Fracture
Hello Director Chen! My mother had a car accident and fractured her left leg, which has been put in a cast.
Since she is over 50 years old, I am very concerned about how this will affect her ability to walk normally in the future.
I would like to ask Director Chen: how should she take care of herself? Is it advisable to take glucosamine or calcium supplements? Thank you!
Lode, 30~39 year old female. Ask Date: 2007/02/10
Dr. Chen Xianchang reply Rehabilitation
1.
The cast can be removed after 6-8 weeks and replaced with a brace, allowing for early initiation of rehabilitation and strength training.
2.
If the wound has not healed, treatments such as laser therapy and ultrasound can be utilized; once the wound has healed, hydrotherapy can be added.
3.
For calcium supplementation, it is recommended to reduce salt intake and use highly soluble forms of calcium such as calcium citrate, calcium lactate, or calcium phosphate.
Reply Date: 2007/02/10
More Info
Post-fracture care is crucial for ensuring a smooth recovery, especially after a car accident that results in a fracture. Your concerns about your mother's recovery are valid, particularly given her age and the potential complications associated with bone healing in older adults. Here are some essential tips and considerations for her recovery process.
1. Follow Medical Advice
First and foremost, it is essential to adhere to the recommendations provided by her orthopedic surgeon. This includes attending follow-up appointments to monitor the healing process and to ensure that the fracture is healing correctly. The doctor will likely schedule X-rays to assess the alignment and healing of the bone.
2. Physical Rehabilitation
Once the initial healing phase has passed, physical rehabilitation becomes vital. Physical therapy can help restore strength, flexibility, and range of motion in the affected leg. It is important to start rehabilitation as soon as it is safe to do so, which may include gentle exercises to promote circulation and prevent stiffness. A physical therapist can design a tailored program that gradually increases in intensity as her healing progresses.
3. Nutrition for Bone Health
Nutrition plays a significant role in bone healing. A diet rich in calcium and vitamin D is essential for bone health. Foods such as dairy products (milk, yogurt, cheese), leafy green vegetables (kale, broccoli), nuts, seeds, and fish (especially those with bones, like sardines) should be included in her diet. If she is considering supplements like calcium tablets or glucosamine (often referred to as "維骨力" in Chinese), it is advisable to consult with her healthcare provider first to ensure they are appropriate for her specific health needs.
4. Hydration
Staying well-hydrated is also important for overall health and can aid in the recovery process. Encourage her to drink plenty of fluids, particularly water, to support her body’s healing processes.
5. Pain Management
Managing pain effectively is crucial for recovery. If she experiences significant pain, it may hinder her ability to participate in rehabilitation exercises. Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can be used as directed by her physician.
6. Monitor for Complications
Be vigilant for any signs of complications, such as increased swelling, redness, or warmth around the fracture site, which could indicate infection. Additionally, if she experiences unusual pain or changes in sensation, it is important to contact her healthcare provider promptly.
7. Weight-Bearing Activities
Depending on the type and location of the fracture, her doctor will provide guidance on when she can begin to bear weight on her leg. Gradually increasing weight-bearing activities can help strengthen the bones and improve mobility. Using assistive devices like crutches or a walker may be necessary during the initial recovery phase.
8. Emotional Support
Lastly, emotional and psychological support is vital during recovery. Fractures can lead to feelings of frustration or anxiety, especially in older adults who may fear losing their independence. Encourage her to engage in social activities and maintain connections with family and friends, which can significantly improve her mental well-being during recovery.
Conclusion
In summary, post-fracture care involves a combination of medical follow-up, physical rehabilitation, proper nutrition, and emotional support. By following these guidelines and maintaining open communication with her healthcare team, your mother can optimize her recovery and regain her mobility. Always consult with her healthcare provider before making any significant changes to her diet or exercise routine to ensure her safety and well-being.
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