Post-fracture stiffness
Graduated passive, active-assisted, and articular mobilizations to eliminate dense joint contractures, resolve scar adhesions, and restore full functional movement post-immobilization.
Clinical Approach to Post-fracture stiffness
Active-assisted wand elevation and end-range shoulder mobilization for post-fracture stiffness at Zen Physio Nashik.
Common Symptoms
- Severe loss of joint range of motion following cast, sling, or splint immobilization.
- Dense muscular contracture and stiffness around the healed fracture site (proximal humerus, clavicle, or wrist).
- Persistent swelling, heavy aching, and disuse muscle weakness in the affected limb.
- Difficulty performing basic daily activities like washing hair, dressing, or reaching overhead.
Biomechanical Causes
Prolonged immobilization required for bony fracture union leads to synovial fluid dehydration, dense collagen cross-linking in the joint capsule, and muscle contractures. Gentle, progressive manual joint mobilization and active-assisted stretching restore arthrokinematic joint play and break down fibrotic contractures once bone union is radiologically confirmed.
What to Expect:
Evaluation of orthopedic clearance and range of motion measurements. Treatment combines moist thermal therapy, gentle Maitland accessory joint glides, soft tissue myofascial release, and progressive wand/pulley active-assisted exercises.
Treatment Benefits & Objectives:
- Systematically breaks down dense post-immobilization scar tissue and contractures.
- Restores full functional joint mobility for daily grooming, dressing, and work.
- Rebuilds disuse muscle atrophy and limb coordination safely.
- Improves local vascular circulation and clears lingering post-traumatic edema.
Recovery Path Milestones
Gentle Passive Mobilization & Edema Control
Grade I-II joint glides, contrast baths, and active-assisted pendulum exercises.
Active-Assisted Wand & Pulley Stretching
Progressive active-assisted elevation, external rotation, and capsular stretching.
Progressive Resistance & Functional Loading
Light resistance band loading, grip strengthening, and multi-joint kinetic integration.
Full Range Autonomy & Heavy Daily Tasks
Overhead lifting, functional carrying tasks, and long-term joint flexibility maintenance.
Frequently Asked Questions
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