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ORIF

Open Reduction and Internal Fixation (ORIF) of the forearm is a surgical procedure used to treat fractures of the radius and ulna. Physiotherapy is essential after surgery to restore movement, strength, and function. At ACE Physio Sports in Singapore, we provide structured rehabilitation to help you recover safely and return to daily activities.

Vineet Bansal
Medically Reviewed By
Vineet BansalCLINICAL DIRECTOR / PRINCIPAL MUSCULOSKETAL & SPORTS PHYSIOTHERAPIST
Last reviewed on 29 May 2026
ORIF

What is ORIF of the Forearm?

ORIF (Open Reduction and Internal Fixation) is a surgical procedure used to realign and stabilise broken bones in the forearm.

It is commonly required when:

  • The radius and/or ulna are fractured and displaced
  • Bones cannot heal properly with a cast alone

During surgery:

  • Bones are repositioned (open reduction)
  • Plates, screws, or wires are used to stabilise them (internal fixation)

How Do Forearm Fractures Happen?

Forearm fractures usually occur due to:

  • Falling onto an outstretched hand
  • Direct impact or trauma
  • Sports injuries or accidents

Common symptoms include:

  • Pain and swelling
  • Visible deformity
  • Difficulty moving the arm

Types of fractures include:

  • Distal (near wrist)
  • Mid-shaft
  • Proximal (near elbow)
  • Complex injuries (e.g. Monteggia, Galeazzi)

When is ORIF Needed?

  • Non-displaced fractures → treated with casting
  • Displaced fractures → require ORIF surgery

Surgery is important to:

  • Restore proper alignment
  • Prevent deformity
  • Ensure optimal healing
  • Regain full function

Physiotherapy Before Surgery

In some cases, early physiotherapy may help:

  • Maintain strength in surrounding muscles
  • Improve joint mobility
  • Prepare for post-surgical recovery

Symptoms After ORIF of the Forearm

After surgery, you may experience:

  • Pain and swelling
  • Reduced movement
  • Weakness in the arm
  • Limited function

You may also:

  • Use a sling for support
  • Be advised to elevate your arm
  • Avoid driving until movement returns

Bone healing typically takes 6–8 weeks.

Physiotherapy After ORIF of the Forearm

Physiotherapy is essential to restore full arm function and prevent stiffness.

At 👉 acephysiosport.com your rehabilitation is personalised to your recovery stage.

Weeks 0–4 (Early Phase)

Focus: pain control and gentle movement

  • Pain and swelling management (ice, elevation)
  • Gentle wrist, elbow, and forearm movement
  • Light isometric exercises
  • Maintaining strength in unaffected areas
  • Education on sling use and safe movement

Weeks 5–8 (Mobility Phase)

Focus: improving range and strength

  • Gradual increase in range-of-motion exercises
  • Stretching forearm and wrist muscles
  • Light resistance strengthening
  • Coordination and functional training

Weeks 9–12 (Strength Phase)

Focus: advanced strength and function

  • Progressive strengthening exercises
  • Endurance training
  • Functional and task-based exercises
  • Cardiovascular conditioning

3 Months+ (Return to Activity)

Focus: full recovery and performance

  • Advanced strengthening
  • Sport- or work-specific training
  • Full range-of-motion restoration
  • Long-term injury prevention

Recovery & Long-Term Outcomes

With proper physiotherapy:

  • Strength and mobility return
  • Pain and stiffness reduce
  • Full function is restored

Typical recovery time:

  • 3–4 months or longer depending on severity

Without rehabilitation:

  • Persistent stiffness
  • Weakness and reduced function
  • Delayed recovery

Why Choose ACE Physio Sports in Singapore

If you are looking for forearm ORIF physiotherapy in Singapore, ACE Physio Sports can help.

  • Expertise in post-surgical rehabilitation
  • Personalised recovery programmes
  • Focus on restoring full arm function
  • Evidence-based physiotherapy care
  • Conveniently located near East Coast Road

We help you return to pain-free movement, strength, and daily function.

Book Appointment

If you have undergone forearm ORIF surgery, early physiotherapy is essential for optimal recovery.

Book your session now: 👉 acephysiosport.com 📞 +65 81535374

Start your recovery with expert physiotherapy in Singapore.

Frequently Asked Questions

How soon after ORIF should I start physiotherapy?

Physiotherapy typically begins within the first 1–2 weeks post-surgery, sometimes even while still in hospital. Early rehabilitation helps reduce stiffness, control swelling, and set the foundation for a full functional recovery.

How long does recovery from ORIF take?

Recovery varies depending on the complexity of the procedure, but most patients see significant functional improvement within 6–12 weeks. Full recovery — including return to sport or demanding activity — may take 3–12 months.

What can I do at home to support my recovery from ORIF?

Following your home exercise programme, managing swelling with ice and elevation, eating well, and sleeping sufficiently all contribute to faster healing. Your physiotherapist will provide a personalised home recovery plan specific to your procedure.

Ready to start your recovery?

Our specialist physiotherapists are here to help. Book a consultation today.

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