Post Fracture or Post Immobilization; Joint Contracture [Stiffness] after Sling or Cast Removal

Fracture healing processMost fractures and dislocations require a period of cast immobilization for proper healing, which results in joint stiffness [contracture] and muscular weakness. This can also occur after a period of immobilization required for a joint sprain or surgical procedure. This is an expected occurrence after immobilization but one that must be corrected within a reasonable timeframe in order to restore optimum joint function. Our rehabilitation focus will guide your recovery through its various stages and help you return to work or sports. Thermal applications, electrical stimulation, skilled manual therapeutic procedures and advanced therapeutic exercise equipment help speed your recovery.


Fractured Arm

A fractured arm may involve any of the three bones in your arm – the ulna, radius and humerus. One of the most common causes of an arm fracture is falling onto an outstretched hand. If you think you or your child has sustained a broken arm, seek prompt medical attention. It’s important to treat an arm fracture as soon as possible for proper healing.  Treatment depends on the exact site and severity of the injury. A simple break may be treated with a sling, ice and rest. A more complicated fracture may require extended periods in a cast, or surgery to realign the broken bone and to implant wires, plates, nails or screws into the broken bone to maintain proper alignment during healing. Physical therapy will be an important part of your recovery after cast removal; restoration of functional joint mobility and muscular strength being our primary goals.

Fractured clavicleFractured Collarbone

A fractured collarbone [called the clavicle] is a common injury, particularly in children and young adults. Your collarbone connects the upper part of your breastbone to your shoulder blade. Common causes of a broken collarbone include falls, sports injuries and trauma from traffic accidents. Infants can sometimes experience a broken collarbone during the birth process. Most broken collarbones heal well with ice, pain relievers, a supportive shoulder bandage and sling, physical therapy and time. A complicated clavicle fracture may require surgery to realign the broken bone and to implant plates, screws or rods into the bone to maintain proper alignment during healing.

Fractured Wrist or Broken Hand

A fractured wrist or broken hand is a break or crack in one of the many bones within your wrist and hand. The most common of these injuries occurs in the wrist when people Hand fracture in casttry to catch themselves during a fall and land hard on an outstretched hand. Risk factors for a fractured wrist or hand range from participation in certain sports – such as football, rugby, soccer, skiing or snowboarding – to having osteoporosis, a condition in which bones become thinner and more fragile.

It’s important to treat a wrist fracture as soon as possible; otherwise, the bones may not heal in proper alignment, which can affect your ability to perform everyday activities, such as grasping a pen or buttoning a shirt. Early treatment will also help minimize pain and stiffness.

Colles Fracture

The Colles fracture is one of the most common fractures of the wrist. It usually occurs when people fall on an outstretched hand.

Carpal Bones

Your wrist is made up of eight small bones (carpal bones) plus two long bones in your forearm – the radius and the ulna. The most commonly injured carpal bone is the scaphoid bone, located near the base of your thumb.

Hip Fracture

A hip fracture is a serious injury, particularly if you’re older, and complications can be life-threatening. Most hip fractures occur in people older than 65, with the risk increasing most rapidly after age 80. Older people are at higher risk of hip fracture because bones tend to weaken with age. This bone weakening is called osteoporosis. Multiple medications, poor vision and balance problems also make older people more likely to trip and fall – one of the most common causes of hip fracture.

Hip fracture and THR

A hip fracture almost always requires surgical repair or replacement, followed by months of physical therapy. Taking steps to maintain bone density and prevent falls can help prevent hip fracture.

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