Injury Recovery

Broken Wrist: Safe Exercises, Recovery, and What to Avoid

By Jordan 7 min read

Working out with a broken wrist requires strict medical clearance, focusing on maintaining fitness in uninjured areas, avoiding direct wrist load, and gradually rehabilitating the limb under professional guidance.

How to workout with a broken wrist?

Working out with a broken wrist requires careful planning and strict adherence to medical advice, focusing on maintaining fitness in uninjured areas while protecting the healing limb.

Immediate Considerations and Medical Clearance

The absolute first step before engaging in any form of exercise with a broken wrist is to consult your physician or orthopedic specialist. They will provide critical guidance based on the type of fracture, its stability, the chosen treatment (cast, splint, surgery), and the stage of healing. Ignoring this step can lead to delayed healing, re-injury, or permanent damage. Your doctor may also recommend a physical or occupational therapist who can provide a tailored rehabilitation plan and advise on safe exercises.

The Goals of Training During Wrist Recovery

While your wrist heals, the primary goals of your fitness regimen shift from performance enhancement to injury management and overall health preservation. These include:

  • Maintaining Cardiovascular Fitness: Preventing deconditioning of your heart and lungs.
  • Preserving Muscle Mass and Strength: Focusing on unaffected body parts to minimize atrophy.
  • Minimizing Deconditioning: Keeping your body active helps maintain metabolic function and energy levels.
  • Supporting Overall Healing: Good circulation and nutrient delivery from moderate exercise can aid recovery.
  • Maintaining Mental Well-being: Exercise is a powerful stress reliever and can combat the frustration often associated with injury.

What to Avoid (Absolute Precautions)

During the healing phase, certain activities are strictly prohibited to ensure proper recovery and prevent complications:

  • Any direct load or impact on the injured wrist: This includes pushing, pulling, lifting, or gripping with the affected hand.
  • Exercises that cause pain or discomfort in the wrist: Pain is your body's alarm system; do not push through it.
  • Movements that compromise the cast or splint: Avoid getting the cast wet (unless it's a specialized waterproof cast) or doing anything that might loosen, crack, or damage it.
  • Risk of falls or re-injury: Choose exercises that minimize the chance of losing balance or accidentally impacting the injured wrist.
  • Ignoring pain signals: Always err on the side of caution.

Upper Body Training (Unaffected Side)

Focus on unilateral exercises that load only your uninjured arm.

  • Single-Arm Dumbbell Rows: Support your body with your non-injured hand or forearm on a bench, keeping your back straight. Perform rows with the uninjured arm.
  • Single-Arm Bicep Curls: Use a dumbbell or cable machine for curls with the unaffected arm.
  • Single-Arm Tricep Extensions: Perform overhead or kickback extensions with the uninjured arm.
  • Single-Arm Cable Flyes/Presses: Carefully set up a cable machine to allow for exercises that isolate the pectoral muscles on the uninjured side, ensuring the injured arm is completely out of the way and stable.
  • Bodyweight Modifications: Forearm Planks (avoiding wrist weight-bearing), Side Planks (supporting on the forearm or uninjured hand). Avoid push-ups or similar exercises that put direct pressure on the wrist until cleared.

Lower Body Training

Most lower body exercises are safe, provided they don't require wrist support or balance that could compromise your injured arm.

  • Squats: Bodyweight squats, goblet squats (holding the weight with the uninjured hand or cradled in both forearms if comfortable and stable), or leg press machines are excellent options. If using a barbell, ensure a spotter and a rack that allows you to unrack and re-rack without wrist involvement (e.g., safety bar squats if available and cleared).
  • Lunges: Forward, reverse, or lateral lunges with or without dumbbells (held in the uninjured hand) are great for leg strength.
  • Deadlifts (Modified): Trap bar deadlifts can sometimes be performed with minimal wrist involvement if the grip is strong enough in the uninjured hand, or using lifting straps. Romanian deadlifts (RDLs) with dumbbells in the uninjured hand or a light barbell using a hook grip or straps can also be considered, but proceed with extreme caution and light weight.
  • Leg Press Machine: A safe and effective way to train quads, hamstrings, and glutes.
  • Hamstring Curls & Leg Extensions: Machine-based exercises that isolate specific leg muscles.
  • Calf Raises: Standing or seated calf raises are safe.

Core Training

A strong core is vital for overall stability and can be trained effectively without wrist involvement.

  • Forearm Planks: Maintain a straight line from head to heels, supporting on forearms.
  • Side Planks: Support on one forearm, keeping the body in a straight line.
  • Bird-Dog: On hands and knees (ensure injured wrist is not bearing weight if possible, or support on forearm), extend opposite arm and leg.
  • Leg Raises: Lying on your back, lift your legs towards the ceiling.
  • Crunches/Reverse Crunches: Traditional abdominal exercises.
  • Russian Twists: Perform without weight, or with a very light weight held securely by the uninjured hand.

Cardiovascular Training

Maintaining cardiovascular health is crucial and can be done safely.

  • Stationary Cycling: Upright or recumbent bikes are ideal as they require no wrist involvement.
  • Elliptical Trainer: Focus on leg drive and avoid gripping the handles tightly. Some elliptical models allow you to use only your legs.
  • Walking/Jogging/Running: Ensure your balance is not compromised and there's no risk of falling and landing on the injured wrist.
  • Stair Climber: Another excellent low-impact option.
  • Swimming (Modified): Only if your physician has cleared it and your cast is waterproof or removed. You may need to use a pull buoy to support your legs and focus on kicking, avoiding arm strokes.

Rehabilitation Phase and Gradual Return to Activity

Once your physician gives the green light, and often under the guidance of a physical or occupational therapist, you will begin the rehabilitation phase.

  • Follow Your Therapist's Plan: This is paramount for regaining full range of motion, strength, and function in your wrist. They will introduce gentle, progressive exercises.
  • Progressive Overload (Very Gradual): As your wrist heals and strengthens, your therapist will guide you on increasing resistance and complexity.
  • Listen to Your Body: Any new or increased pain is a sign to stop and consult your therapist or doctor.
  • Wrist-Specific Exercises: These will include gentle range of motion exercises, grip strengthening (e.g., squeezing a soft ball), and pronation/supination exercises.

Nutrition and Recovery Support

Your body needs optimal fuel to heal.

  • Adequate Protein Intake: Essential for tissue repair and muscle maintenance.
  • Micronutrients: Ensure sufficient intake of calcium, vitamin D, vitamin K, and magnesium, which are crucial for bone health.
  • Hydration: Drink plenty of water.
  • Quality Sleep: Your body does most of its repair work during sleep. Aim for 7-9 hours per night.

Mental Well-being During Injury

Being sidelined from your regular fitness routine can be frustrating.

  • Focus on What You Can Do: Celebrate the progress you make in other areas of your fitness.
  • Set Realistic Goals: Understand that healing takes time.
  • Stay Connected: Lean on your support system of friends, family, or fellow fitness enthusiasts.

When to Seek Professional Guidance

Always contact your doctor or therapist if you experience:

  • Increased pain, swelling, numbness, or tingling in your wrist or hand.
  • Changes in the fit of your cast or splint.
  • Signs of infection (redness, warmth, pus).
  • Lack of progress in your rehabilitation exercises.
  • Any uncertainty about the safety of an exercise or activity.

Working out with a broken wrist is certainly challenging, but with the right medical guidance and a strategic approach, you can maintain a significant level of fitness and contribute positively to your recovery. Patience, caution, and consistent communication with your healthcare team are your most valuable tools.

Key Takeaways

  • Always consult your physician or orthopedic specialist before beginning any exercise with a broken wrist to ensure safety and proper healing.
  • Focus your fitness regimen on maintaining cardiovascular health and preserving muscle mass in uninjured body parts.
  • Strictly avoid any direct load, impact, or pain on the injured wrist, and ensure exercises do not compromise your cast or splint.
  • Lower body, core, and unilateral upper body exercises (on the uninjured side) are generally safe options for maintaining fitness.
  • Gradual rehabilitation under therapist guidance, along with proper nutrition and adequate sleep, are crucial for regaining full wrist function and overall recovery.

Frequently Asked Questions

What is the most important first step before exercising with a broken wrist?

The absolute first step before engaging in any exercise with a broken wrist is to consult your physician or orthopedic specialist for critical guidance.

What types of exercises are generally safe when working out with a broken wrist?

Safe exercises include single-arm upper body training on the uninjured side, most lower body exercises (like squats, lunges, leg press), core exercises (like forearm planks, crunches), and cardiovascular activities such as stationary cycling, elliptical training, or walking.

What activities should be strictly avoided while a wrist is healing?

You must strictly avoid any direct load or impact on the injured wrist, exercises that cause pain, movements that compromise the cast or splint, and activities that pose a risk of falls or re-injury.

How can nutrition and lifestyle support wrist healing?

Beyond exercise, support recovery with adequate protein intake, essential micronutrients (calcium, vitamin D), sufficient hydration, and 7-9 hours of quality sleep, as your body performs most repair work during rest.

When should I seek professional medical guidance during my wrist recovery?

Always contact your doctor or therapist if you experience increased pain, swelling, numbness, or tingling, changes in your cast's fit, signs of infection, lack of progress in rehabilitation, or any uncertainty about exercise safety.