Fractured Pelvis

What is a fractured pelvis?

The pelvis is a circular bone structure that supports body weight and enables movement through its joints. While fractures can happen in any part of the pelvis, they most often occur in the acetabulum—the socket that links the pelvis to the thigh bone to form the hip joint.

Pelvic fractures can be classified as either stable or unstable. A stable fracture involves a single break in the bone, while unstable fractures involve multiple breaks, often affecting the alignment of the pelvis. Physiotherapy plays an important role in the recovery process for both types.

How does a fractured pelvis occur?

There are several ways the pelvis can become fractured. Common causes include:

  • Car or motorbike accidents
  • Falling from a significant height
  • Contact or high-speed sports
  • Fragile bones from conditions like osteoporosis
  • Sudden, forceful movements or twists

What are the symptoms of a fractured pelvis?

Pelvic fractures often cause significant pain right away. You may notice swelling and bruising around your hips or lower back, and moving or standing might feel very difficult. In more serious cases, there can be damage to internal organs, which needs urgent care. Depending on how bad the break is, you might not be able to put any weight on your legs until the bone has healed.

  • Sharp pain in your hip, back, or groin
  • Trouble walking or standing up
  • Numbness, tingling, or weakness in your legs
  • Pain or pressure in your abdomen
  • A feeling that the pelvis is unstable or uneven

What should I do if I have a fractured pelvis?

If you think you might have a fractured pelvis, it’s important to go straight to your nearest A&E. Doctors will usually take an X-ray to see exactly where the break is. If they suspect damage to muscles, ligaments, or other soft tissues, they may also send you for an MRI scan to check for those injuries.

If your fracture is stable, it may heal on its own and you’ll likely be sent home with crutches to help you get around while you recover. For more serious, unstable fractures, surgery is usually needed, and an external fixator might be used to keep the bones aligned as they heal.

Starting physiotherapy as soon as your treatment plan is confirmed is important. It helps you stay active and speeds up the process of getting your strength and movement back.

Physiotherapy treatment for a fractured pelvis.

Physiotherapy for pelvic fractures will vary depending on the type, severity, and location of the injury. After a thorough assessment, your physiotherapist will develop a personalised treatment plan tailored to your specific needs. Treatment may include a home exercise programme and guidance in using walking aids to help improve mobility and activity levels. Physiotherapy may involve:

  • Strengthening exercises to support the pelvis and surrounding muscles
  • Range of motion exercises to restore flexibility
  • Gait training with walking aids, such as crutches or a walking frame
  • Balance and coordination exercises
  • Pain management techniques, including manual therapy and advice
  • Education on posture and movement to avoid re-injury

What shouldn’t I do if I have a fractured pelvis?

Do Not Ignore Symptoms of a Pelvic Fracture If you suspect you have a fractured pelvis—even if the symptoms seem minor—it is important to seek medical attention immediately. Continuing with your normal activities can lead to further complications, increased pain, and a longer recovery time. Early diagnosis and appropriate treatment are essential for optimal healing and to prevent long-term issues.

Could there be any long-term effects from a fractured pelvis?

Recovery from Pelvic Fractures Stable pelvic fractures typically heal on their own and can be effectively managed through physiotherapy. Unstable fractures, which require surgical intervention, may take several months to fully recover. However, with a structured and personalised physiotherapy programme, most individuals can achieve a full recovery and return to their normal activities.

To arrange an appointment, please call +65 81535374 or visit acephysiosports.com.

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