Pelvic fracture with inability to lift the thigh?
Hello Doctor, I was in a motorcycle accident on January 28, where my motorcycle was hit by a car.
According to witnesses, the car's front wheel ran over me.
You informed me that I have a fracture in my pelvis, specifically in the left pelvic area above the femur.
Other than some abrasions, there are no major injuries, but I am unable to move my left thigh.
My left calf and right foot are functioning normally.
Now, when I get out of bed, I have difficulty doing so smoothly and need to take my time.
After getting up, I use crutches to go downstairs (2 to 1).
After washing up, I sit in a recliner on the first floor, alternating between sitting and lying down unless I need to get up for something.
I only go upstairs to sleep after taking a shower in the evening.
I would like to ask you, Doctor, if this is normal? Am I able to sit on a hard wooden chair (as I will be returning to school soon)? Additionally, how long do you estimate it will take before I can walk without crutches?
An An, 10~19 year old female. Ask Date: 2016/02/05
Dr. Shi Guozheng reply Orthopedics
Pelvic fractures typically heal around six weeks after the injury.
The fracture may occur in the pubis or the iliac bone of the pelvis, and it generally begins to heal slowly over approximately six weeks.
After about six weeks, patients can start walking and sitting.
Reply Date: 2016/02/05
More Info
Pelvic fractures can be quite serious and often lead to significant challenges in mobility and recovery, especially after a traumatic event like a motorcycle accident. Your situation, where you experienced a fracture in the pelvic region and have difficulty moving your left thigh, is not uncommon. It’s essential to understand the implications of your injury and the recovery process.
Firstly, pelvic fractures can vary in severity. A fracture that is described as a "crack" or "hairline" fracture may heal more quickly and with less complication than a more severe fracture that involves displacement or instability. The fact that you are experiencing difficulty moving your left thigh suggests that there may be some degree of muscle or nerve involvement, or it could be due to pain and swelling in the area surrounding the fracture.
In terms of mobility, it is common for individuals with pelvic fractures to require assistive devices like crutches or a walker during the initial recovery phase. The need for these devices is primarily to reduce weight-bearing on the affected leg and to provide stability as you regain strength and balance. The timeline for transitioning from using crutches to walking independently can vary widely based on the severity of the fracture, your overall health, and how well you adhere to rehabilitation protocols. Generally, patients can expect to start bearing weight on the injured leg within a few weeks to a couple of months, but this should always be guided by your healthcare provider.
Regarding your question about sitting on a hard wooden chair, it is advisable to consult with your physician or physical therapist before making that decision. Sitting on hard surfaces can sometimes be uncomfortable or painful, especially if you are still experiencing swelling or tenderness in the pelvic area. It may be beneficial to use a cushion or a softer chair during your recovery to provide additional comfort and support.
As for your recovery process, it is crucial to engage in a structured rehabilitation program. Physical therapy can play a significant role in your recovery, focusing on exercises that improve strength, flexibility, and range of motion in your hip and leg. Your therapist will likely design a program tailored to your specific needs, which may include gentle stretching, strengthening exercises, and balance training. The goal is to gradually increase your activity level while ensuring that you do not exacerbate your injury.
Pain management is also an essential aspect of recovery. If you are experiencing significant pain, it is important to communicate this with your healthcare provider, as they may need to adjust your pain management plan or explore other treatment options.
In summary, your recovery from a pelvic fracture will require patience and adherence to medical advice. Regular follow-ups with your healthcare provider will help monitor your healing progress and adjust your rehabilitation plan as needed. With time, appropriate care, and rehabilitation, many individuals can regain their mobility and return to their daily activities. Always prioritize safety and comfort as you navigate your recovery journey.
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