Distal radius (wrist) fractures that remain in good alignment can often be treated without surgery, protecting the wrist from resistance and strengthening while the bone heals.
This page explains how a nonoperative distal radius fracture is commonly managed, in plain language, based on Dr. Kee's typical approach to this injury.
Every fracture is different. Treatment varies based on the exact fracture pattern, displacement, age, whether surgery is needed, bone quality, other injuries, and how an individual heals. This page is general education, not your personal treatment plan — always follow the specific instructions given to you by Dr. Kee's office.
Distal radius (wrist) fractures that remain in good alignment can often be treated without surgery, protecting the wrist from resistance and strengthening while the bone heals.
Finger motion and swelling control should begin while the wrist is still protected.
This fracture is generally treated without surgery. Instead, it is protected in a cast, splint, or brace so the bone can heal in a good position on its own.
A long-arm splint (LAS) for about 2 weeks, then a short-arm cast (SAC) for about 4 more weeks.
No weight bearing (NWB) through the arm for about 6 weeks.
For a full explanation of what these weight-bearing terms mean, see our Weight-Bearing Guide.
No resistance or strengthening (NRM) through the wrist for about 6 weeks.
Home wrist/finger motion after immobilization; formal therapy if stiffness, edema, or function lags.
A follow-up visit around 1–2 weeks to recheck alignment on X-ray, then a 6–8 week X-ray to confirm healing. An optional 6–9 month X-ray may be used to monitor final healing.
Every fracture moves through the same general phases, though the exact timing is different for every patient:
Work or School: Desk work with restrictions; lifting/manual work after healing and grip recovery.
Sports or High-Risk Activity: Usually 8–12 weeks after painless motion and functional strength return.
Loss of reduction, increasing numbness, tendon symptoms, skin problems, or persistent deformity/pain.
See our full When to Call page for the difference between routine office contact and emergency evaluation.
A long-arm splint (LAS) for about 2 weeks, then a short-arm cast (SAC) for about 4 more weeks.
Your surgeon will guide when it's safe to return to these activities based on how your specific fracture is healing. Follow the instructions given specifically to you.
Every fracture heals differently. If you have questions about your treatment plan, reach out to Dr. Kee's office.