Options for Non-Surgical Healing of Humeral Fractures: Shockwave and Ultrasound Therapy

Comminuted humeral fracture

Hello Dr.
Wang, I would like to ask if there are any signs of healing after four months post-surgery for a comminuted humeral fracture.
Would self-funded shockwave therapy or ultrasound bone healing treatment be helpful? What methods can assist in the healing process? I really hope to avoid the step of undergoing surgery for bone grafting.

Lin Xiansheng, 20~29 year old female. Ask Date: 2022/08/21

Dr. Wang Jiacheng reply Orthopedics

Both treatment methods you mentioned have been attempted and may be helpful, but they are not 100% successful.
In case of non-healing, it is still necessary to consider undergoing bone grafting surgery.

Reply Date: 2022/08/21

More Info

When dealing with a humeral fracture, particularly a comminuted fracture that has not shown signs of healing after four months, it is understandable to seek alternative treatment options to avoid surgical intervention. Non-surgical methods such as shockwave therapy and ultrasound therapy have gained attention in recent years for their potential benefits in promoting bone healing.

Shockwave Therapy: This treatment involves the application of acoustic waves to the affected area. The theory behind shockwave therapy is that it stimulates the healing process by increasing blood flow, promoting cellular activity, and enhancing the formation of new bone tissue. Some studies have shown that shockwave therapy can be effective in treating non-union fractures and may help in cases where traditional healing has stalled. However, the effectiveness can vary from patient to patient, and while some individuals report improvements, others may not experience significant benefits.

Ultrasound Therapy: This method uses high-frequency sound waves to promote healing. It is thought to enhance the repair of bone by increasing the activity of osteoblasts (the cells responsible for bone formation) and improving blood circulation to the area. Ultrasound therapy has been used in various contexts, including the treatment of non-union fractures, and some studies suggest it can be beneficial in stimulating bone healing. Like shockwave therapy, the results can be inconsistent, and it may not work for everyone.

Considerations: Before proceeding with either treatment, it is crucial to consult with your orthopedic specialist. They can evaluate your specific situation, including the type of fracture, your overall health, and any other factors that may influence healing. They may also recommend imaging studies to assess the current state of the fracture and determine if there are any underlying issues that need to be addressed.

Other Non-Surgical Options: In addition to shockwave and ultrasound therapy, other non-surgical options may include:
1. Physical Therapy: Engaging in a structured rehabilitation program can help improve mobility and strengthen the surrounding muscles, which may support the healing process.

2. Nutritional Support: Ensuring adequate intake of calcium and vitamin D is essential for bone health. A diet rich in these nutrients can support the healing process.

3. Bone Stimulation Devices: Some patients may benefit from electrical bone stimulation devices, which can promote healing through electrical currents.

4. Rest and Immobilization: Sometimes, simply allowing more time for rest and ensuring the fracture site is immobilized can facilitate healing.

5. Lifestyle Modifications: Avoiding smoking and excessive alcohol consumption can also improve healing outcomes.

In conclusion, while shockwave and ultrasound therapies may offer potential benefits for non-union humeral fractures, their effectiveness can vary. It is essential to have a thorough discussion with your healthcare provider to explore these options and determine the best course of action tailored to your specific needs. If surgical intervention becomes necessary, your doctor will guide you through the process and discuss the potential benefits and risks involved.

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