Three deadly misconceptions about fracture rehabilitation

  ”Hundred days of injury”, in daily life, when people suffer a fracture, really need a hundred days of bed rest? No, doctors pointed out that this is the old experience to modern people misleading, after the fracture long bed less exercise, not only is not conducive to bone trauma recovery, but also easy to make people weak, depressed, stiff joints, muscle atrophy and even thrombosis and other complications, the light affect the future recovery of limb function, resulting in reduced quality of life. “Nowadays, it is widely recognized in international medicine that patients with bone diseases should undergo early and active rehabilitation.  Fracture rehabilitation common misconceptions and adverse consequences Myth 1: Massage or heat therapy can stop pain and remove stasis Consequences: cause swelling For patients after acute trauma or surgery, many friends and relatives will be in the local massage or some hot compresses, mistakenly believe that this can activate blood and remove stasis to stop pain. However, this can easily lead to abnormal swelling and pain in the injured area, and in serious cases, even vascular nerve damage, affecting the effectiveness of treatment. In fact, it is generally not advisable to massage and heat therapy in the trauma area within 24 hours after the injury and within 72 hours after the larger surgery. Because this period is the period of acute inflammation and edema, local rubbing and heat therapy of trauma is not conducive to tissue repair and will affect the next step of treatment. After acute trauma, you should brake immediately, apply some ice, and send to hospital for professional treatment by doctors, such as cold therapy, elevation of the affected limb, combined with superficial and gentle lymphatic massage, etc.  Myth 2: Plaster fixation should be immobilized Consequences: bring about functional decompensation The initial important treatment step for fracture patients is fixation to facilitate the growth of bone scabs, and plaster fixation is the common way of external fixation. Many people mistakenly believe that cast fixation means that they cannot move. This is also very incorrect. Doctors remind patients that long-term braking can also lead to complications such as joint stiffness, muscle atrophy and even blood clots. Therefore, after the fracture is fixed, the patient must move the limb more across the distal end of the joint, such as: arm fracture, you can use the method of “clench-fist-release-clench-fist” to move. For patients with adequate internal fixation, systematic and progressive rehabilitation training of the affected area can be carried out under the guidance of professional staff.  Myth 3: It is better for fracture patients to stay in bed for a long time Consequences: leads to blood clots and even the risk of death “It takes a hundred days to break a bone, a fracture needs to be in bed to recuperate” is an old saying and the biggest misconception about fractures. “A fracture or surgery requires relative braking, but it is not the same as not moving at all as people mistakenly believe.” Experts believe that especially in older and frail fracture patients, there is often an even greater lack of movement due to frailty, which can all lead to a range of bedridden complications.  Doctors point out that there are many bedridden complications. Diseases of the visceral system such as decreased cardiopulmonary function and lung infections, circulatory system diseases such as blood clots, urinary tract infections and stones, and digestive system diseases such as decreased appetite and constipation are all common complications. They may also lead to pressure sores, osteoporosis, and muscle atrophy and weakness, causing weakness, decreased pain threshold, and depression, which may affect recovery. Among these complications, the incidence of venous thrombosis in the lower extremities is high and the lethality rate is also high. Early active contraction of the lower extremity muscles is an effective method of prevention. Modern medicine believes that early rehabilitation exercises are important for limb function recovery, therefore, after fracture or surgery, one should follow the professional advice of orthopedic surgeon or rehabilitation doctor and carry out systematic and scientific rehabilitation exercises and treatment under the guidance and assistance.