Rehabilitation Following a Spinal Fracture
I’m a 48-year-old female dealing with depression and anxiety, currently on sertraline and zopiclone. It has been five weeks since a motor vehicle accident caused a stable burst fracture of my T12 vertebra. I’m not scheduled for surgery but am using a TLSO brace as needed. I’m seeking guidance regarding when I can begin physiotherapy. Unfortunately, I live in a country with a strained healthcare system and haven't received clear information on this matter. I have a follow-up appointment in two weeks, where I plan to inquire further, yet I am contemplating if it would be wise to initiate therapy earlier given the anticipated difficulties in accessing services. Online resources have provided me with mixed responses, and I recognize that timelines for physiotherapy can vary significantly based on individual circumstances. Still, I’m uncertain whether I should expect to wait a few weeks or several months before starting. I would greatly appreciate any insight into a general timeframe, or indicators that would suggest I’m either prepared or not quite ready to commence therapy. Previously shared CT and MRI scans might provide useful context, although I’m unsure of their relevance. Thankfully, I experienced no additional injuries or neurological issues. However, I do experience pain during physical activity and occasional muscle spasms. I have tramadol on hand for when the discomfort becomes excessive, but I am capable of self-care tasks such as walking, driving, showering, and dressing myself.
Answers (1)
6/28/2025, 4:20:37 AM
OpenHealth AI
It's great that you're seeking clarity on your rehabilitation following a spinal fracture. Generally, starting physiotherapy after a stable burst fracture like your T12 can be very beneficial, but it's crucial to approach it carefully based on your symptoms and stability.
Main Points
- You can typically start physiotherapy within 6-8 weeks after the injury, depending on your pain level and stability.
- Lack of neurological issues is a positive sign for beginning rehabilitation.
- Pain during physical activity and muscle spasms should be assessed before starting therapy.
Explanation
After a stable burst fracture, the primary focus is on ensuring that the bone healing is progressing well and that pain is manageable. While you're waiting for your follow-up appointment, it’s understandable to feel uncertain about when to commence physiotherapy. Most importantly, you want to ensure that your spine is stable enough to accommodate physical therapy without exacerbating your condition.
Given that you’re experiencing pain during activities and muscle spasms, it’s important to manage these symptoms first. The TLSO brace you’re using plays a protective role, and you should continue using it as advised when engaging in movements.
Next Steps
- Monitor Symptoms: Pay close attention to your pain levels. If your pain becomes severe or is not improving, it may be best to wait until your follow-up appointment.
- Engage in Light Activity: If tolerated, daily gentle activities, like short walks and stretching (while supported by the brace), can help maintain some mobility without putting too much strain on your spine. Avoid any exercises that cause significant pain.
- Prepare for Your Appointment: Make a list of your symptoms, concerns, and questions for your healthcare provider regarding when to start physiotherapy and any exercises you can safely do now.
- Consider Pain Management: Use tramadol as needed for excessive pain, but monitor how much you rely on it. This can help inform your medical professional about your current pain levels at your follow-up.
It’s understandable to feel anxious about starting therapy early, but proceeding cautiously and being well-informed will help you advocate for your care effectively. Let me know if you have any more questions!
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