Managing Fracture Recovery: Should You See a Chiropractor? - Orthopedics

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Hello, may I ask about issues related to fractures?


Hello, Doctor: I had a car accident three weeks ago, and I fractured my right shoulder blade! It is a comminuted fracture.
The doctor said I don't need surgery or a cast, and that it will heal on its own.
I was only prescribed pain relief and anti-inflammatory medication, and I am feeling much better now.
However, I have a concern; my mother insists that I see a chiropractor, and I have declined multiple times, but each time it ends in an argument.
She continues to insist that I go...
So I would like to ask the doctor if there are any reasons or suggestions that could help convince my mom to stop insisting.
I was treated at Chi Mei Medical Center in Tainan, but I study in Pingtung.
My mom insists that I return to Tainan this weekend to see a chiropractor.
What should I do? I hope the doctor can provide me with the best answer.
Thank you!

Wanyi, 20~29 year old female. Ask Date: 2006/06/02

Dr. Shi Guozheng reply Orthopedics


If the scapula fracture does not involve the joint surface, surgery is not necessary, and it will gradually heal on its own.
With appropriate rehabilitation, recovery is usually possible without the need for chiropractic treatment.
Please have your mother accompany you to see an orthopedic doctor for an explanation; she may understand better.
Currently, there is no evidence to support that chiropractic treatment promotes fracture healing.

Reply Date: 2006/06/02

More Info


When it comes to managing recovery from a fracture, particularly a complex one like a comminuted fracture of the shoulder, it is essential to approach rehabilitation with caution and informed decision-making. Your situation, where your doctor has advised against surgery and has opted for a conservative treatment approach, indicates that your fracture is expected to heal naturally. However, this does not mean that you should seek out chiropractic care or manipulation at this stage, especially if you have reservations about it.

Chiropractors primarily focus on spinal manipulation and may not have the specialized training required to handle complex fractures or soft tissue injuries. In your case, since you have a comminuted fracture, the risk of further injury or complications from manipulation is significant. The healing process for such fractures can be delicate, and any undue pressure or manipulation could potentially disrupt the healing bone or surrounding tissues, leading to complications such as malunion or nonunion of the fracture.

Here are some points you can discuss with your mother to help her understand why chiropractic care may not be the best option for you right now:
1. Medical Guidance: Emphasize that your orthopedic doctor has recommended a conservative approach, which means allowing the bone to heal naturally without invasive procedures. This is based on their professional assessment of your injury.

2. Risk of Complications: Explain that chiropractic manipulation could pose risks, especially with a comminuted fracture. The manipulation could lead to misalignment or additional injury, which could prolong recovery or necessitate further medical intervention.

3. Focus on Healing: Highlight that your current treatment plan includes rest, pain management, and monitoring the healing process. Engaging in activities that could potentially disrupt this process may not be beneficial.

4. Alternative Therapies: Suggest that there are other forms of rehabilitation that are more suitable for your condition, such as physical therapy. A physical therapist can provide exercises tailored to your recovery stage, focusing on regaining strength and mobility without risking further injury.

5. Communication with Healthcare Providers: Encourage your mother to discuss her concerns with your orthopedic doctor. Having a professional explain the rationale behind the treatment plan may help alleviate her worries and reinforce the importance of following medical advice.

6. Your Comfort Matters: Remind her that your comfort and confidence in your treatment plan are crucial for your recovery. If you feel anxious or pressured to undergo treatments you are not comfortable with, it could negatively impact your healing process.

In conclusion, while your mother may have good intentions in wanting you to seek additional care, it is vital to prioritize your recovery based on medical advice. If you feel strongly against seeing a chiropractor, it is important to communicate that to her clearly. Instead, focus on following the treatment plan set by your orthopedic doctor and consider discussing any concerns or alternative therapies with them. This approach will ensure that you are on the right path to recovery while also addressing your mother's concerns in a constructive manner.

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