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We having been providing physiotherapy for the people of Gachibowli / Kondapur / Indra Nagar / Telecom Nagar / Anjiah Nagar / Ramky / L&T / NCC / APHB Colony since 2011.



 

Fractures are common among athletes, children and even the elderly, however anyone can become a suffer from a fracture. Many people think a fracture is not a serious condition, however a fracture is a broken bone and as such it requires emergency attention. An x-ray is usually taken to determine if there is a fracture, since some people may be able to continue walking unaware that they have a fracture. In a stress fracture, a bone scan may have to conducted as it may be difficult to pick up with an x-ray. Post fracture rehabilitation may involve surgery but in some cases non-surgical intervention may be all that is needed.

 

 

Stress fractures can occur in people who are poorly conditioned or in professional athletes who over-train. A mild stress fracture can be healed with rest and time - usually 4 to 8 weeks. The limb may be put in a brace or cast to allow it to rest and promote healing. Crutches may be needed to help the person to move around. Ice is used to decrease pain and inflammation and anti-inflammatory drugs may be taken to relieve pain. In some cases a bone stimulator may be used to promote healing of the bone. In severe cases surgery may have to performed. Rehabilitation will involve stretching and strengthening exercises once the acute stage is past.


Hip fracture rehabilitation is a highly skilled task requiring special procedures and precautions. Because of the anatomy of the hip, complications can arise if it is not handled carefully during rehabilitation. Depending on the type of surgical procedure, your doctor may state certain weight-bearing precautions which we will explain to you and train you in following them. Four to eight weeks of therapy may be required after you leave the hospital. During this time we will treat your pain, guide you in ambulation with an assistive device and give you strengthening exercises. Your occupational therapist will train you in ADLs-bathing, dressing and home management.



 

Some athletes may sustain a clavicle (collarbone) fracture or it may occur during a fall or accident. Depending on the nature of the injury, a figure-of-eight strap wrapped around the body and the shoulders, together with a sling may aid in recovery. Your doctor may prescribe pain medications and physiotherapy once the strap is removed. Rest is important during the acute stage. You should avoid any activity that will cause pain. Cycling on a stationary bike and water- running may be helpful. After the acute stage is past, you may begin strengthening exercises for the muscles of the shoulder, back, upper arms and chest.


When you have recovered enough to travel from your home, your doctor may refer you to a physical therapy clinic to help with restoring normal function after your fracture. Usually, this occurs after the cast has been removed and you can start mobilizing the area around the fracture. You may still have to follow weight-bearing precautions or lifting restrictions at this point, so be sure to consult with your doctor so you understand what your limitations are. Your first visit with your physical therapist will usually involve an evaluation and assessment. Your therapist will likely take measurements of body parts around the fracture site.

 

This might include measurements of:

  • Range of motion
  • Strength
  • Pain
  • Flexibility
  • Girth or swelling
  • Gait (for lower extremity fractures)
  • Function

 

After the initial evaluation, your physical therapist can work with you to devise a treatment strategy to help you recover fully. Physical therapy after a fracture often focuses on overcoming the negative effects of being immobilized by a cast or sling. Immobilization may cause loss of motion and strength and decreased functional mobility.

 

Physical therapy after fracture can also help you improve your functional mobility. If you have fractured your leg, your physical therapist can help you improve walking and help decide if you should walk with a walker, crutches, quad cane, or standard cane. If you have fractured an arm or shoulder, functional activities that focus on reaching and grasping may be included.

 

Physical agents or modalities may be used to help with pain and swelling. Electrical stimulation may also be used to help improve muscle recruitment. You should remember that while passive treatments like electrical stimulation or ultrasound may be used, you should also be engaged in active activities in your physical therapy.

If you have had surgery to reduce the fractured bone, you may have surgical scar tissue. Scar massage and mobilization can help reduce scar adhesions and improve mobility around the scar.

 

Exercises to improve range of motion and strength may also be started. Particular focus should be placed on the fractured area and the joints around the fracture. If you broke a bone near your elbow, mobility exercises should be included for your elbow, wrist, and shoulder. Likewise, a fracture of the tibia (shin) should include exercises for the knee, ankle, and hip. Exercise can also help ensure that your bone can tolerate the loads and stresses that you may encounter during normal everyday function. Be sure to speak with your doctor and physical therapist to learn the correct exercises for your specific condition.

 

A fracture can be painful and can lead to significant functional loss and disability. Depending on the severity of the injury, the loss may be temporary or permanent. Physical therapy can help you return to optimum functional mobility as quickly as possible.