Physiotherapy for Post-Fracture Rehabilitation

How Can Physiotherapy Help with Post-Fracture Rehabilitation?

The immobilisation period following a fracture (cast, splint, etc.) can lead to joint stiffness, muscle weakness and restricted movement. Physiotherapy offers evidence-based approaches for regaining range of motion and returning to functional capacity after fracture healing.

Physiotherapy Assessment

The first step in the physiotherapy process is a comprehensive post-immobilisation assessment. The assessment covers:

• Fracture site, type and healing status (with orthopaedic clearance)
• Range of motion of the affected joints
• Strength and endurance levels of surrounding muscles
• Oedema (swelling) and circulation status
• Limitations in daily activities

Physiotherapy Approaches

The approaches used in post-fracture rehabilitation vary depending on the fracture location and stage of recovery, and may include:

• Manual therapy — joint mobilisation to address stiffness in joints around the fracture site and gradually improve range of motion
• Therapeutic exercise — progressive strengthening programme, addressing muscle atrophy and building endurance
• Oedema management — techniques aimed at reducing swelling
• Home exercise programme — regularly continuing exercises learnt during sessions at home

The extent to which each approach is applied is determined based on individual assessment and the orthopaedic surgeon’s guidance.

When Should You See a Physiotherapist?

The physiotherapy process can begin once the cast or splint is removed following a fracture. When your orthopaedic surgeon confirms that the fracture has healed sufficiently, a physiotherapy assessment can be arranged to create a rehabilitation plan tailored to your condition. Beginning rehabilitation early can support the return to functional capacity.