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Formation of new bone
I have radial head fracture 7wees ago .I take treatment from 4weeks =2weeks orthopedic doctor aplied pop and 1week sling with gentle movement of elbow shoulder wrist .
From6 weeks I take physiotherapy advised by doctor. Local physiotherapist do ultrasound massage using gel and lubricant for 15minutes after given electric heat 10minutes after that he do some excercise to me.today I visit orthopedic doctor.doctor told don't massage it becomes new bone formation in muscles in elbow fracture it becomes need surgery later on days. now elbow movment is good hand elbow staitning 160degre & elbow not folding fully 20 to 30 degree gap. Local Physiotherapist told 9days is ned for physiotherapy to cure.but orthopedic Dr told physiotherapy is not necessary you not do massage.only do excercise is enough movement is good.but my doubt is. i already do ultrasound massage by physiotherapist from 6days it becomes in future new bone formtion in elbow I don't want to go surgery i stop physiotherapy
Answers (14)
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Since your orthopaedic doctor has specifically advised avoiding massage and focusing on exercises, follow that advice. After a radial head fracture, stiffness is common, and your current movement sounds fairly good for 7 weeks, but it should continue improving gradually.
Next Steps
Since you still have a 20–30° movement restriction, progress should be gradual and pain-free exercise elbow bending and strengthening rather than forceful. If the movement stops improving, follow up with your orthopaedic doctor. You can also consult me online for a second opinion on your exercise progression.
Health Tips
Do gentle, pain-free elbow bending and straightening exercises, along with wrist and forearm movements. Perform them slowly without forcing the last few degrees. Avoid aggressive stretching, heavy lifting and forceful massage until your doctor clears you.The 6 days of ultrasound/massage does not mean you will definitely develop new bone formation.
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Hi please take an online consultations to know at present condition.
Next Steps
UST treatment not required but to get complete ROM
you need Physiotherapy exercises
Health Tips
Postural care and continues exercises under experience sports Physio .
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Your X-ray/clinical progress needs to be correlated by the treating orthopedist, but physiotherapy can still be useful—mainly for guided ROM and progressive strengthening. At this stage, avoid forceful stretching or aggressive massage. Ultrasound/massage is not essential for recovery, and stopping them is reasonable if your surgeon advised against them.
Next Steps
The 20–30° movement gap can often improve gradually with an appropriate exercise program. A physiotherapist can assess your current ROM and give you a safe home program without unnecessarily stressing the healing elbow.
Health Tips
For best guidance and fast recovery you should take a consultation. I’ll assist and give a proper home recovery program
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Hi, post fracture you need only exercises
As per protocols
1- achive normal Range
2- strengthens the muscles around & peripheral joints.
3- start using in normal activities avoid weights for some time.
If needed one can do wax or hot formation in case of stiffness
Next Steps
no need of US & stimulation
Health Tips
consult online for detailed evaluation & exercises
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A massage is very different from ultrasound therapy.
Seeing yours case it feels you do need ultrasound for some more days and ask your physiotherapist to concentrate on manual techniques as well
Since it's post operative and has immobilization history , it's better to continue ultrasound but concentrate more on exercise and manual therapy.
Ultrasound will not make a bone grow
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Do not use aggressive mobilization or forceful stretching to try to get the last 20â30° quickly. Forceful treatment after elbow trauma can irritate the tissues; heterotopic ossification (HO) is a known complication after fracture
Continue gentle active elbow flexionâextension and forearm pronation/supination, within a comfortable range.
Continue shoulder, wrist and hand movements.
Your current ROMâabout 20â30° loss of flexion/extension at 7 weeksâis not automatically an indication for surgery. Elbow stiffness can improve gradually with appropriate rehabilitation.
Next Steps
If the doctor has already seen early HO/calcification on your X-ray, then I would be particularly conservative: no deep massage, no forceful stretching, and no aggressive joint mobilization, and continue only the gentle exercise program prescribed by the orthopedic team. Rehabilitation intensity may need to be modified when HO is developing. �
Health Tips
If you upload the X-ray/report from today's orthopedic visit, I can explain whether there is any mention of heterotopic ossification, callus formation, fracture healing, or elbow stiffness, and I can help you make a safe exercise plan.
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