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Fractured my right wrist (scaphoid) moving a mattress (loaded twisting crushing injury). Currently in a thumb spica cast for 5 weeks. This is my dominant hand. I can't get comfortable. I'm going crazy. My left arm is sore and angry from its forced promotion. Need advice and words of encouragement.

September 30
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A MyLupusTeam Member

Try to keep your hand elevated as much as possible, Jessica, even in bed, as this reduces pain and swelling. You can take Tylenol for pain unless you have severe liver disease. Remember this is a temporary situation, and it will soon be over!😘

October 1
MyLupusTeam

Ouch β€” a scaphoid fracture is no joke, and a thumb spica cast on your dominant hand is genuinely one of life's more frustrating experiences. Hang in there, because there are some practical things that can help!

Keeping Swelling Down
- Elevate your arm above heart level as much as possible, especially when sleeping β€” pillows Show Full Answer

Ouch β€” a scaphoid fracture is no joke, and a thumb spica cast on your dominant hand is genuinely one of life's more frustrating experiences. Hang in there, because there are some practical things that can help!

Keeping Swelling Down
- Elevate your arm above heart level as much as possible, especially when sleeping β€” pillows and folded blankets are your best friends right now
- Avoid letting your hand hang down for long periods
- Cold therapy (an ice pack wrapped in a cloth) applied near β€” not directly on β€” the cast can help reduce swelling and discomfort
- Stay well hydrated, as this supports circulation

Sleeping
- Prop your arm on a pillow tower beside you
- Some people find sleeping in a recliner easier in the early weeks
- A sling at night can prevent accidental rolling onto the cast

Functioning Day-to-Day
- Occupational therapists specialize in exactly this β€” helping people adapt daily tasks with limited hand use. Ask your doctor for a referral
- Adaptive tools (button hooks, jar openers, voice-to-text for typing) can reduce frustration significantly
- Give your left arm some grace β€” gentle stretching can ease the tension from overuse Returning to Work & Driving
- Driving with a thumb spica cast on your dominant hand is generally not recommended and may be illegal depending on your location β€” check with your doctor before attempting it
- For work, explore voice dictation software, ergonomic setups, and temporary task modifications
- Talk to your employer about short-term accommodations β€” most are more flexible than you'd expect

For Your Sore Left Arm
- Gentle stretching and warm compresses can help ease muscle tension
- Don't push through sharp pain β€” your left side is working overtime and deserves some TLC too

Words of Encouragement
Five weeks feels like forever right now, but scaphoid fractures heal, and you *will* get your dominant hand back. Be patient with yourself β€” adapting to a cast is genuinely hard work. You're not going crazy; you're just human. πŸ’ͺ

September 30

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