Doctor insights on:
Physical Therapy For Distal Radius Fracture
Radius fracture: It is hard to generally give a best answer for this very large category of injuries except to say that the treatment option is very specific with respect to the many factors such as age, extent of injury. Displacement. Articular involvement iopen or closed injury. Quality of soft tissues. And finally what the goals of treatment are and what the extent that the patient wants to go through things ...Read more
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
What should I do to treat a distal radius fracture? My doc told me I had it after 2wks. The pain has improved. Will the fracture heal by itself? Can type.
Be compliant: Certainly would want to follow doctors orders. Typically some form of immobilization is appropriate and over a 8-12 week period most radius fractures will be well healed. Discuss the specifics of your case with your doctor. ...Read more
Distal radius fracture orif surgery 20 days aft inj, no restrictions or cast, went to wrk d except 3 post op, could this cause nonunion now in 8th mnt?
I hurt my left wrist. After2wks, doc told me there was question of a distal radius fracture. Doc wants repeat x-rays. Is it necessary? Pain has improved.
Radius fracture: Even nondisplaced radius fractures are getting better we can benefit from splinting and restricting activities and in time knowing what to expect is a good thing there are also some fractures that may feel better but actually have articular involvement that need to be addressed even though it feels better than it did so Xray ...Read more
Wrist pain/swelling and constant need to "crack/pop" wrist after intraarticular distal radius fracture a year ago. Fracture healed; what can it be?
5 weeks in a cast for non displaced distal radius fracture. Can rotate my thumb but not bend it. Also experiencing a numb, pins and needles sensation?
Tendons to the thumb: Cross over the radius and can be irritated and painful when there is a distal radius fracture. The thumb tendon that raises the thumb can be prone to rupture also. The thumb muscle that flexes the tip originates on the radius and surgery can disturb it transiently. Speak to your surgeon ...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?
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
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
Comminuted intraarticular distal radius wrist fracture when will I be out of the woods as far as having it fused if hardware doesn't hold? 2 lb limit
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
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?
My 14 yo son just fractured his wrist. It's a closed fracture of the distal radius. Will the cast be a short cast? Or cover the whole arm?
Wrist fracture: This depends on the severity and stability of the fracture. If it is a displaced, unstable type fracture that requires a reduction (manipulation to straighten the bone), a long arm cast (above elbow to knuckles) is typically used for immobilization. If the fracture is non-displaced and stable, a short arm cast (below elbow to knuckles) is often acceptable. ...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.
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
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
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
Broke distal radius in 2 places & had surgery. 6 weeks after surgery, still have 1 fracture, but my MD traded cast for brace. Did he jump the gun?
Not necessarily: That is a pretty common timeframe for advancement. I would certainly discuss any individual concerns with your surgeon. ...Read more
What types of exercise/physical therapy can someone with a type b lateral malleolus (ankle/fibula) fracture do to stay fit?
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
Distal radius wrist fracture, I now in cast 3 weeks. Why my fingers feel less painful when I run them under hot water. Is it ok to run under hot water?
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
Is it metallic patent screws that hold fracture distal radius in position and alignment? Don't know word in between metallic and screws. Starts with p
Plate: One way to fix a radius fracture is with a metallic plate and screws. I suspect that is what you are referring to. ...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
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
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