POST FRACTURE PHYSIOTHERAPY….HOW IT’S IMPORTANT
Post- Fracture Physiotherapy Rehabilitation is an essential part of post fracture recovery. A fracture usually unites in 3-4 weeks in upper limb fractures and 6-7 weeks time in lower limb fracture with some exceptions. A fracture union is a lifelong process with modeling and re-modeling phase going throughout life. Normally an un-displaced fracture on x-ray needs to be immobilized in a plaster cast. A displaced fracture is brought into near-normal alignment and approximated with the help of screws and plates. There are various surgical means to approximate the fractured fragments, which we are not going to deal with here. Fractures united by surgical means can be mobilized within a few days of discharge from the hospital, while the plaster cast cases can only be mobilized after the cast is removed. In cases of plaster immobilization patients presents with the stiffness of joint within the plaster and stiffness of joints above and below the plaster as a result of immobility. Moreover, weakness and atrophy is seen in muscles that were inactive during the phase of immobilization. Moreover neuromuscular coordination is hampered in the functioning of the affected limb causing difficulty in activities which the patient could easily do before immobilization. Proprioception is affected in lower limb fractures and poor rehabilitation may result in uneven weight-bearing and undue stresses on certain tissues making it prone to injury.
In an operated case, the role of a physiotherapist is to gradually improve muscle strength and joint range of motion. The patient may be on non-weight bearing, partial or full weight bearing, depending on the advice of the operating surgeon. Once the fracture is healed fully vigorous training can be started to gain back the strength, complete ROM, agility, proprioception, and endurance.
After the healing is complete, you’re likely to experience stiff joints, reduced muscle, and difficulty moving. Luckily, physical therapy can help. Here are some of the benefits-
YOU WILL GET BETTER FASTER
Performing physical therapy instructions by a trained professional will often get you feeling like yourself again at a faster rate. Because physical therapy promotes healing to the soft tissues in the area, you’re going to be able to get back to work and doing the activities you love.
YOU’LL FEEL STRONGER
Fractures often result in damage to the soft tissues along with the damage to the bone. Even after your bones are healed thanks to the bone funnel, you will still need to re-strengthen the area through physical therapy. Physical therapy is vital to promoting flexibility and strength where the damage was done.
YOUR BALANCE WILL IMPROVE
If you use a tool to walk or move around when you suffer a bone fracture, it’s likely that your balance will be off once you’re fully healed from the fracture. Between crutches, wheelchairs, and casts, you’re bound to walk abnormally after a couple months of healing. As such, you need to work with a physical therapist to correct your balance after a period of immobilization.
THEY WILL CHECK FOR ANY NERVE OR JOINT DAMAGE
When a fracture occurs, there’s always a chance that the trauma from the impact has damaged nerves in the surrounding area. Your physical therapist will be able to diagnose joint and nerve injuries in order to put you on the right path to recovery. Some will even recommend you get proper nutrition to fix aspects of your joint, like the knee and hip. This is done via a bone graft delivery device that injects a synthetic bone material, or bone marrow from your own body or a donor.
Fractures aren’t taken as seriously as broken bones, but the necessity for physical therapy cannot be understanded.
IMPROVE ALINGMENT OF BONE
If you’re fractured part is not healing properly or not in a line then your physiotherapist guides you time to time for your recover part according to size and shape. They also tell about alignment, positioning of the fracture site etcetera.
IMPROVE SWELLING
If there is any edema or pain your physiotherapist will teach you various techniques of massages, positioning and elevation.
Encouraging weight bearing- it will helps in walking and your physiotherapist will going to teach you.
BASIC TOOLS AS A PHYSIOTHERAPIST TO ACHIEVE THE ABOVE-MENTIONED GOALS:
- Hot packs/ Ice packs (depending upon the inflammation) –
- If pain and swelling around the involved joint are on the higher side, ice packs should be preferred while in the rest of the cases hot packs are used.
- Wax bath- for resolving stiffness and can be used in fractures where the plaster has been placed for a long time resulting in excessive stiffness of skin.
- Mobilization techniques- for increase the range of motion
- Muscle energy technique
- Range of motion exercise
- Resisted exercises
- Stretches are used at times again to improve the range
- Proprioception, strength and endurance training.
- Specially designed sporting activities to improve neuromuscular coordination.
- Not all cases are similar, specific considerations are needed depending upon the condition of the patient. We have successfully handled several complicated cases of fracture in the past. We also have achieved the desired results in record time in most of them.
- Rehabilitation is about enabling and supporting individuals to recover, achieve their full potential and to live full and active lives as possible.
- Soft tissues release/stretching techniques
- Bracing/taping
- Pain relief modalities
- Ancillary muscle strength for stability
So, if you have suffered from a recent fracture, keep in mind that early physiotherapy treatment is extremely important in ensuring you make a speedy full recovery.
It is safe to begin physiotherapy as early as immobilization with casting/bracing/splinting is done. It’s safe to begin with mild range of motion exercises with the cast/splints on to avoid stiffness & restrictions in movements later.
We plan a rehabilitation program taking into account the person’s needs & lifestyle. Using techniques including specific exercises and general fitness programmers, our aim is to reduce any swelling, regain full muscle power and joint movement and to bring back full function in earliest time. After your fracture has healed and/or your cast has been removed physiotherapy is continued for 3-12 months or until you have regained your full level of function. The treatment will depend very much on the problems identified during your assessment, and start rehab program accordingly.
REHABILITATION INCLUDES
- Soft tissue massage: particularly to manage edema and swelling
- Scar management: if the patient had surgery to fix the fracture
- Ice therapy/Heat therapy
- Stretching exercises: to avoid soft tissue tightness
- Joint manual therapy and mobilizations: to assist in regaining joint mobility & joint range
- Structured and progressive strengthening regime
- Balance and control work and gait (walking) re-education where appropriate
- Taping to support the injured area/help with swelling management
- Return to sport preparatory work and advice where required
- Advice about positioning of the limb as well as teaching exercises to avoid muscles wasting and to prevent stiff joints while still in plaster
- We ensure that at our clinic, we provide therapy that helps you return to your optimum functional mobility as quickly as possible.
- Ball proprioception exercise
- Exercise Station Theraband exercise for strengthening Pilates ring exercise for strengthening Theraband exercise for strengthening Band exercise for mobility
- Stretching exercise Stretching exercise
- Physiotherapy is an effective treatment for fractures and dislocations. Fractures are a result of excessive force applied to a bone resulting in complete or incomplete breaks. Dislocations are product of a one bone being dislodged from another from its usual position causing a separation. Physiotherapy administered in a timely fashion can reduce pain, symptoms, and return to baseline status. Fractures and dislocations are considered medical emergencies. Immediate treatment post fracture involves immobilization or fracture repair via surgery. A joint dislocation requires reducing the joint back to its neutral position. Once the medical emergency has been stabilized, physiotherapy is vital for return to baseline function.
BEST PHYSIOTHERAPY CENTER IN DHKOLI…
A skilled physiotherapist is an integral member of your road to recovery post fracture, dislocation, or surgery. It is important to be proactive in your care, so that the physiotherapy can quickly get you back to your activities of daily living. It not only enhances your recovery but also make you strong mentally to cope up with the situation. If you are searching for best physiotherapy center in Dhkoli the Blossom physiotherapy center is the leading one these days. Dr.Jyoti Gupta (MPT pediatrics) that is a Pediatrics Physiotherapist as well as a certified Yoga instructor she complete her course from a well known YOGA ALLIANCE INTER NATIONAL FnY STUDIO is a head of the center and senior physiotherapist. Moreover blossom physiotherapy center is well equipped with ultra modular modalities which play crucial role in rehabilitation and back to in daily life. On the other hand they also apply the different technique according to the condition it helps in early recovery. Dr.Jyoti and her team work on the recovery of the patient and make them physically as well as mentally stronger.
After any injury or surgery rehabilitation is very crucial. It is as important as medicine for body. With the help of rehabilitation not only injury or wound recover but also its further complication can cure. These all the amenities provided by blossom physiotherapy center. For further information log into blossomphysitherapy.
