What is the role of physical therapy during the recovery phase of hip fracture treatment?

Updated: Jan 08, 2019
  • Author: Naveenpal S Bhatti, MD; Chief Editor: Sherwin SW Ho, MD  more...
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Answer

Compression side stress fractures are usually treated with conservative care, using MRI to identify the minority of patients who warrant internal fixation. If no fatigue line on MRI greater than 50% of the width of the neck is present, rest and crutch-assisted touch-down weight-bearing gait are initiated. Recommend interruption of all aggravating activities until the patient is free from pain. This is followed by gradual introduction of weight-bearing activities to the limit of pain, progressively increasing activity until the patient returns to his or her previous level of function. Weekly x-ray films are taken to monitor changes in fracture status, and any sign of fracture displacement requires surgical intervention.


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