Dr. Vaishali Suri (P.T.)
Post-Fracture Stiffness: Universal and Preventable
Every fracture requiring immobilisation -- whether in a cast, splint, or surgical fixation -- results in joint stiffness and muscle weakness proportional to the duration and extent of immobilisation. This is universal and expected, not a sign of healing failure. However, without physiotherapy, post-fracture stiffness can persist for months and sometimes permanently limit movement and function.
What Causes Post-Fracture Stiffness
Joint capsule tightening from prolonged immobility. Tendon and ligament shortening. Muscle wasting and weakness from disuse. Scar tissue formation in the soft tissues around the fracture. In some cases, heterotopic ossification (bone forming in soft tissues) or post-traumatic OA (particularly relevant for intra-articular fractures).
Physiotherapy for Post-Fracture Stiffness
Range of Motion Restoration
Progressive active and passive range of motion exercises, progressing based on the bony healing timeline and tissue response. We work within the boundaries set by the treating surgeon.
Joint Mobilisation
Manual joint mobilisation techniques specifically address the capsular tightness and joint surface restrictions that limit movement after immobilisation. These techniques are highly effective for restoring movement that exercises alone cannot achieve.
Muscle Strengthening
Progressive resistance exercise rebuilds the muscle mass lost during immobilisation. The principle of progressive overload applied carefully respects healing bone and tissue.
Functional Rehabilitation
Restoring the specific functional movements required for daily activities, work, and sport -- the final phase of post-fracture rehabilitation.
Post-Fracture Physiotherapy in Faridabad
At Realign Rehab Clinic, NIT-5, Faridabad, we restore full function after any fracture. Book your post-fracture assessment today.