Bone Fractures & Recovery: Why Physical Therapy Matters

Bone Fractures & Recovery: Why Physical Therapy Matters

After a fracture, many assume recovery begins after surgery or once the cast comes off. In truth, physical and occupational therapy often begin much earlier — and that early support can make a significant difference in strength, mobility, and overall recovery.

With injuries like hip fractures — especially common in older adults — therapy typically starts in the hospital soon after surgery, sometimes within 24 hours once medically stable. Physical therapists help patients safely sit, stand, and begin walking with assistance. Early movement protects muscle strength, improves circulation, and reduces fall risk.

Occupational therapists focus on daily function from the start. They guide safe dressing, bathing, and transfers, and help prepare both patients and families for returning home safely.

When a fracture is treated with a cast — such as wrist, ankle, or lower leg fractures — therapy may still begin before the cast is removed. Muscles weaken quickly during immobilization and joints around the injury can stiffen.

After a fracture, communication is key. Your surgeon may have restrictions or limitations following a fracture and we make every effort in following these guidelines. Letting us know what is painful and if it should be painful can make all the difference in progressing your care.

Physical therapists help patients:

• Safely use crutches, walkers, or boots

• Maintain strength and mobility in surrounding areas

• Manage swelling

• Protect balance

Occupational therapists support independence by:

• Teaching adaptive techniques for daily tasks

• Recommending helpful equipment

• Modifying routines to protect healing bones

Once the cast is removed or weight-bearing is permitted, therapy becomes more focused on restoring motion near the injured site, rebuilding strength, improving coordination, and guiding a safe return to normal activities.

Bone healing is only part of recovery. Muscles, balance, and daily movement patterns all need attention. Therapy provides personalized care at every stage — helping individuals regain confidence and independence, not just heal the fracture.

Since 1979, our recovery team has supported thousands of individuals through fracture rehabilitation and stands ready to help you or someone you love navigate these situations with skill and compassion.