty for an x-ray and a brace to be fixed (relief!), promising we could come back to ask questions afterwards. We moved into the plaster room as instructed but a nurse asked me to climb into a chair with a raised armrest and I stared at in fear, saying “I don’t think I can lift my arm onto there!”. She quickly realised we were in the wrong place and the consultant came back to see us again to explain he’d only been at Frimley a week and he’d got it wrong – an x-ray today was too early to see improvement. I needed a moulded plastic brace fitting though – so we were sent off to occupational therapy to get one sorted.
Before we left I checked a few things with him – pain relief, swelling, likely timescales. I don’t think we learned anything new. He said we’d have to experiment with the pain meds to get it right, and gave 10 to 12 weeks before I’d be able to have the brace removed. He said there was a possibility the union wouldn’t be perfect but up to 30% displacement was normal and my arm would regain full functionality. I was to return in two weeks to get the update x-ray.
Getting the brace
In occupational therapy we walked past the rooms full of crutches, stools and wheelchairs and found our way to the therapist, Jane, who was to fit the moulded plastic brace to my arm. She was very calm and gentle and put me at ease. First she measured and cut the plastic to a paper template. Then she put the plastic sheet into the warm water machine (like an electric bain marie) to soften it up. She pulled the tube stocking carefully up over my upper arm. It hurt at first with the pressure, but then felt snug. Her colleague Fiona came out to pull my elbow downwards in slight traction while they wrapped the plastic sheet warmly round my arm and then fixed the velcro round. The two velcro straps were pulled tight in opposite directions. It felt nice and secure and reassuring.
Jane suggested I try from time to time removing my wrist from the collar and cuff and gently lifting my hand up and down, supported, to ‘oil’ my elbow joint and stop it completely stiffening up. I also need to squeeze a ball and flex my wrist up and down.
I’ve spent two nights in it the brace now and it feels fine. We’ve only had to loosen and readjust it once so far. Tomorrow we will attempt to shower with it ON, but covered by a plastic bag or shield. In future we can try removing it to shower.