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Writer's pictureBen Proctor

Understanding Pelvic Fractures: A Guide from Physio@Home


Pelvic fractures can be a daunting injury, often raising questions about recovery, rehabilitation, and how to regain strength and mobility.


What is a Pelvic Fracture?


The pelvis is a bony ring structure that connects the spine to the lower limbs, supports body weight, and protects vital organs. A pelvic fracture occurs when one or more bones in the pelvic ring are broken. This can result from high-impact trauma (e.g., car accidents, falls from height) or low-energy incidents, particularly in older adults with osteoporosis.


Types of Pelvic Fractures


Pelvic fractures can vary in severity:


  1. Stable Fractures

    • A single break in the pelvic ring or a fracture that doesn’t affect alignment.

    • Common in low-impact injuries or falls.

  2. Unstable Fractures

    • Involves multiple breaks, leading to misalignment of the pelvic ring.

    • Typically caused by high-energy trauma.

  3. Acetabular Fractures

    • These affect the socket of the hip joint and can disrupt the connection between the pelvis and the femur.


Healing Times for Pelvic Fractures


Recovery time depends on the severity and type of fracture:


  • Stable fractures: Around 6–8 weeks.

  • Unstable fractures: May take 12+ weeks and often require surgical intervention.

  • Acetabular fractures: 10–12 weeks, particularly if surgery is involved.


Signs and Symptoms


Pelvic fractures can present with a variety of symptoms:


  • Pain in the groin, hip, or lower back.

  • Difficulty bearing weight or walking.

  • Swelling, bruising, or visible deformity in the pelvic region.

  • Numbness or tingling if nerves are affected.

  • For severe cases: internal bleeding, shock, or abdominal pain may occur (seek emergency care).


The Role of Physiotherapy in Pelvic Fractures


Rehabilitation is a key element in recovering from a pelvic fracture. At Physio@Home, we specialize in creating tailored physiotherapy plans to help you regain strength, mobility, and function. Here's what the process typically involves:


1. Early Stages of Recovery

  • Rest and Protection: Initial weeks focus on pain management, allowing the fracture to heal. This may include the use of mobility aids like crutches or wheelchairs.

  • Gentle Mobilization: To prevent stiffness and blood clots, we introduce light movements for the lower limbs while avoiding weight-bearing on the affected side.


2. Intermediate Stages

  • Weight-Bearing Progression: Gradual introduction of weight-bearing exercises under guidance, depending on the fracture type and healing status.

  • Strengthening Exercises: Focus on core stability, gluteal muscles, and thigh strength to support the pelvis.


3. Advanced Rehabilitation

  • Functional Movements: Transition to activities that replicate daily tasks, improving balance and coordination.

  • Gait Training: Correct walking mechanics to reduce strain and prevent future injury.

  • Low-Impact Cardio: Swimming or cycling may be introduced to boost cardiovascular health without stressing the pelvis.


Tips for a Smooth Recovery


  1. Follow Medical Advice

    • Adhere strictly to your weight-bearing restrictions and medications to avoid complications.

  2. Nutrition Matters

    • A diet rich in calcium and vitamin D supports bone healing.

  3. Pain Management

    • Use prescribed medications or techniques like heat/ice therapy to manage discomfort. Lnik with your GP if you pain is not adequately controlled and you are struggling to sleep or walk/transfer.

  4. Be Patient with Progress

    • Recovery is gradual; consistency with your physiotherapy exercises is key.

  5. Prevent Future Falls

    • For older adults, a home safety check (which we can help with!) can reduce hazards like loose rugs or poor lighting.


How Physio@Home Can Help


Our community-based approach ensures personalized, convenient care tailored to your lifestyle and specific needs. We bring expert physiotherapy to your doorstep, offering:


  • Individualized Rehabilitation Plans

  • Home Safety Assessments

  • Post-Rehabilitation Support


If you’re recovering from a pelvic fracture, don’t hesitate to reach out to us. At Physio@Home, we’re committed to empowering the Mid Cornwall community with knowledge and care for a healthier, more mobile life.

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