Doctor insights on:
Physical Therapy After Ankle Fracture
A fracture is a broken bone. As there is cartilage at the end of many bones at the joint, a fracture may also include a break in the cartilage. Fractures and broken bones are the same thing. It seems that many believe that a "fracture" is a lesser injury or an incomplete break in the bone, but this is not correct. Fractures may be displaced or ...Read more
Yes: Anytime you have a severe injury such as tri-malleolar ankle fracture, physical therapy is a great modality to get you back to some what normal stage. Unfortunately you may not return to 100% of your old level of activities, but anything to help you get back close to that will help. ...Read more
What types of exercise/physical therapy can someone with a type b lateral malleolus (ankle/fibula) fracture do to stay fit?
My 7 year old son broke his lower leg (tibia / fibia fracture) skiing 4 mo's ago and has recovered. But he has yet to gain his full mobility. Should he do physical therapy? He's a pretty active boy
Diagnosed with a maisonneuve fracture and ankle fracture what is the treatment plan waiting for ortho appointment next week. Soft splint now can ice?
I hope your not: Walking on it....Ice, ice, ice and elevate..... ...Read more
Best treatment for 90y/o woman w/ displaced ankle fracture w/ history of wound healing/infection issues/high BP/irregular heartbeat/elevated kidney?
Complicated: Obviously many issues in this case. Such as - exactly which bone (s) are broken and how badly and was it an open fracture? Also - what was pt's walking status prior to this fracture? If this is an unstable ankle fracture that needs surgery, then the patient and family will have to talk about whether to take the risk of surgery, or decline, and thereby accept that pt may not be able to walk. ...Read more
Treatment options 90y/o F w/displaced ankle fracture? Walking poor w/walker prior to fall. History high BP/skin infection/irrreg heartbeat/high kidney
To fix or not to fix: In general, a displaced fracture in an ankle would benefit from having it repaired operatively--unless there are mitigating circumstances that would make that a poor choice. The treating physician is the best person able to assess the entire patient, the fracture, and any other factors to arrive at the best treatment plan. ...Read more
Not typically: In general, therapy in a patient with healing fractures of the ribs can be painful and not particularly helpful; other than in the initial mobilization to get a person out of bed. Once the fractures are healed, most patients do well and so therapy not terribly useful at that time either. Deep breathing and even using an incentive spirometer to avoid an associated pneumonia can be helpful. ...Read more
Probably Not: In the setting of fracture care physical therapy is generally used to increase range of motion, strengthen muscles, and accelerate return to activities. Most patients have some sort of immobilization during fracture healing and after the fracture is healed need some transition to full pre-fracture activity. However, many patients can do exercises at home and do not need formal physical therapy. ...Read more
Coccyx: Alone exercises may be quite painful. One thing use a doughnut cushion when sitting. Secondly a nerve block will definitely help with pain. A topical cream could also be used. These can be quite painful. ...Read more
Will physical therapy help if I have a compression fracture in my lower back due to a car accident?
I belive it will: Having good muscle help support your back and help heal the injury. ...Read more
My Dr has not recommended physical therapy for a cervical neck fracture that occurred in September, 2016. Does this make sense?
Ask why: Without knowing your full story, I would still think physical therapy would be helpful to restore range of motion, improve strength and posture and possibly reduce any residual pain you have. Of course, a dialogue with your physician would be wise. Ask him/her why PT has not been a part of your treatment regimen yet. If I can help, then join my care team at www. Healthtap. Com/dr-clarkeholmes ...Read more
Probably: Although, I am not sure what your problem is, I believe you need to have a definite plan worked out to resolve your problem. Physical therapy will probably be an essential part of this plan, however, the timing of it may differ depending on other factors. Talk to the physician who is treating you and ask him if physical therapy at this stage is right for you. ...Read more
Hand therapy: Hand therapy is sometimes required after a boxers fracture to maximize range of motion and function. ...Read more
Depends: Depending on where the avulsion occurs and to what degree and what treatment is rendered, will determine the physical therapy needed. The fracture usually has to heal by rest and splint of some sort or may have to be operatively "fixed" with wire, screw or other means. Then, your doctor will recommend the right physical therapy if needed or indicated. Work with your doctor. ...Read more
Depends: This is a problem that requires a face-to-face meeting with your doctor. In that meeting, your doctor will listen to you, perform a throrough examination and possibly order labs or other tests. Based on this information, he/she will be able to tell you what's wrong and what to do about it. ...Read more
Not for the fracture: Physical therapy after pelvic fracture will help with walking, transferring, and activities of daily living (adls) however it will not help with the healing of the fracture itself. Make sure you get up and walk around everyday to prevent clots in the legs and lungs. ...Read more
I have 3 compression fractures on my T10 T11 T12. I start physical therapy tommorrow and the accident happened Oct 18 2014. Will I have chronic pain?
I had a micro fracture on my knee last summer 2012. I went to physical therapy for 5-6 months. But my knee has not been the same. What's wrong with it?
I fell down stairs & have fractures of the T9, T11, T12, L1. It happened 5 mo ago. Is surgery the option or physical therapy. I still have a lot pain.
Hurt my arm and now it hurt all time I HAS. X ray. There No broken bones why does it hurt time I has physical therapy?
Soft tissues: X-rays only show bone injuries. MRI's show soft tissue injuries and may be needed if pain persists. ...Read more
Lower distal pole fracture of R Patella repair with wire. Afterwards not told anything about physical therapy. What should be done and how often?
Followup: Compression fractures usually heal over a 8-12 week period but can cause pain up through about 6 months. Physical therapy is not an intervention used commonly to treat fracture pain, which is usually activity related. You may either have to give it more time or arrange followup to make sure pain us not coming from something else. We also can do kyphoplasty for persistent pain from vcf. ...Read more
When should a person start physical therapy and mobilize his elbow after elbow dislocation/fracture?
Within a week: Assuming your fracture-dislocation was fixed surgically (as most are), it is critical to get your elbow moving within a week of surgery. You may never have full motion again (though it is possible), but to optimize your motion and elbow function, early motion is critical. ...Read more
Not necessarily: Not necessarily, however, if there is significant soft tissue injury them some gentle modalities may be in order. Typically, these injuries heal spontaneously without active treatment, however, some individuals may benefit from a brief course of physical therapy to help reduce muscle tightness, reduce pain, decreased inflammation, and improve function. Consult with a physiatrist. ...Read more
Motion and strength: A fibula fracture usually requires. Bit of immobilization which can cause stiffness nd muscle trophy. Physical therapy will help maximize functional recovery by first negating stiffness and obtaining full motion. Next, atrophy from disuse is reversed with a strengthening program. Finally, balance, endurance nd gait retraining are employed return your extremity as close o normal as possible. ...Read more
Elbow specialist.: Make sure that you're seeing an orthopedic elbow specialist. The fracture needs to heal in the correct position. It may be malaligned.... Or it could be a non-union or a delayed union. ...Read more
See a specialist.: See a fellowship trained orthopedic elbow specialist. You may have a fracture that healed improperly. ...Read more
Have torn hamstring from physical therapy after broken hip. I'm recovering well from hip fracture but afraid to go back to same physical therapy.
Hip strengthening: Depending on when the fracture occurred and whether its completely healed or not, you would still benefit from some hip and pelvic girdle strengthening. If you are not comfortable with the current PT, you can do home exercises and find another therapist. But it will be imperative that the muscles around the hip joint (flexors, extensors, and abductors) are strengthened. ...Read more
Had a compound fracture of my left condyle 4 mo ago. In physical therapy now but starting to have problems w/dizziness & nausea after being worked on?
Hard to say: I assume when you have a physical therapy or might be having pain they can cause the dizziness and nausea. However there may be other medical problems going on and sometimes fractures can be associated with blood clots, fat emboli and although I am uncertain whether that could be related to your symptoms I think you need to see your physician andhave this evaluated ...Read more
My orthopedic didn't prescribe anything to me after knee micro fracture. No cpm machine ice machine or physical therapy. Is that a good thing?
No follow up?: Did your doctor schedule you for a follow up appointment? Call his/her office and inquire about your question. If not satisfied, seek another opinion. Good luck and a speedy recovery! ...Read more
Is it necessary to get a leg amputation at the mid-calf because of a very bad ankle fracture that wouldn't heal?
It depends: It would have to be a quite severe fracture to need an amputation. These days an external fixator can be put on to allow healing of most comminuted really awful fractures then revisional surgery is done later. Only fractures that cut off the blood supply to the foot or have a nasty infection would need an amputation. ...Read more
Likely not: Bone healing takes 6-8 weeks.Get a more detailed answer ›
Is it broken or fractured is a question I am often asked. The answer is basically that a broken or fractured bone is the same thing. A fracture means a break in the cortex or the strong layer of outer bone cells. In an adult the average time for that to heal varies greatly but is often considered to ...Read more
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