Doctor insights on:
Physical Therapy Exercises For An Ankle Fracture Repaired With A Plate Screws
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
Regarding ankle fracture, where on the ankle is the "posteromedial fracture fragment" (1 screw) and "posterolateral fracture fragment" (2 screws)?
Medial/ lateral: Medial is the inner side of the ankle, lateral the outer side. Posterior is towards the back. Hope it helps. ...Read more
Got an ankle fracture 7 months back and had a plate with screws, still have stiffness and immobility, will it be mobile properly after plate removal or?
If I had one minor ankle fracture (medial mallous) and had two screws put in what is progression to walking? (No damage to tissue or tendons)
It has been 2 weeks since I had my ankle fracture and my doctor said I need to put screws to fix my medial malleolus. Is it too late now to put them?
I had an ankle fracture/dislocation 10 years ago, and had surgery to reduce, fixed with a series of screws. My ankle is now frequenlty warm and itchy.?
Had a fall 2009 which caused ankle fracture plus fibia bone was broken, underwent surgery wit screws & plate. After a year it was removed. Joint pains?
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
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
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
Lower distal pole fracture of R Patella repair with wire. Afterwards not told anything about physical therapy. What should be done and how often?
I had foot surgery on my left foot to fix my flat foot and the doctor said that they fused my bone and put a screw. When can I walk? Physical therapy?
This discussion: Should ONLY take place with your surgeon. From your description it is unclear if you had a subtalar stent placed in or if you had a flatfoot reconstruction. If a subtalar stent was put in then the "screw" isn't really a screw its an implant and it did not get placed into any bone, rather was placed ina a canal between the ones. ...Read more
I had screw fixation surgery for my maisonette fracture 25 days after I broke my ankle. Will the surgery delay my rehab time and my cast removal?
Most likely: Assuming that you are talking about a maisonnieuve fracture. .. The fixation screw is kept in place for 6-8 weeks during which time weight bearing is restricted. The screw is often removed prior to allowing full weight bearing but there is some variation among doctor's treatment regimen. ...Read more
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.
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
What are the drawbacks of not having surgery to repair a small ankle fracture? When is surgery necessary?
If ORS recc...: If your orthopedic surgeon recommends 'fixing ' your ankle than follow his advice. Some common ankle fx. S do not require surgery... Casting / crutches will suffice. However, if u are young and your fracture pattern has a propensity to' slip' or the ankle mortise is already showing signs of "widening" orif (surgery)is the only option.'drawbacks' include a 'misaligned' joint and sec. Arthritis. ...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
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
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
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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