A boxer’s fracture is a common injury that occurs when the neck of the metacarpal bone (usually the fifth metacarpal) in the hand is fractured, often as a result of punching a hard object or with improper punching technique. The need for physical therapy after a boxer’s fracture depends on the severity of the injury, the specific treatment provided, and the goals of the individual.

In many cases, especially when the boxer’s fracture is not displaced or is treated conservatively, you may not require formal physical therapy.

Treatment for a boxer’s fracture often includes the following…

• Immobilization – A cast or splint may be applied to immobilize the affected hand, typically for a few weeks, to allow the fracture to heal.
• Pain Management – Pain medications may be prescribed or recommended to manage discomfort during the healing process.
• Hand Elevation – Keeping the hand elevated can help reduce swelling.
• Follow-up Visits – It’s essential to follow up with your healthcare provider to monitor the healing process and assess when the hand is ready for functional use.

However, in some cases, physical therapy may be recommended or beneficial, especially if…

• The fracture was severe or displaced, and surgical intervention was required.
• You experience stiffness, reduced range of motion, or weakness in the hand and fingers during the healing process.
• There is a need to improve grip strength, dexterity, or fine motor skills in the hand after the cast is removed.

Physical therapy, if prescribed, will typically involve exercises to improve hand and finger mobility, strength, and coordination. A physical therapist can provide guidance on the appropriate exercises, stretching, and strengthening routines to help you regain normal hand function. They can also monitor your progress and make adjustments to the treatment plan as needed.

The need for physical therapy after a boxer’s fracture varies depending on the severity of the injury, the treatment received, and individual factors. If you have any doubts or concerns about your recovery, it is advisable to consult with your healthcare provider or a hand specialist who can assess your condition and recommend appropriate treatment, including physical therapy, if necessary.