Category Archives: Hip

What Causes Hip Pain?

By  aenriquez  published  October 17, 2019

Hip pain is most often associated with growing old. Painful joints just come with the territory. But hip pain can come at any age, and it is important to know when it you can try to take care of it yourself and when to see a doctor for more advanced treatment.

Many people, for example, suffer from bursitis that flares up from time to time, then settles down (or goes into remission) for long periods. When bursitis acts up, it can be difficult to walk even across a standard-sized room. The pain throws your usual gait way out of whack. But one of the ways to treat bursitis is to get that hip joint moving again, which allows the fluids to restore painless movements. By the time you can get to a doctor, the episode is over. Bursitis then stays dormant for a few days, weeks, or months.

Like any bones, a hipbone can fracture or break due to a twist, a fall or a collision

However, the pain of bursitis can undoubtedly be enough to send you the doctor’s office, where more sophisticated treatments are available. At FXRX in Tempe, Arizona, specialists can diagnose and treat bursitis with the most modern equipment and techniques available. It is always worth a visit to the doctors to discuss the best strategy for dealing with painful conditions.

Here are a few other disorders that strike the hip and should undoubtedly prompt you to seek professional help. These are conditions in which a cold compress and ibuprofen are not enough. For these ailments, seek professional advice.

  • Juvenile onset arthritis

This used to be called juvenile rheumatoid arthritis. This condition is painful for a short duration in many cases (a few weeks or months), but other cases are painful for a lifetime. It can lead to abnormal growth and joint problems.

  • Osteoarthritis

This condition can result in debilitating deterioration of the joint.

  • Psoriatic arthritis

While this condition starts with psoriasis of the skin, a common rash, when it appears near joints, the damage to the joints can be debilitating. Treatment should be sought before this condition gets out of hand.

  • Dislocation

A dislocated hip is painful and should be restored as soon as possible. A dislocation of the hip most often occurs as the result of a traumatic injury.

  • Hip fracture

Like any bones, a hipbone can fracture or break due to a twist, a fall or a collision. Medical attention is required to support healing when this occurs.

  • Hip labral tear

The labrum is a cartilage that protects the outside rim of your hip, cushioning the joint during regular use and providing a seal for hold the thighbone in place. However, it can deteriorate from overuse, which occurs among some athletes, ballet dancers, and the elderly.

  • Pinched Nerves

Several pinched or damaged nerves can result in hip pain. These include sciatica, the most extended nerve cell in the body, which runs from your lower back down to your legs. Nerves can also be pinched in the sacroiliitis joints, which are located where your lower spine connects to your pelvic. Another common nerve problem is called a meralgia parensthetica, which concerns the nerve provides sensation for the skin at your thighs.

  • Cancers

Leukemia and bone cancer can both bring about pain in the hips, but many kinds of cancer can become metastatic and lead to bone cancer.

  • Infections

Infections can also result in hip pain.

When To Seek Help

Seek help anytime pain in the hip becomes acute when you lose the ability to walk or raise a leg, when you cannot bear the pain and when the hip looks misshapen or deformed.

In Tempe, call FXRX Orthopaedics & Bracing at 480-449-3979 for an appointment.

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Can Regenerative Medicine Help my Hip Pain?

By  david@ogrelogic.com  published  September 25, 2019

Are you considering surgery for your persistent hip pain? Have non-surgical treatments failed to provide enough relief? If the answer to any or both of those questions is yes, you should consider Regenerative Medicine.

Regenerative medicine treatments focus on enhancing the body’s natural ability to heal and provides a unique solution for all types of joint pain.

Our body has its own growth factors and stem cells to repair and regenerate damaged tissues. These can be extracted from your own body in the form of PRP or platelet rich plasma or bone marrow concentrate.

PRP or Platelet-rich plasma refers to blood that has been processed to obtain a concentrate of platelets along with the liquid component, plasma. Platelets contain growth factors required for healing.

Bone marrow concentrate is derived from the marrow and is rich in growth factors as well as stem cells.

Regenerative treatments for hip pain

The hip is a ball-and-socket type of joint where the ball-type head of the femur fits into the socket-like cavity called the acetabulum formed by the hip bones. The articulating surfaces of the bones are covered by smooth cartilage that allows the bones to glide over each other during movement. Hip pain is caused due to osteoarthritis or inflammation of the joint due to wear and tear of the articular cartilage and rubbing of the bones against each other. Pain may also be the result of damage or injury to the soft tissues surrounding the joint, such as ligaments, tendon, and bursae.

When PRP injections of PRP are administered into the hip joint, there is evidence of regeneration of cartilage and other injured tissue, resulting in reduced pain and improved function. Hence, regenerative medicine offers a unique opportunity to facilitate healing of deep tissues and can be used to effectively treat hip pain or delay surgery. Discuss with your doctor whether regenerative medicine options are suitable for you.

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Joint Stiffness

By  aenriquez  published  July 11, 2019

Are you suffering from stiff joints? If you are, many people will say “Welcome to the club.” This is because stiff joints is a common symptom for many conditions from a cold or the flu to specific joint diseases.  It is also extremely common for the elderly to complain of stiff joints, which are almost as predictable as needing bifocals when you turn 45. If you see an elderly person having trouble bending over, then having more trouble picking up an object from the floor, give them a hand. Those aches and pains are real.

There are two general observations about growing old that contribute to those aches and pains, including stiff joints. One is simple wear and tear on cartilage, bursa, vertebral discs and other mechanisms that help joints move. These structures allow for easy movement by providing a fluid-like cushion or a smooth surface for bones to move without having them grind together. Bursa, for example, acts like very tiny water balloons that are wedged into joints, allowing for smoother motion. Cartilage, meanwhile, covers the ends of bones where they terminate at joints, providing a smooth, resilient surface for the bones to slide on. When the cartilage wears out, it is extremely slow to heal, partly because cartilage does not have a blood supply.

When cartilage wears out, it is extremely slow to heal, partly because cartilage does not have a blood supply

The second reason behind stiff joints as you age is the lack of fluids. As we age, we become drier. While water content in our bodies is also dependent on age and weight (thinner people have less water than heavier people when we are infants, our average water content is 75 percent to 78 percent. As adults, this drops to 50 percent to 65 percent. This loss of water affects mechanisms like your vertebral discs. These compact spongy cushions become less spongy as we age. Part of the reason: They become drier.

Here are just some of the diagnosable conditions that can result in a stiff joint.

  • Rheumatoid arthritis

Rheumatoid arthritis is an autoimmune disorder characterized by pain in the wrists, fingers, hands, and feet. The immune system in this disease attacks the lining of your joints, which often creates painful swelling and stiffness.

  • Osteoarthritis

As opposed to rheumatoid arthritis, which is an autoimmune disorder, osteoarthritis is a wear and tear condition. As we age, the cartilage that protects the ends of our bones begins to wear out, resulting in bone against bone movement.

  • Bursitis

Bursitis is another wear and tear condition. Bursae are tiny sacks that give joints cushioned movement. However, when these become inflamed, the result is a painful condition called bursitis.

  • Lupus

Lupus is an autoimmune disorder that can result in painful joints, especially in the knees, wrists, and fingers. People who suffer from lupus have good days and bad days, as the pain is intermittent.

  • Gout

Gout, which generally starts in the joints of the big toe, is a painful condition that is grouped together with arthritis, which it resembles.

  • Fibromyalgia

This chronic pain condition is usually associated with muscle pain, but many patients experience stiff joints, as well.

  • Polymyalgia Rheumatica

This is a joint disease that is rarely seen in people under 50. It results in stiff joints, mostly in the shoulders, neck, hips, fingers, and wrists.

Make a call

Are you or anyone you know suffering from joint stiffness? Let us help you return to an active lifestyle with minimum pain. Call FXRX Orthopaedics and Bracing in Phoenix, Az., at 480-449-FXRX.

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Considering Joint Replacement Surgery? As Your Local AI

By  aenriquez  published  May 31, 2019

Let’s preface this news with the clear understanding that patients undergoing total knee or total hip replacement surgery should consult with their physicians and ask every question they can think to ask. Then ask a few more questions. Then ask a few more.

However, to whom shall your physician go to ask questions? It turns out, the answer to that may well be to a machine. The reason: A new study conducted at the Hospital for Special Surgery in New York City found that computers plowing through various algorithms could reasonably predict which patients undergoing these two critical operations would benefit from the surgery and which ones would not.

Predicting the outcome is not always easy for man or machine, but there may be better outcomes if the two work together

“Machine learning has the potential to improve clinical decision making and patent care by helping prioritize resources for post-surgical monitoring and informing pre-surgical discussions of likely outcomes,” the study found. In so many words, that means, patients should ask their doctors every question they can think up. Doctors, on the other hand, would do well to consult the Oracle, which is to say, they should turn to their computers to help guide their decisions.

Predicting the outcome is not always easy for man or machine, but there may be better outcomes if the two work together. This should never mean allow the computer to take a decision out of your hands. But algorithms in the study did have reasonable predictions concerning whether or not patients, two years after surgery, were benefiting from the knee or hip replacements.

The study was lengthy and included thousands of patients. The data collected involved 7,239 hip replacement surgeries and 6,480 knee replacement surgeries done between 2007 and 2012. According to a press release, “using data about both physical and mental status of patients before and two years after procedures, the investigators were able to calculate whether a patient achieved an MCID across four patient-reported outcome measure scores.” Those scores included self-reporting assessments of general physical health, general mental health, plus measures for hip health and knee health.

An MCID, meanwhile, is a clinical term for “did it work?” Technically, MCID stands for minimal clinically important differences. So, maybe the better translations would be: “did you even notice that the surgery worked?”

Of course, this may be the type of study that will not cause much excitement in the general public, which includes those too cynical to believe these predictions are possible and those who assumed computers were helping orthopedic surgeons make critical decisions all along. But, the point for physicians is a bit more important, because doctors live so close to the action that any miscalculation in this regard is considered a very bad day at work.

Nobody likes unnecessary surgery, but especially so if predictions of outcomes are made easier or more accurate. “The least valuable health care is that which is not wanted or needed,” said one of the senior authors of the study Catherine MacLean, MD, Ph.D., HSS, Chief Value Medical Officer at the hospital.

“Accurate prediction of whether individual patients will achieve a meaningful improvement after the procedure will greatly assist patients and their physicians in determining the best course of therapy,” MacLean said.

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Sacral Fractures

By  aenriquez  published  April 25, 2019

The sacrum is formed by the fusion of 5 sacral vertebrae and articulates with 5th lumbar vertebra proximally and coccyx distally, and with ilia at sacroiliac joints bilaterally. It contains 4 foramina which transmit sacral nerves (L5-S5), which are responsible for the functions of anal sphincter tone / voluntary contracture, bulbocavernosus reflex and perianal sensation. As an osseous structure, sacrum transmits the load distributed by the first sacral segment through iliac wings to the acetabulum.

Sacral fractures are quite common, occurring in up to 45% of pelvic ring injuries related to high energy trauma (in young adults) or low energy falls (in elderly). They are often underdiagnosed and as a consequence, they are frequently mistreated and lead to serious complications such as neural damage (25% of all cases).

Transverse sacral fractures also have a high incidence of nerve dysfunction

The presence of a neurologic deficit is the most single most important factor in predicting the outcome. Untreated fractures with neurologic deficits lead to symptoms of lower extremity motor/sensory deficits and/or urinary/rectal/sexual dysfunction.

Sacral fractures are classified according to the Denis classification. Zone 1 fractures (50% of all) are lateral to the foramina and are least related to a nerve injury. Zone 2 fractures are through foramina, and based on whether they are stable or unstable, have an increased risk of nonunion, nerve damage and poor functional outcome. Fractures that are medial to foramina are associated with the highest rate of neurological deficit (60%), such as bowel, bladder, and sexual dysfunction. Transverse sacral fractures also have a high incidence of nerve dysfunction.  The u-type sacral fractures result from axial loading and represent spino-pelvic dissociation; these too have a high incidence of neurologic complications.

The clinical diagnosis begins with taking a proper history – motor vehicle accident or fall from height are the most common causes of these fractures, but repetitive stress, insufficiency fracture in osteoporotic adults are also important predisposing factors. The most prominent symptom is peripelvic pain. The physical exam should include testing for pelvic ring stability by internally and externally rotating iliac wings, palpating for subcutaneous fluid mass indicative of lumbosacral fascial degloving, as well as performing a vaginal exam in women to rule-out open injury. A focused neurologic, vascular and rectal exams are also important to assess the degree of tissue damage.

Radiographs are required to diagnose a sacral fracture, although only 30% show sacral fractures. CT is by far the diagnostic study of choice for proper assessment of the fracture, while MRI is considered when neural compromise is suspected.

Nonoperative management includes progressive weight bearing with orthosis if needed, and can only be considered in patients with <1 cm displacement and no neurologic deficit, and in cases of insufficiency fractures. Surgical fixation (without decompression) should be considered if there is a displaced fracture >1 cm with associated soft tissue compromise and persistent pain after non-operative management, and also if there is displacement of fracture after non-operative management. Surgical fixation with decompression is the treatment of choice whenever there is evidence for neurologic injury.

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How to Deal with Emotional Issues During Orthopedic Treatment

By  aenriquez  published  September 29, 2018

Feeling a bit under the weather, during times of physical impairment?  Have you ever wondered if these midday blues will ever go away?  You might be asking yourself, what is the problem with me?  This is all normal during times of physical pain and treatment.

You just had surgery or are going to have a surgical procedure and you feel anxious.  You are nervous if the surgery will be successful or if you will ever feel the same again.  Will you be able to bend the same, walk normally, eliminate the pain and recover in a timely manner?  You have a right to ponder these unanswered questions.

Sometimes people don’t need advice or neurofeedback or a psychological evaluation.  What people need is family and friends to support them through difficulties and to listen while you vent.  It is very helpful to have people you care about understand your valid concerns.

When you face physical challenges and you must undergo a surgical procedure, it can bring about an onset of feeling anxious and potential depressive states.

What can I do about my emotional issues pre and post-surgery? 

It is extremely difficult to relax, but this one is a big solution to your bouts of anxiousness.  The old saying of mind over matter is powerful for the results that follow.  Lay down in a serene environment and visualize something happy.  When our thoughts are eased, our emotions remain calm as well.

It is also very beneficial to exercise self-care.  For example, take a hot bath (if you can), listen to soothing music, watch a Netflix series, read a book, meditate, pray, call a trusted friend, and write in a journal.

It is beyond frustrating when you are physically unable to walk, exercise or take a regular shower.  People internalize their aggravation and lack the coping skills to stabilize their moods and anxiety.

Part of the healing process prior to and after surgery is lovingly taking care of your mind, emotions and feelings, so you do not experience nerve-racking, uncontrollable episodes.  What we think about, we bring about.  We must learn to feed our mind positive words of affirmation and not negative ones, or we will become mentally exhausted.

The last resort would be to put a patient on a low dose of anti-depressant medication if they cannot learn to manage their emotions and become too stressed out.  Having a surgical procedure is very stressful as well and learning to deal with the pain it brings.  It is not easy to find the proper social support that is needed during fearful times. Worry takes over our once sound mind and produces negative side effects such as headaches, stomachaches, low sex drive, acne, decreased immune functioning and even suicidal thoughts.

Our biggest recommendation is to ASK for help and allow others to be there for you and let trained experts provide treatment, that will solve your issues.

FXRX employs the best medical staff to alleviate pain, but we are also here to assist in making sure you are mentally tranquil as well.  If you have questions, please email us or request an appointment https://www.fxrxinc.com/blog.html.

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Who is at Risk for Injuries and what Treatment Options Should I Choose

By  aenriquez  published  September 20, 2018

Accidents happen all the time and people get injured for numerous reasons!  Athletes fall while running, sports stars twist ankles or bash their knees in, the elderly tumble while shuffling in the driveway, kids fall off their bikes and crack an elbow, weapon mishaps occur to anyone not being careful, car accidents demolish organs on impact and freakish wounds are unstoppable.

Injuries are known as physical trauma. Injuries occur when outside forces cause damage to the body, in unexpected, harmful ways.  Injuries can be life-threatening and be the foundation for much-added pain throughout your body.

Who is at risk for injuries and why?

Anyone that plays a sport has an increased risk for potential injuries to any part of their body.  We know that accidents can occur to anyone, anywhere.  Therefore, athletic gear is enforced.  Kids are forced to wear helmets, cups, body armor, elbow and knee pads, as well as chest protectors.

The elderly are specifically at risk of breaking bones, fractures weaken bone areas or sprained wrists due to not having the same agile mobility as they had in their younger years.  Also, osteoporosis is more likely to occur in older adults.  Osteoporosis is defined as a medical condition where your bones are brittle, they become weak due to your body not making new bones fast enough, and this makes people easily prone to fractures.

Everyone is at risk for bodily harm in an unforeseeable accident with a firearm or automobile catastrophe.  You can lower your risks by not drinking and driving, going the speed limit, wearing your seatbelt, not texting and driving, paying attention to the road and do not get distracted from other people in the car.

At FXRS Orthopedics & Bracing, we have a variety of treatment options, depending upon the severity of your injury and pain level.

We offer various knee therapy choices:

Knee Arthroscopy (Knee Scope)

Knee Replacement

Cartilage Regeneration is done through a knee scope – to avoid a knee replacement

Steroid Injections in joints ease and reduce pain

Regenerative Medicine with PRP (Platelet Rich Plasma) Therapy (regenerate damaged tissue)

Orthopedic Bracing (used for arthritis, Carpal Tunnel, and fracture stabilization)

Shoulder Therapy Choices:

Rotator Cuff Repair

Shoulder Arthroscopy – known as a shoulder scope

Partial and Total Shoulder Replacement

Arthroscopic Shoulder Labral Repair

Arthroscopic Shoulder Instability Repair

We also offer fracture treatment and bracing for of these types of injuries.

Our trained surgeons will devise a medical plan that is best for your personal situation.  You are not just a number in our practice.  Our doctors listen to your concerns and care about your road to recovery.

If you would like to schedule an appointment – sign up here https://www.fxrxinc.com/.

We will be with you every step of the way, no matter what solution your body needs.  We want you to live pain-free!  If you have questions or concerns – email us at https://www.fxrxinc.com/contact.html.

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Comminuted Fractured Treatment – How is it Beneficial to Patients?

By  aenriquez  published  September 13, 2018

Are you clumsy?  Do you easily fall or break bones? Getting older and your bones seem to be brittle?  Middle of the night, hospital visits are your norm?  Typically, we would relate this to the elderly or those with brittle bone (osteoporosis), but it can happen to anyone.

I can honestly say, I have never fractured anything or had to seek long-term treatment for bothersome ailments.  Tons of Americans want quick fixes and to feel pain-free immediately.  I prefer the proper care and treatment for safer longevity and stability.

Every bone in our body has the potential to be broken, fractured or dislocated.  There is a treatment that trained doctor’s use and you must do so very carefully and wisely.

Comminuted Fracture Treatment is much more complicated than normal fracture breaks because bones are severed in three or more fragments.  Communized fractures are put under a lot of pressure and eventually end up being severed in several places.  Surgery is usually imminent.  Risks could impose major complications and treatment tends to be tricky.  Surgeons need to rehabilitate every broken piece of bone and will use screws or specially made cement to fuse pieces together.  If the bones do not require a surgical procedure – readjustment might be possible.

Comminuted Fracture Home Solutions:

Get proper rest and try to keep the pained area stable, elevated and free of movement until it is healed. Your goal should be to regain strength and get back to normal.

Prescribed Pain Medication will be needed in some cases as deemed necessary, but not expected.  Often pain is unbearable, and a script is needed for soreness, throbbing sensations, and agony (at times). Caution getting addicted to pain medications, overusing them, and having to up your dose for pain relief.

Why do Comminuted Fractures occur?

Accidents cause most of the fractures that specialists see.  There must be a great amount of pressure such as experiencing a massive car crash or gunshot wound.

Individuals with Osteoporosis (weak bones) or cancer can fracture body parts easily in several various places. As adults get older, bones deteriorate and the decline in strength makes a quick fall traumatic.

Athletes occur in people who play more than one sport (typically) as this increases their risk of injury.

FXRX https://www.fxrxinc.com/ employ’s topnotch orthopedic surgeons that are highly trained for all extremities including:

◻Hip, Femur, Knee and Let Fractures

◻Hip Fractures, Distal Femur (Thighbone) Fractures of the knee

◻Femur Shaft Fractures (Broken Thighbone)

◻Fractures of the Proximal Tibia

◻Foot and Ankle Fractures

◻Upper Extremity Fractures

Therapy and treatment guides us through significant changes that eventually improves our lives in new miraculous ways.  I believe our staff to be the best in the industry and work tirelessly to put you back together, one piece at a time!

“Change, like healing, takes time.”  — Veronica Roth, Allegiant

 

 

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Physical Therapy and Rehabilitation

By  aenriquez  published  May 18, 2018

Physical therapy involves the use of certain maneuvers and exercises to restore your strength, activity, and motion following an injury, illness, or surgery. Physical therapists are trained professionals who identify deficiencies in the biomechanics of the body, they and teach stretches and techniques to address problems that can be managed. Physical therapists also use specialized equipment to address your condition and injury.

dealing with pain with Physical Therapy

Stretching Tight Joints and Muscles

A portion of physical therapy deals with stretching muscles and joints. Stretching is vital in maintaining good range of motion with the joints and for flexibility of muscles. If you suffer from tight muscles and/or stiff joints, normal activities can be affected. This includes climbing stairs, reaching overhead for items, and going through usual daily living. With proper stretching, these functions are preserved. After surgery, scar tissue forms and soft tissue will contract. To ensure that scar formation does not affect rehabilitation, it is important to go through regular stretching routines.

Strengthening the Body with Exercises

Exercises are used for strengthening, which helps with rehabilitation to improve muscle function and joint stability. The goal of improving strength aids in improved range of motion and increased endurance. Post-operative exercises should be guided by the physical therapist to ensure you do not injure the surgical area. These exercises are used in back, neck, knee, and shoulder injuries.

Core Strengthening and Stability

One of the most recent physical therapy developments involve the emphasis on core stability and strengthening. The core of the body should be solid and strong. A weak core puts you at risk for injury and chronic overuse syndromes. Core strengthening emphasizes the muscles of the pelvis and back. Some exercises programs are great for core stability, especially Pilates.

Application of Ice and Heat

Ice and heat are used for cooling down and warming up joints and muscles. Warmth also increases blood flow to the injured or healing region, and ice will decrease swelling through vasoconstriction. These mechanisms are very important for the therapeutic process.

Ultrasound

Using high-frequency sound waves, ultrasound therapy is used to stimulate the deep tissues in the body. The ultrasound probe is passed over your body, and deep tissues are stimulated by the vibration of a sound wave. Ultrasound will lead to warming and increased blood flow to the afflicted body tissues.

Electrical Stimulation

Electrical stimulation is a type of therapy used to pass electric current over an affected area. Nerve condition within a region can be altered which affects muscle contractility. Blood flow to the deep tissues is increased through electrical stimulation, and patients experience diminished pain after this treatment.

Reasons for Physical Therapy

The main reasons you should have physical therapy include:

To promote healing – This is used to minimized scar tissue of the knee or shoulder following surgery, and to improve blood flow to the injured area.

To regain mobility – Physical therapy is particularly important for the knees, hips, and upper extremities. It will help prevent joint stiffening and get you moving quicker.

To enjoy a faster recovery – Rehabilitation is used to help your body recover more quickly that if you do not receive physical therapy.

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How Long Does It Take To Recover From A Broken Femur?

By  aenriquez  published  November 22, 2017

Recover From A Broken FemurA femur fracture is a crack, break or crush injury to the thigh bone. Smaller, simpler fractures of the femur do not typically require surgery. However, others that completely break the bone, cause the bone to be crushed or displaced need immediate surgery.

Symptoms of a femur fracture

A fracture in the thigh bone can bring about the following symptoms:

  • Inability to stand or move the leg
  • Swelling in the hip region
  • Bleeding from an open wound
  • Deformity of the thigh bone region
  • Hematoma
  • Thigh muscle spasms
  • Tingling or numbness in the leg

Diagnosing the condition

This is a serious injury that is usually diagnosed by a physician. The physician will look for symptoms of a fracture mentioned above along with the help of an X-ray or CT scan.

Based on the nature of the injury, treatment may involve immediate admission to the hospital for surgery or extensive treatment in a rehabilitation facility.

Recovery times

Because the femur is so strong, it often takes a lot of force to break it.

  • The cause is usually some type of high energy collisions such as a car or motorcycle accident.
  • A severe sports injury could also have the effect for athletes of young people.
  • Even a low force incident such as a fall can cause a broken femur in individuals with weak bones.
  • In the elderly, broken femur may be caused by a slip or fall.

Most people who receive specialized treatment for a femur fracture are admitted in a long-term nursing or rehabilitation facility.

Full recovery can take anywhere from 12 weeks to 12 months. Yet, many patients can start walking much earlier with the help of a physical therapist.

In case of surgery, recovery times can vary based on the following considerations:

  • Timing of surgery will depend on if the skin around the fracture is broken or not. Open fractures expose the injury site to the environment and need to be treated immediately.
  • External fixation requires metal screws or pins to be placed into the bone. For patients who need temporary stability before the final surgery, this can add to the recovery times.
  • Intramedullary nailing means inserting a specially designed metal rod to keep the nail and bone in proper position during healing.

How is physical therapy helpful?

Physical therapists design individual treatment plans for every patient. The program is devised to limit broken femur complications and includes exercises that help the patients resume a normal level of activity.

Physical therapy can be helpful by addressing the following issues after injury or surgery:

  • Reduction in pain levels by using heat or ice therapy
  • Resuming motion in the hip, leg and back with exercise and stretching
  • Improving strength with exercise to tone and firm muscles
  • Stabilizing balance using weights, resistance bands or other devices
  • Regaining walking ability
  • Speed up healing
  • Return to daily activities by deciding on recovery goals and the safest methods to achieve them
  • Prevent future re-injury by engineering a home exercise program to strengthen and stretch muscles around the injured area
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