13 Best Exercises For Colle's Fracture

Introduction:

Colles’ fracture is a common wrist injury that usually happens when you fall on an outstretched hand. After undergoing proper medical treatment and allowing the bones to heal, exercises can help restore wrist strength, flexibility, and function.

Physiotherapy is frequently necessary following a period of immobilization for a Colles fracture, which is a break in one of the forearm bones near the wrist.

A distal radial fracture, sometimes referred to as a Colles fracture, happens at the end of the radius, a bone in the forearm. When your palm is facing back, the larger of the two forearm bones, the radius, is located on the inside of your forearm.

The most common cause of a Colles fracture is falling onto your outstretched hand. The end of the radius bone breaks off when it lands on your hand and is forced in the direction of your inner wrist.

Physiotherapy is necessary for wrist fracture recovery. It facilitates healing and functional recovery. During post-fracture rehabilitation, patients are taught Exercises For Colles’ fracture that improve wrist mobility and strengthen the surrounding muscles.

Pain management may be helped by receiving rehabilitation as soon as possible following an accident. Active rehabilitation methods enhance blood flow and flexibility in the affected area, thereby reducing pain and accelerating recovery. Patients who consult a physiotherapist early on can benefit from customized treatment programs tailored to meet their unique needs.

Causes:

Fall on an Outstretched Hand

The wrist hyperextends when you fall, and it automatically stops the fall with your hand, transferring force to the radius bone.
Often when sliding, running, or walking.

Accidents or Trauma

Accidents involving cars or motorcycles.
Sports injuries, such as those suffered when skating, skiing, or participating in contact sports.
Industrial or equipment accidents.

Osteoporosis

Osteoporosis is a significant contributing factor, especially in older persons, even if falls are the direct cause.
A disorder called osteoporosis causes bones to become weak and thin.
A simple fall that would not harm someone with healthy bones might cause a Colles’ fracture in an osteoporosis patient.

Weakness in the muscles or poor balance

Fall risk might be increased by weak lower-body and core muscles.
Prevalent among the elderly or in people with neurological conditions

Age

Colles’ fractures are most prevalent in two age groups,
Younger patients: Frequently due to trauma with great energy.
Elderly patients: Frequently as a result of osteoporosis and low-energy falls.

Low vision or balance

Makes falls more likely.
Common in older people and individuals with neurological or visual conditions.

Signs and symptoms:

The following are the main indicators of a Colles’ fracture:

Severe and Immediate Pain

At the site of the injury, you will probably experience sudden, severe pain that gets worse with any hand or wrist movement.
Although the pain can be felt all around the wrist, it usually concentrates on the upper side.

Sensitivity to Touch

Touching the region just above the broken bone can cause intense pain and tenderness.

Reduced or Decreased Mobility

You’ll probably have a lot of trouble moving your hand and wrist.
The pain and instability of the bone will make it very difficult or impossible to create a fist or grasp items.

Bruising and Swelling

The region around the wrist will rapidly become significantly swollen.
Within a few hours or soon after the incident, bruises may start to show up and spread up the forearm or down into the hand.

Poor Gripping Power

Having trouble holding onto things
It becomes uncomfortable or hard to hold or raise.

Wrist Shortening or Incorrect Alignment

The wrist could seem “dropped” or shortened.
Clearly displaced forearm and hand bones

Observable Deformity

The wrist’s “dinner fork” look
The wrist seems twisted upward and backward.

Numbness or Tingling

It may happen if nearby nerves are squeezed, such as the median nerve.
May cause the thumb, index, and middle fingers to tingle or become weak.

Exercise’s advantages:

One of the most important aspects of recovering from a Colles’ fracture is following a planned exercise program. Rehabilitation and exercises at home are essential for regaining function in the hand and wrist.

Enhances Your Strength

Your hand, wrist, and forearm muscles weaken while you are immobilized.
Muscle strength can be restored using exercises that begin with mild motions and advance to light resistance.
For activities like grasping, lifting items, and recovering general function, this is important.

Increases Flexibility and Coordination

Fine motor training restores hand mobility and coordination.
Essential for tasks involving the use of tools, typing, and sketching

Lessens Pain and Swelling

It may seem contradictory, but by encouraging circulation and the lymphatic evacuation of fluid from the damaged region, mild, vigorous activities can help decrease swelling.
As a result of activity, inflammation is reduced, which may lessen pain.

Enhances the recovery process and Function

A focused and regular workout regimen can greatly shorten the time it takes for you to recover.
The best method to restore the strength and mobility required to resume your favorite activities is to engage in regular exercise, either as part of a home program or as part of a formal rehabilitation plan.

Restores range of motion.

Helps in restoring wrist, finger, and forearm range of motion and flexibility.
Prevents stiffness caused by extended immobility (such as splinting or casting).

Prevents Adhesions and Joint Stiffness

Adhesion risk is decreased by movement.
Maintains the smooth motion of tendons and joints.

Increases Self-confidence and Capability

Helps patients regain their independence.
Increases self-confidence in returning to everyday activities or a job with the damaged arm.

Consider the following precautions before starting a fitness regimen:

Before starting any exercise program, a few safety precautions should be taken in order to get the most out of its benefits. Consult your physician or physiotherapist for advice on which exercises work best for your specific problem.

You should focus on your body instead of trying to alleviate pain. It’s normal to experience pain after exercising, but if it continues or worsens, it could indicate that you’re straining yourself too much. Start with low-impact exercises and gradually increase the effort until you can handle more challenging ones.

It is possible to avoid repetitive injuries by employing proper form and technique. Consult a doctor if you are not confident that you can maintain an exercise program. Before starting any activity, warm up your muscles and joints to ensure they are prepared.

Exercises For Colle’s Fracture:

Until you are completely recovered, your physiotherapist will show you how to perform these exercises, progressively increasing the duration and intensity.

Here are 13 of the best exercises to improve recovery and prevent stiffness.

Wrist flexion

Start with the seating position on the chair.
Then, take a table to rest your hands.
Take an upright dumbbell in your hand.
Extend your wrist towards your body to bend it.
Pointing your palm upward.
Hold this position for a few seconds.
Then return to your neutral position.
Then relax.
Repeat these exercises 5 to 10 times.

Wrist extension

Begin by adjusting your seating position in the chair.
Your elbow should rest on the table.
Then, hold the dumbbell straight in your hand.
Bending your wrist away from your body and pointing it downward will straighten it.
Hold this position for a few seconds.
Then return to your neutral position.
Then relax.
Repeat these exercises 5 to 10 times.

Wrist circle

Step onto the floor and begin standing.
Straighten out one arm in front of you.
Keeping your hand relaxed.
Gently make a loose fist with your extended hand.
Move your wrist in slow circular motions.
Make the circles as wide as you feel comfortable.
Ten clockwise and ten anticlockwise circles should be repeated.
Then return to your neutral position.
Then relax.
Repeat these exercises 5 to 10 times.

Ball squeeze

You should begin standing on the floor.
Find a soft rubber ball.
Using all five fingers, surround the ball.
Then squeeze the ball.
Hold this position for a few seconds.
After that, relax your hand.
Then return to your neutral position.
Then relax.
Repeat these exercises 5 to 10 times.

Elbow band

Make sure you begin by standing on the ground.
Your arm should be at your side.
Forward and palm down.
Bend your elbow slowly and raise your hand towards your shoulder.
Hold this position for a few seconds.
Then return to your neutral position.
Then relax.
Repeat these exercises 5 to 10 times.

Wrist turn

Begin by standing on the ground.
Then hold out your hand.
Keep your elbow straight.
With minimal weight applied and the palm facing upward.
As you carefully turn your wrist, put your palm down.
Then return to your neutral position.
Then relax.
Repeat these exercises 5 to 10 times.

Hand clench

Stand on the ground to start.
Then extend your fingers straight out.
Squeeze the hand into a fist with gentle pressure.
Your fingers are wrapped around your thumb.
Hold this position for a few seconds.
Then return to your neutral position.
Then relax.
Repeat these exercises 5 to 10 times.

Finger Spreading

To start, settle into a comfortable chair.
Make your fingers straight.
Make sure your thumb is facing your palm.
Once you’re comfortable, spread your fingers out as much as possible.
Hold this position for a few seconds.
Then return to your neutral position.
Then relax.
Repeat these exercises 5 to 10 times.

Wrist flexor stretch

Get started standing on the floor.
In front of you, extend one arm shoulder-height.
Lightly press the palm of your extended hand.
That you have your fingers pointed down.
Keep your elbows straight.
Hold this position for a few seconds.
Then return to your neutral position.
Then relax.
Repeat these exercises 5 to 10 times.

Wrist extensor stretch

Begin standing on the floor.
Hold out one arm.
Your palm should be facing the floor.
Slowly grab your extending hand’s fingers with your other hand.
As you gradually bend your wrist downward, your fingers should point toward the floor.
Continue to pull your hand back towards your body with gentle pressure.
Until your forearm’s upper part feels a little too stretched.
Maintain a straight elbow during the stretch.
Hold this position for a few seconds.
Then return to your neutral position.
Then relax.
Repeat these exercises 5 to 10 times.

Finger and Thumb touch

To start, settle into a comfortable sitting position.
Make sure your wrists are straight.
Gently trace an “O” with each of your four fingertips, one at a time, using your thumb.
Each movement holds for a few seconds.
Then return to your neutral position.
Then relax.
Repeat these exercises 5 to 10 times.

Thumb flexion

Take a seat comfortably first.
To begin, extend your left hand with all of your fingers in a straight grasp.
Extend your thumb to your little finger’s base.
If you are unable to reach your little finger, you should not worry.
Simply put, reach out as far as your thumb will allow.
Hold this position for a few seconds.
Then return to your neutral position.
Then relax.
Repeat these exercises 5 to 10 times.

Wrist Radial and Ulnar Deviation

Place yourself on the table or chair to begin.
The palm of your arm should be facing you.
Go slowly from side to side with your wrist, starting simply with your pinky finger.
Next, then in the direction of your thumb.
Only your wrist should move; your forearm shouldn’t.
Do five to ten repetitions of each direction.
Then return to your neutral position.
Then relax.

What safety measures need to be taken when exercising?

When recovering from a Colles’ fracture, it is essential to take particular safety measures when performing exercises to maximise functional rehabilitation, prevent complications, and promote healthy healing.

Perform a warm-up first.

Always start with mild movements.
The risk of making the pain worse is reduced by warming the muscles, boosting blood flow, and reducing stiffness.

Maintain Your Techniques

Always take your time and be careful when exercising.
Avoid jerky, forceful, or fast movements.

Move Forward Gradually

Before moving on to weight-bearing and strengthening activities, begin with range-of-motion (ROM) exercises.
Avoid jerky, forceful, or fast movements.

Take a break after your workout.

Gentle stretching and controlled breathing can help prevent muscle stiffness and relaxation.
Don’t stop suddenly without performing any exercises for recovery.

Stay away from jerky motions.

Avoid forcing your wrist into positions that hurt a lot.

Pay attention to fatigue and pain.

It’s normal to have some muscle soreness.
Avoid ignoring extreme pain, as this could be a sign of re-injury.

Gradually increase the intensity.

Using resistance bands or modest weights, you can progressively incorporate progressive resistance workouts once your mobility has returned and your doctor gives permission to do so.

The key is regularity.

For your recovery to be successful, you must consistently complete your exercises as directed by your therapist.

When did you stop working out?

In some cases, you should obviously change your exercise routine or temporarily stop exercising.

Numbness, tingling, or burning sensations

It may be a sign of median nerve compression, especially if the wrist is still swollen.
Give up doing resistance or wrist pressure exercises.
Get a medical or neurological examination if symptoms continue.

Inflammation

New or worsening swelling after exercise is a sign that the joint is stressed beyond its capacity.
Stop, relax, and consult your doctor or a physiotherapist.

Symptoms of fatigue

Your risk of injury increases when you’re fatigued.
If you feel weak, dizzy, or your muscles are trembling, stop and take a break.
Excessive fatigue also affects coordination and body control.

After several weeks, there has been no progress.

If your strength, stability, or soreness doesn’t change after several weeks of regular practice.

During or after physical activity, intense or severe pain

Little pain is normal, especially in the early stages of movement.
A warning indicator, however, is severe, acute, or growing pain.
Pain that lasts into the next day could be the result of overuse or bad technique.

When you have Colle’s Fracture, which workouts should you avoid?

Knowing which exercises and activities to avoid is essential for good healing and preventing re-injury after a Colles’ fracture. Your current stage of recovery will determine which activities you should avoid, but generally speaking, you should avoid anything that impacts the healing wrist.

Weight-bearing or high-impact wrist exercises

These may put the recovering wrist under unnecessary stress.

Planks or push-ups
Chest and bench presses (particularly with a barbell)
Burpees
Mountain climbers

Fast or Unusual Movements

When running or jumping, use your arms to deal with impact.
Activities such as tennis, basketball, and martial arts
These activities raise the chance of falling or of having a sudden impact on the healing bone.

Lifting Weights

Do not use the damaged hand or wrist to lift heavy things.
Lifting weights using barbells or dumbbells
Transporting suitcases, buckets, or food bags

Risky Activities or Contact Sports

There is a high chance of suffering a direct wrist injury or falling.
Rugby, basketball, or football
Riding a snowboard or skateboarding
Wrestling or martial arts

Specific Pilates or Yoga Movements

In particular, positions requiring weight-bearing and wrist extension:
Downward-facing dog
Plank and side plank
Tabletop or reverse tabletop

Overuse and movements that are repeated

Until your wrist strength returns, stay away from repeated wrist-moving tasks like gardening or extended keyboard use.
Take regular pauses and pay attention to your body.

How to Prevent Colle’s Fracture:

Colles’ fracture prevention combines fall risk reduction, bone health improvement, and protective reflex development.

Wear safety equipment.

Wearing wrist guards can add protection and help avoid injury if you engage in sports or activities that have a high risk of falling, including skiing, speed skating, or even horseback riding.

Obtain Routine Examinations

Your doctor may suggest a bone density test to screen for osteoporosis if you are over 50, particularly if you have additional risk factors.
Your balance and awareness of your environment might be impacted by hearing and visual impairments.
It’s important to get regular examinations to make sure your senses are functioning properly.

Enhance Arm Strength

Strengthening your arms and wrists helps lessen the severity of injuries suffered in a fall.
Engage in wrist-strengthening activities.
To improve your ability to manage your balance, strengthen your core and shoulder muscles.

Improve Your Strength and Balance

Your stability and coordination may be greatly enhanced by exercises like yoga, tai chi, and general strength and balance training.
Maintaining muscular strength and flexibility via regular exercise reduces your risk of losing your balance.

Avoid Negative Habits

Quit Smoking: It has been proven that smoking lowers bone density.
Limit Alcohol: Drinking too much alcohol can weaken bones and make falls more likely.

Summary:

One of the forearm bones breaking close to the wrist joint is known as a Colles fracture. The most frequent of all fractures, it frequently occurs when a person falls onto an outstretched hand.

Fall-related Colles fractures are more common in women with osteoporosis who are 60 years of age or older. A condition called osteoporosis causes your bones to weaken. Given how painless osteoporosis is, you may have it without ever realizing it. In addition to falls, other persons of all ages can also get a Colles fracture as a result of trauma from contact sports, skating, biking, or auto accidents. Wearing a wrist guard is one way to take preventive measures for your wrists.

A structured exercise regimen is crucial for a full recovery following a Colles’ fracture. With patience, hard work, and medical assistance, most people are able to regain normal wrist function. Because every healing process is unique, listen to your body and modify as needed.

FAQ:

How does a Smith fracture vary from a Colles fracture?

A reverse Colles fracture is called a Smith fracture. In contrast to dorsal angulation, which is directed upward, this kind of broken wrist is volar angulation, or angled sideways.

Are osteoporosis and Colles fractures related?

Osteoporosis increases the risk of a Colles fracture. When you break your wrist, it could indicate osteoporosis. Discuss with a doctor if you should get tested for osteoporosis. Treatment can be beneficial.

How do you feel and see a Colles fracture?

In addition to pain, you may have swelling and bruises after breaking your wrist. It is also possible for your wrist to appear abnormally bent.

Will a Colles fracture heal itself?

Without treatment, a Colles fracture cannot heal properly. For the bones to recover properly, they must be immobilised and corrected. If you believe your wrist is fractured, get treatment.

How does the prognosis for Colles fractures look?

After a Colles fracture, you will probably resume your normal activities, although it may take a year before you regain your pre-fracture state. To safely return to that state, do as directed by your medical doctor.

After treatment, can Colles fractures recur?

Your wrist bone can break again. You might experience another trauma or fall. To avoid having to go through the pain, suffering, and recovery process again, do all in your power to avoid getting any more wrist injuries.

Why does a Colles fracture occur?

Falling on an extended hand is the most frequent reason. It breaks because the force of the fall is transferred to the radius through the hand and wrist.

What signs and symptoms are present?

Wrist pain that is acute and immediate.
Bruising and swelling.
A noticeable abnormality where the wrist seems to be bent at an odd angle.
Inability to move the wrist or hand.

How soon after a Colles’ fracture can I begin exercising?

Under the supervision of a physician or physiotherapist, you can start mild range-of-motion (ROM) activities following immobilization, which usually lasts four to six weeks in a cast.

What are post-fracture workouts planned to achieve?

Restore the mobility of your forearm and wrist.
Regain your arm, wrist, and hand strength.
Improve productivity along with cooperation.
Decrease edema and stiffness.
Improve range of motion.

If I continue to have pain or stiffness, might workouts help?

Yes, stiffness may be considerably reduced with mild stretching and mobility exercises. Persistent pain, however, has to be checked by a physician.

What should I stay away from while I’m recovering?

Early on, refrain from strenuous motions or heavy lifting.
Sharp pain is a warning sign; do not ignore it. Some pain is natural.
Avoid doing things that might cause falls or re-injury.

Is it possible to fully recover from a Colles’ fracture?

Yes, in the majority of instances, particularly with regular rehabilitation. However, some people, especially older individuals or those with problems, may have a loss of mobility or long-term stiffness.

References:

Pt, B. S. (February 26, 2025). Physical treatment for a fractured Colles. Verywell Health. Physical Treatment for a Colle’s Fracture (https://www.verywellhealth.com/) 2696058
Physical therapy for a broken collarbone. Charles Fracture (PDF) https://www.royaldevon.nhs.uk/media/mt4jb2ch
Major, M. May 19, 2022. Six tried-and-true exercises to treat a fractured wrist. Strive Performance & Physiotherapy. Here are some tried-and-true exercises to help heal your collar fracture: https://strivept.ca/6
Colles fracture. June 2, 2025. https://my.clevelandclinic.org/health/diseases/21860-colles-fracture Cleveland Clinic
AQ Health Care. November 20, 2024. Crucial rehabilitation activities for a speedy recovery in physiotherapy for broken wrists | AQ Health Care. The AQ Physio Clinic. https://www.aqhealthcare.in/broken-wrist-physiotherapy/
A. Blessie (n.d.). Management of Colles’ fracture and physiotherapy. SlideShare. Physiotherapy management for fractures: https://www.slideshare.net/slideshow/colles-fracture-management/238732155
Types, Symptoms, and Physiotherapy Management of Colles Fractures. (undated). Colles fracture types, symptoms, and physiotherapy management: https://www.fixhealth.com/blogs
Image 7, Workouts to perform at your desk. (undated). American Communications Workers. Workstation exercises: https://cwa-union.org/national-issues/health-and-safety/ergonomics
Image 11, Migala, J. March 9, 2025. Seven hand exercises to help those over fifty. Exercises to Prevent Arthritis. AARP. https://www.aarp.org/health/healthy-living/