Rehabilitation After Tibial Fracture: When to Start Therapy? - Rehabilitation

More Info

---

Rehabilitation after a tibial fracture is a crucial aspect of recovery, and it is understandable to have concerns about when to start therapy, especially after experiencing a significant injury. Based on your situation, where you sustained a tibial fracture on August 18 and had a cast removed on September 30, it is important to consider several factors before beginning rehabilitation.

Firstly, it is essential to follow your orthopedic surgeon's advice regarding weight-bearing activities. If your doctor has indicated that you should wait until around November 18 to start bearing weight on your leg, it is crucial to adhere to this recommendation. The healing process for fractures can vary significantly based on the type of fracture, the individual's age, overall health, and adherence to rehabilitation protocols. Starting rehabilitation too early, especially before you are cleared for weight-bearing, could potentially lead to complications, such as delayed healing or re-injury.

Regarding your question about whether you can begin physical therapy now or should wait until you can put weight on your leg, it is generally advisable to start rehabilitation as soon as possible, even if you are not yet able to bear weight. Physical therapy can focus on improving range of motion, flexibility, and strength in the muscles surrounding the injured area. Since you mentioned that you are already doing some exercises at home, such as leg raises and stretching, this is a positive step. However, working with a physical therapist can provide you with a structured program tailored to your specific needs and can help ensure that you are performing exercises correctly to avoid further injury.

In terms of muscle atrophy, it is common to experience muscle weakness and shrinkage after a period of immobilization. A physical therapist can guide you through exercises that target the quadriceps and hamstrings, which are crucial for regaining strength in your leg. They may also incorporate modalities such as electrical stimulation to help activate the muscles and reduce atrophy.

As for your concern about the speed of muscle atrophy, it is important to remember that recovery takes time, and muscle rebuilding is a gradual process. Consistency in your rehabilitation exercises, along with proper nutrition and hydration, can significantly aid in your recovery. It is also beneficial to maintain a positive mindset and set realistic goals for your rehabilitation journey.

In summary, while you should adhere to your orthopedic surgeon's recommendations regarding weight-bearing activities, you can and should consider starting physical therapy to address range of motion and muscle strength. This proactive approach can help you regain function more effectively once you are cleared to bear weight. Always communicate openly with your healthcare providers about your concerns and progress, as they can provide the best guidance tailored to your individual situation. Remember, the journey to recovery is often not linear, and patience is key.