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What are Sacral Fractures?

Sacral fractures involve a break in the sacrum, the triangular bone at the base of the spine that forms the foundation of the pelvis. These fractures can result from traumatic incidents like falls or motor vehicle accidents, or from stress-related injuries in athletes. Osteoporosis can also make individuals more susceptible to such fractures. Symptoms typically include pain and tenderness in the lower back, buttocks, or pelvic area, and the pain may worsen with standing or walking.

Physical Therapy for Sacral Fractures

Physical therapy plays a critical role in the recovery and rehabilitation process for sacral fractures. Initially, the primary focus is on pain management and reducing inflammation. This may involve modalities such as ice or heat therapy, ultrasound, or gentle electrical stimulation. Mobility is often limited in the early stages to allow the fracture to heal, and patients may need to use crutches or a walker to avoid putting weight on the affected area.

As the fracture begins to heal, physical therapy gradually incorporates a range of exercises aimed at restoring strength, flexibility, and function. Gentle stretching exercises help improve flexibility and reduce muscle stiffness, while strengthening exercises target the muscles of the lower back, abdomen, and pelvis to provide better support and stability to the sacral region. Balance and functional training are also important, especially if the patient's mobility has been significantly impacted. Throughout the rehabilitation process, physical therapists provide guidance on safe movement and activities to avoid further injury. With a patient-specific and progressive approach, physical therapy can significantly aid in the recovery from sacral fractures, helping patients regain their strength, mobility, and independence.

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