Tag Archives: Recovery

Physiotherapy after a Fracture

By Courtney Lacey, PT

fractureIf you have recently broken a bone, you may be wondering when you will be able to return to all of your normal activities. While it typically takes 4-8 weeks for a bone to heal, you will likely require physiotherapy to help get you back to full function.

How do fractures happen?

A broken bone, also known as a fracture, can occur in many ways. Most often, broken bones are the result of a traumatic mechanism of injury such as a fall, motor vehicle accident or contact during a sporting event. Fractures can also occur from repetitive motions which place stress on the muscles and bones. A common example of this is stress fractures in the legs from running. Finally, fractures can more easily occur in people with osteoporosis – a disease which weakens bones and makes them more likely to break.

How do you know if you have a fracture?

These are some signs and symptoms which may indicate that you have a fracture:

  • Immediate and severe pain following a fall or accident
  • A “pop” or “click” heard or felt during the incident
  • Swelling in the area
  • A bump or deformity
  • Unable to weight-bear through the injured limb

If you suspect you have a fracture, you will need to see a doctor who will order an X-ray to confirm the diagnosis. Often, those who experience an injury causing a fracture will go to the hospital to be evaluated.

Does a fracture heal?

While bone healing takes approximately 4-8 weeks, the timeline depends on both the person and the type of fracture.  In order for a bone to heal properly, it has to first be set in the proper position, which is called reduction. The doctor may be able to reposition the bones without surgery, which is called a closed reduction. Sometimes, surgery may be required to bring the ends of the bone close together, which is called an open reduction. Pins, plates or screws may also be used to keep the bones in place. If the fracture did not cause any part of the bone to shift out of place, no reduction is needed. Once the doctor has determined the bones are in a good position to allow for healing, the area will be immobilized in a cast or a splint.

When can the cast come off?

To determine if you are ready to have the cast removed, you will have an X-ray done with the cast or splint in place. The doctor will look for the formation of a callus, which demonstrates that healing has taken place. The doctor will then remove the cast and may recommend that you have physiotherapy. Physiotherapists play a key role in returning you to your full function as quickly as possible after a fracture.

Why do I need physiotherapy?

There are several reasons why physiotherapy is needed after fracture. Depending on the amount of healing that has occurred, your doctor may have special instructions (how much weight to put through the limb, certain activities to avoid, etc.) that your physiotherapist can help you understand. Once the cast is removed, you may still have some swelling and pain around the fracture site. Physiotherapists may use modalities (such as ultrasound or TENS) to help decrease pain and swelling and improve your mobility and tolerance for using the injured limb in daily activities. If you had surgery, you may also have a scar which creates scar tissue and can disrupt movement. At BodyTech Physiotherapy your therapist will use manual therapy techniques to help mobilize the scar tissue and the areas around the injury as needed to  restore normal movement around the surgical site.

Physiotherapy is crucial to improve your functional mobility that you may have lost during your time in the splint or cast. Immobilization over 6-8 weeks will cause loss of range of motion and strength, which will make daily tasks difficult to do. Your physiotherapist will help restore your proper range of motion using manual therapy techniques. While the fracture site will be stiff and sore, you may also lose range of motion at surrounding joints that were moving differently during the healing process. For example, if you have broken your elbow, it is also necessary to  assess your shoulder, wrist and hand to ensure that these joints are moving properly. Not correcting the mobility around the fracture site can prolong your healing process and lead to future injuries as well.

Once your range of motion has been restored, you will need to regain strength in order to return to your pre-injury activities. Your physiotherapist will work with you to create a proper strengthening program to re-introduce your bones to loads and stresses that you encounter in your daily activities. Lack of strength or going back to activity too soon puts you at risk of re-injury or prolonging the healing process. Physiotherapy will help you understand the correct exercises to do and will tailor your program to the activities you plan to return to, whether it be high level sport or recreational activity.

How long until I am back to my regular activities?

Your rehab program will vary in length depending on the type of fracture, if there was surgical intervention, and the type of activity you plan to return to. Depending on the nature of the injury, physiotherapy can take anywhere from 8 weeks to one year for more complex fractures. Your physiotherapist will guide you through your rehab program, ensuring you are progressing at an appropriate rate and prevent complications or future injury.

BodyTech Physiotherapy

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What is Trauma?

Physiotherapy is an effective tool to treat injuries that can range anywhere from minor to catastrophic. Occasionally, regardless of the severity of the injury, some people experience symptoms such as hypersensitivity or emotional stress as a product of, or in addition to, their physical trauma. For some, these psychological and emotional stressors can act as a difficult obstacle to overcome, and can actually hinder the success of physical injury recovery. Physiotherapists will often recognize these psychological and emotional symptoms, and will recommend the injured person see a qualified therapist who specializes in dealing with trauma. Working with a therapist is a great adjunct to physiotherapy and helps the client to achieve their recovery goals. The following article is a guest blog post by John Roche from Transformation Counselling

What is Trauma?

Trauma. It’s one of those words that gets thrown around without ever really being explained. Derived from the Greek word for “wound,” trauma could refer to an overwhelming psychological experience or the psychological imprint left by such an experience. Either way, it’s important to know how to recognize trauma and post-traumatic stress and how to recover from them.

Trauma is caused by an overwhelming experience in which someone perceives their survival to be threatened and/or their fundamental beliefs about themselves and the world are shattered. Sexual assault, military combat, child abuse, car accidents, and natural disasters are well-known examples of traumatic events.

Lesser known instances of trauma involve what’s called “attachment trauma.” Children’s development is extremely dependent on the attentiveness and responsiveness of their “attachment figures” (usually parents), and if an attachment figure is not attuned and responsive to the needs of a child, then, as far as that child’s brain is concerned, its survival is threatened and it will adapt accordingly.

Post-traumatic symptoms are painful and overwhelming, but, as scary as they are, they’re simply the result of the brain’s adaptation to traumatic situations. From an evolutionary perspective, this adaptation is an attempt to ensure the person’s survival, which is pretty much the brain’s number one priority.

Imagine that every brain has its own smoke detector. When it’s functioning properly, this smoke detector alerts us to legitimate threats and cues the release of protective firefighters who come and rescue us: heightened alertness, a pounding heart and restricted digestion to make sure we have plenty of energy to fight or run away, rage to help us fight off attackers, or, as a last resort if escape or self-defence aren’t possible, a freeze response like a deer in headlights.

Trauma hyper-sensitizes the smoke detector. At the slightest hint of smoke, these firefighters come rushing in to put out a fire that doesn’t actually exist.

People who have experienced trauma therefore tend to struggle with anxiety, rage, concentration difficulties, digestive issues, feelings of disconnectedness, and hypersensitivity to perceived threats. Understandably, survivors of trauma also tend to feel depressed, develop addictions as a means to escape their pain, and avoid anything that might trigger their smoke detectors.

Faced with such nightmarish symptoms, trauma survivors tend to imagine they’re broken. In reality, their brains have done exactly what they were supposed to do: adapt to threat and facilitate survival. Once upon a time, these adaptations made perfect sense and helped them survive. Unfortunately, such adaptations persist beyond the traumatic event and cause pretty major problems.

Recovery from trauma is essentially about training the brain to re-establish an internal sense of safety and leave behind survival adaptations that are no longer necessary. EMDR therapy in particular has been proven to be extremely effective at eliminating post-traumatic symptoms by healing trauma at its roots.

If you’re a survivor of trauma, you are not crazy. Your brain has actually done exactly what it was intended to do and, as unbelievable as it may sound, full recovery is possible. If you’re ready to get on with your life, contact us today to get started.


John Roche, MDiv, MSW, RSWheadshotsfull-9edit

John is a therapist with two Master’s degrees in counselling and three years of clinical experience. He has specialized trauma training in both Cognitive Behaviour Therapy (CBT) and Eye Movement Desensitization and Reprocessing (EMDR). In his spare time, he loves to hike, reflect on the meaning of life, and eat nachos.

Physiotherapy really does work!

BodyTech Physiotherapy

How many times have you heard friends or family say they had physiotherapy and it did not work for them? Or that they went to physiotherapy and all they got was a hot pack and a machine?

All physiotherapists and physiotherapy clinics are different. Just because you or someone you know had a bad experience at one clinic, does not mean you should not try another clinic. Why not check out BodyTech Physiotherapy? It was created out of a desire to  improve the quality of physiotherapy care in the city of Kitchener.

BodyTech Physiotherapy is an orthopaedic manual therapy and sports injury clinic. The clinic is owned and operated by highly qualified physiotherapists. We offer expert, hands-on care and individualized treatment for all conditions that cause pain or dysfunction.

What is orthopaedic physiotherapy/manual therapy?

Orthopaedic physiotherapy or manual therapy is physiotherapy that uses specific skilled, hands-on techniques administered by a physiotherapist to diagnose and treat soft tissue and joints. The physiotherapist uses their hands to mobilize (specific technique to improve movement) the joints to reduce stiffness, relieve pain, increase movement, improve muscle length and strength, and restore function. It combines an individualized exercise program with hands-on manual therapy to achieve pain-free function. Our physiotherapists at BodyTech Physiotherapy have undergone extensive, advanced-level post-graduate training to enhance their physiotherapy education, assessment and treatment skills. They have received their Advanced Diploma in Manual and Manipulative Therapy and have a combined 15 years of experience in a private practice clinical setting. Our assessments focus on identifying the underlying causes and contributing factors of your injury or condition. This comprehensive approach enables us to treat your condition or injury in the most effective way with an evidence based approach. A combination of exercise, manual therapy and education will improve your course of recovery and assist with further injury prevention.

Our approach to physiotherapy is individualized to focus on you – Physiotherapy really does work at BodyTech Physiotherapy!BodyTech Physiotherapy