Rehabilitation Tips for Climbing Stairs After Femur Fracture Surgery - Orthopedics

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Climbing stairs after a femoral fracture?


Currently, it has been five months since my femur fracture surgery.
I have had nails inserted and can walk normally, but I struggle with going up and down stairs without support, as my leg feels particularly strained and my balance is unstable.
I would like to ask the doctor what rehabilitation methods are available.
Additionally, I want to know if my inability to sit cross-legged is due to the presence of the nails.
Occasionally, I experience a sharp pain in my thigh; what could be the cause of this? Thank you for your response, doctor.

Xiao Mei, 20~29 year old female. Ask Date: 2017/09/12

Dr. Shi Guozheng reply Orthopedics


1.
Practicing thigh lifts can increase muscle strength to improve function.

2.
The presence of metal screws may affect the range of motion in the wide joint.

3.
Occasional tingling sensations are normal and may be related to muscle tightness.

Reply Date: 2017/09/12

More Info


Rehabilitation after femur fracture surgery is a crucial aspect of recovery, especially when it comes to regaining mobility and strength. It’s great to hear that you are able to walk normally five months post-surgery, but it’s understandable that climbing stairs can still be challenging. Here are some rehabilitation tips and insights that may help you improve your stair-climbing abilities and address your other concerns.


Rehabilitation Tips for Climbing Stairs
1. Strengthening Exercises: Focus on strengthening your quadriceps, hamstrings, and calf muscles. Exercises such as leg lifts, squats, and step-ups can help build the necessary strength for climbing stairs. Start with low resistance and gradually increase as you feel more comfortable.

2. Balance Training: Incorporate balance exercises into your routine. Standing on one leg, using a balance board, or practicing yoga can enhance your stability, which is essential when navigating stairs.

3. Use of Handrails: Always use handrails when climbing stairs. This provides additional support and helps you maintain balance. If possible, practice ascending and descending stairs with a partner or therapist who can assist you.

4. Step-by-Step Approach: When climbing stairs, take one step at a time. Place your stronger leg on the step first, followed by your weaker leg. When descending, lead with your weaker leg. This method helps distribute your weight more evenly and reduces the risk of falling.

5. Practice with a Therapist: If you have access to a physical therapist, consider scheduling sessions focused on stair climbing. They can provide personalized guidance and ensure you are using the correct techniques.

6. Gradual Progression: Start with a few steps and gradually increase the number of steps as your strength and confidence improve. Avoid rushing the process; listen to your body and rest as needed.


Addressing Your Concerns
1. Inability to Sit Cross-Legged: The presence of metal hardware, such as nails or plates, can restrict your range of motion and flexibility. It’s common for patients to experience difficulty sitting cross-legged after femur surgery due to the stiffness and tightness in the hip and knee joints. As you continue your rehabilitation, focus on gentle stretching exercises for the hip flexors and quadriceps to improve your flexibility over time.

2. Occasional Sharp Pain: The sharp pain you occasionally feel in your thigh could be attributed to several factors. It may be related to nerve regeneration, muscle tightness, or even the presence of the hardware itself. If the pain persists or worsens, it’s essential to consult your orthopedic surgeon or physical therapist for a thorough evaluation. They may recommend imaging studies or adjustments to your rehabilitation program.

3. Importance of Patience: Recovery from a femur fracture can be a lengthy process, and it’s essential to be patient with yourself. Everyone heals at their own pace, and it’s normal to experience fluctuations in pain and mobility. Consistent rehabilitation efforts will yield improvements over time.


Conclusion
In summary, focus on strengthening exercises, balance training, and utilizing handrails when climbing stairs. Addressing your concerns about sitting cross-legged and occasional pain with your healthcare provider will ensure you receive the appropriate guidance and support. Remember, rehabilitation is a journey, and with persistence and the right strategies, you will continue to make progress. Wishing you a smooth recovery and improved mobility in the coming months!

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