Rehabilitation After Fibula Fracture: Do You Need Professional Help? - Rehabilitation

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After fibula fracture


Hello, doctor.
I have a fibula fracture that was casted for 6 weeks and has now been removed without surgery.
I am currently using a single crutch to walk and help my muscles regain strength.
Do I need to proactively schedule an appointment with the rehabilitation department, or can I continue using the crutch for a while on my own? Additionally, are there any "non-aggressive therapeutic devices" for rehabilitation that you would recommend (I'm not sure if low-frequency therapy counts)? When I go to the rehabilitation department, can I ask the doctor if I need such devices? Due to the car accident, the at-fault party was unlicensed and violated regulations, and it has been initially determined that they are 100% responsible.
They would rather go to jail than pay a dime.
Therefore, I can only firmly request high-standard treatment to apply for mandatory insurance to have the insurance company pursue the at-fault party.

Niu, 30~39 year old female. Ask Date: 2017/09/25

Dr. Li Weiqiang reply Rehabilitation


Hello,
You have a fibula fracture that has been in a cast for 6 weeks and has not required surgery.
You are currently using a single crutch for walking to help your muscles regain strength.
It is advisable to visit a rehabilitation clinic, as it can assist in your recovery process.
Low-frequency therapy is not considered an orthotic device; it is classified as a treatment within physical therapy.

Wishing you safety and health.

Sincerely,
Dr.
Li Wei-Chiang,
Attending Physician, Department of Rehabilitation Medicine,
Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/09/25

More Info


Rehabilitation after a fibula fracture is a critical phase in the recovery process, and it’s great to hear that you are already using a single crutch to assist with walking. Given that you have been six weeks post-fracture and have had your cast removed, it’s essential to consider a few factors regarding whether you should seek professional rehabilitation services.

Firstly, while some individuals may feel comfortable managing their recovery independently, professional rehabilitation can provide significant benefits. A physical therapist can assess your specific situation, including your range of motion, strength, and any pain you may be experiencing. They can create a tailored rehabilitation program that focuses on restoring function and preventing complications such as stiffness or muscle atrophy.
In your case, since you are using a crutch, it indicates that you may still have some limitations in weight-bearing or strength. A physical therapist can guide you on how to safely progress from using a crutch to walking independently. They can also teach you exercises to strengthen the muscles around your ankle and leg, which is crucial for regaining full function.

Regarding the use of non-invasive therapeutic devices, low-frequency electrical stimulation (often referred to as TENS or NMES) can be beneficial for pain management and muscle re-education. These devices can help stimulate the muscles and improve circulation, which may aid in your recovery. However, it’s essential to consult with a healthcare professional before using such devices to ensure they are appropriate for your specific condition.

In terms of your rehabilitation journey, here are some general recommendations:
1. Seek Professional Guidance: If you have access to a rehabilitation clinic, it would be wise to schedule an appointment. A physical therapist can provide you with a structured program and monitor your progress.

2. Gradual Weight Bearing: As you transition from using a crutch, focus on gradually increasing the weight you place on your injured leg. This should be done carefully to avoid re-injury.

3. Strengthening Exercises: Incorporate exercises that target the muscles of your lower leg, including calf raises, ankle pumps, and toe curls. These exercises can help improve strength and stability.

4. Range of Motion Exercises: Gentle stretching and range of motion exercises can help prevent stiffness in your ankle and improve flexibility.

5. Monitor Pain and Swelling: Pay attention to any pain or swelling during your rehabilitation. If you experience significant discomfort, it may be a sign that you need to adjust your activity level or seek further evaluation.

6. Consider Assistive Devices: If you find that you are struggling with balance or stability, using a walker or a knee scooter temporarily can provide additional support as you regain strength.

7. Follow-Up Appointments: Keep regular follow-up appointments with your healthcare provider to monitor the healing process of your fibula and ensure that there are no complications.

In conclusion, while it is possible to manage some aspects of your rehabilitation independently, professional help can significantly enhance your recovery. A physical therapist can provide you with the tools and guidance necessary to ensure a safe and effective rehabilitation process. Given the circumstances surrounding your injury, it’s understandable that you want to pursue the best possible treatment options. Don’t hesitate to advocate for your health and recovery during this time.

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