Pelvic Fracture Treatment

Pelvic Fracture Treatment

Pelvic fractures can range between mild to severe, causing pain and damage to the pelvis and surrounding structures. At Vitalis Physiotherapy, our treatment of a pelvic fracture aims to:

Reduce Pain

Increase Strength

Encourage Recovery

About the condition

What is a Pelvic Fracture?

The pelvis sits at the base of the spine and consists of a group of bones held together by tough ligaments. The main bones in the pelvis are the hip bones, the sacrum (triangular shaped bone at the bottom of the spine) and the coccyx (tailbone). These pelvic bones support blood vessels, nerves, pelvic/abdominal/reproductive organs, the bladder/rectum and the digestive tract. It also connects to and stabilises the leg muscles.

Pelvic fractures can range from mild to severe in nature, however will always require medical attention and physical therapy rehabilitation to encourage timely recovery.

There are two classifications of pelvic fractures:

These classifications are then categorised into different types:

  • Stable– only one break in the pelvic ring with minimal bleeding and surrounding damage
  • Unstable– two or more breaks in the pelvic rings causing moderate to severe damage and bleeding
  • Open– where the fractured bone pierces through skin
  • Closed– where the fracture does not penetrate the skin
  • Stress fracture– when the bone is cracked
  • Displaced fracture– where gaps form between the fractured bones
  • Partial fracture– where the fracture doesn’t completely go through the bone
  • Complete fracture– where the bone breaks into two or more pieces
Causes

What are the causes of pelvic fractures?

Pelvic fractures are usually a result of trauma or degenerative causes. Mild cases usually heal without surgical intervention, however severe injuries require urgent medical attention to prevent damage to other pelvic and abdominal organs.

Common causes include

Pelvic fractures are relatively uncommon, with severe cases presenting under the age of 35, and chances of mild fractures occurring with weakening bones over time. Older women are at a higher risk of the latter, milder cases, whereas men under 35 usually have moderate to severe injuries.

  • High-impact trauma injuries– e.g. high impact car/motorcycle accidents, falls from a height.
Symptoms

What are the symptoms?

  • Pelvic pain – intense Abdominal pain Hip pain aggravated with movement Worsened pain after sitting and/or bowel movements
  • Abdominal pain
  • Hip pain aggravated with movement
  • Worsened pain after sitting and/or bowel movements
  • Neural symptoms (tingling/numbness) in the groin or legs
  • Vaginal/rectal bleeding in women; bleeding from the scrotum/rectum in men
  • Difficulty urinating (and/or blood in urine)
  • Swelling/bruising/tenderness in the hip area/lower back
  • Difficulty with lower limb movement/function – sitting, standing, walking, etc.
  • Tenderness/lump in the groin/perineum
Treatment

Treatment for Pelvic Fracture

If you have fractured your pelvis, it is important to see a medical professional immediately for diagnosis and treatment/management options. You will likely be referred for imaging tests to determine the origin and extent of the injury, and necessity for surgical intervention.

Physiotherapy is aimed at pain management through rehabilitation exercise programs to strengthen muscle, mobilise joints and reduce the risk of re-injury. At Vitalis Physiotherapy, we tailor a unique treatment plan to aid in your recovery through:

If the pain is severe, strenuous activity should be avoided. Your physiotherapist may also advise for you to use lumbar or pelvic support.

  • Stretching, strengthening and/or conditioning exercises
  • Restoring range of movement
  • Postural improvement
  • Soft tissue mobilisations (massage)
  • Trigger point therapy
  • Shockwave Therapy
  • Dry needling
  • Taping
  • A unique home exercise program
  • Graded Exposure to load program
  • Additional lifestyle recommendations

Need Help?

Are you in recovering from a pelvic fracture? Contact Vitalis Physiotherapy now to book in your treatment. Call our friendly team on 0410 559 856. We’d love to help.