Knee issues
Hello, Dr.
Chen! My mother is 67 years old.
Six months ago, she fell while walking and fractured her right leg at the knee.
Was this caused by severe bone loss? The orthopedic surgeon provided appropriate surgical treatment but did not replace her knee with a prosthetic.
After six months, she is still unable to walk.
Would taking her to rehabilitation be more beneficial? Thank you!
Don, 30~39 year old female. Ask Date: 2007/04/07
Dr. Chen Xianchang reply Rehabilitation
1.
Decreased balance, muscle atrophy, and osteoporosis in the elderly are the main causes of falls.
2.
It is recommended to visit a rehabilitation department for deep heat therapy and electrical stimulation, as well as to train thigh muscle strength for quicker recovery.
3.
It is important to increase calcium intake (calcium supplements, milk, small dried fish) and collagen (such as beef tendons or glucosamine).
Reply Date: 2007/04/07
More Info
Hello! Thank you for your question regarding your mother's knee issues and rehabilitation after her injury. It sounds like she has been through a lot, and I commend you for seeking the best care for her.
First, to address your concern about the fracture: at 67 years old, it is indeed possible that osteoporosis, or significant bone density loss, contributed to the severity of the injury. Osteoporosis is a common condition in older adults, particularly postmenopausal women, and it can lead to fractures from falls that might not cause injury in individuals with healthier bone density. A fracture in the knee area, especially in the context of a fall, can be particularly debilitating and may require a longer recovery time.
Regarding rehabilitation, it is crucial to understand that recovery from a knee fracture, especially in older adults, can be a complex process. After surgery, the healing of the bone is the primary concern, and it can take several weeks to months for the bone to heal adequately. During this time, physical therapy can play a vital role in recovery.
Starting rehabilitation sooner rather than later is generally beneficial, as it can help maintain mobility, strengthen surrounding muscles, and improve overall function. However, the timing of rehabilitation should always be guided by the orthopedic surgeon's recommendations. If the bone has not healed sufficiently, aggressive rehabilitation could risk further injury.
In your mother's case, since it has been six months since her injury and she is still unable to walk, it would be advisable to consult her orthopedic surgeon about initiating physical therapy. A physical therapist can create a tailored rehabilitation program that focuses on gentle range-of-motion exercises, strength training, and balance activities, which are essential for regaining mobility.
Additionally, the therapist can assess her current condition and determine the safest and most effective approach to rehabilitation. They may also provide guidance on assistive devices, such as walkers or canes, to help her regain independence in mobility.
It is also important to consider the psychological aspects of recovery. Many older adults experience anxiety or depression following significant injuries, especially if they feel they have lost their independence. Encouragement and support from family members can be invaluable during this time.
In summary, yes, taking your mother to rehabilitation could potentially expedite her recovery, but it is essential to ensure that her bone has healed sufficiently before starting any aggressive physical therapy. Always follow the advice of her healthcare providers, and consider a multidisciplinary approach that includes orthopedic care, physical therapy, and possibly nutritional support to enhance bone health.
I hope this information helps you and your mother on her journey to recovery. Please feel free to reach out if you have any further questions or concerns.
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