A 64-year-old male presents to outpatient physical therapy 5…
A 64-year-old male presents to outpatient physical therapy 5 weeks after ORIF of a distal radius fracture. He has a history of osteoporosis and was immobilized in a cast for 4 weeks. Radiographs confirm fracture union. The patient reports intermittent wrist pain (4/10) and stiffness. He is currently taking prescribed opioid pain medication and muscle relaxants. On examination, there is mild edema at the wrist and guarding during passive wrist extension. The PT asks the PTA to assess wrist PROM and begin stretching interventions. Which factor represents the MOST significant risk when performing wrist PROM?