Recovering from Pelvic Fractures: Tips for Home Care and Mobility - Orthopedics

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Pelvic fracture


About 10 days ago, I suffered a pelvic fracture due to a car accident.
However, the doctor said that surgery is not necessary and that I just need to rest at home for a month.
I usually use a bedside commode for toileting and sometimes sit to eat and read.
I don't stand much except for using the restroom.
Will this affect my recovery? I just checked some information and it seems like sitting might not be advisable… but since my bed is not adjustable like in the hospital, I can't have the head elevated at an angle.
I'm worried that if my recovery doesn't go well, it might affect my walking posture later on.

Bella, 10~19 year old female. Ask Date: 2021/10/30

Dr. Wang Shouji reply Orthopedics


Hello, if a pelvic fracture does not affect the joints, it is often managed non-surgically.
However, if weight-bearing activities are limited, early mobilization with the assistance of a walker is recommended to reduce muscle atrophy and accelerate recovery.
It is advisable to discuss the permissible level of activity with your physician.
Changhua Hospital cares about your health.
Wang Shou-ji.

Reply Date: 2021/10/30

More Info


Recovering from a pelvic fracture can be a challenging process, especially when it comes to home care and mobility. Given your situation, where you sustained a left pelvic fracture from a car accident and have been advised by your doctor to rest at home for a month without surgery, it’s essential to follow some guidelines to ensure a smooth recovery.


Home Care Tips
1. Rest and Positioning: It’s crucial to prioritize rest during the initial recovery phase. While you mentioned using a portable toilet and sitting to eat and read, it’s important to ensure that you’re not putting undue pressure on your pelvis. If sitting causes discomfort, consider using cushions or pillows for added support. However, prolonged sitting can lead to stiffness, so try to change positions frequently.

2. Mobility: Although you may feel inclined to remain seated, it’s beneficial to incorporate short periods of standing or gentle movement as tolerated. This can help maintain circulation and prevent complications such as blood clots. If standing is uncomfortable, consider using a walker or crutches for support when you do get up.

3. Pain Management: Managing pain effectively is vital for your recovery. Follow your doctor’s recommendations regarding pain relief medications. If you experience increased pain while sitting or standing, it may be a sign to adjust your position or activity level.

4. Nutrition: A balanced diet rich in calcium and vitamin D is essential for bone healing. Incorporate dairy products, leafy greens, and fortified foods into your meals. Staying hydrated is also important, so ensure you’re drinking enough fluids.

5. Physical Therapy: Once you’re cleared by your doctor, consider engaging in physical therapy. A physical therapist can provide tailored exercises to improve mobility, strength, and flexibility, which are crucial for your recovery.


Mobility Considerations
1. Using the Portable Toilet: It’s understandable that you’re using a portable toilet for convenience. Ensure that it’s positioned securely and that you have assistance if needed. If you can, try to limit the time spent sitting on it to avoid stiffness.

2. Sitting and Standing: While sitting for extended periods isn’t ideal, it’s sometimes necessary. If you can’t adjust your bed to a more comfortable angle, consider using a recliner or propping yourself up with pillows when sitting. This can help alleviate pressure on your pelvis.

3. Walking and Movement: Gradually increase your mobility as tolerated. Start with short distances and use assistive devices if necessary. Walking aids can help you maintain balance and reduce the risk of falls.

4. Monitoring Symptoms: Keep an eye on any changes in your symptoms. If you experience increased pain, swelling, or any new symptoms, contact your healthcare provider promptly.


Long-term Considerations
1. Posture and Gait: After your recovery, it’s natural to worry about your walking posture. Engaging in physical therapy can help address any gait issues that may arise. Therapists can provide exercises to strengthen the muscles around your pelvis and improve your overall stability.

2. Follow-up Appointments: Ensure you attend all follow-up appointments with your healthcare provider. They will monitor your healing progress and make recommendations for further rehabilitation if necessary.

3. Emotional Well-being: Recovering from an injury can be emotionally taxing. Stay connected with friends and family for support, and consider speaking to a counselor if you feel overwhelmed.

In summary, while your current situation may seem limiting, there are ways to facilitate your recovery from a pelvic fracture at home. Focus on rest, nutrition, and gentle mobility, and don’t hesitate to seek professional guidance when needed. With time and proper care, you can look forward to regaining your strength and mobility.

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