Healing Fractures

By Tiffany Patterson, OT/CHT

Fractures are one of the leading diagnoses that are treated on a daily basis. One of the most frequently asked questions of new patients is “How long will it take to heal?” The answer depends on several different factors. All bones heal in a similar fashion, whether surgically cut or fractured by injury. In other words, the healing time varies for each person.

3 Overlapping Stages – Healing Fractures

Inflammation

Starts immediately, there is bleeding at the site of fractures which leads to inflammation and blood clotting.

Image of the inflammation phase of fracture healing where blood and clotting begin to form in the fracture area.

Inflammation Phase

Bone Production

Clotted blood is replaced with fibrous tissue and cartilage (soft callus); as healing progresses, it turns into hard callus (visible on x-ray several weeks after fracture).

Fracture healing stage when Clotted blood is replaced with fibrous tissue and cartilage

Bone production phase

Bone Remodeling

Bone continues to form and becomes compact; returning to its original shape (goes on for several months).

Image of bone remodeling phase where the bone becomes compact again

Bone Remodeling Phase

Speed and success of healing varies among individuals. Many factors can affect bone healing, such as type of fracture, the age of the patient, underlying medical conditions, smoking and nutrition status. Generally 6-8 weeks is adequate time for a fracture to heal. Your doctor will determine when you have reached that state.

X-ray Image of a fracture in a tibia

What Can You Do to Help Your Fracture Heal?

You can not change your medical history or turn back the hands of time.  The quick answer is our best line of defense is through nutrition and avoiding activities that can slow or interfere with the healing process. Therefore, protein, calcium, vitamin C and D are necessary tools in healing fractures.

  • Proteins are building blocks that help the body grow and repair itself. They can be found in chicken, fish, dairy products, soybeans (complete proteins) and in grains, seeds, nuts, beans and vegetables.
  • Calcium is a well-known nutrient that plays an important role in a variety of essential functions, including bone and teeth formation, as well as the healing of broken bones. So, foods high in calcium are milk, broccoli, turnip greens, non-fat yogurt, bok choy, soy beans, tofu, okra, cooked spinach, oranges, raisins, and peanut butter.
  • Vitamin C can be found in broccoli, tomato, papaya, mango, kiwi, and baked potatoes.
  • Vitamin D is supplied with sun exposure, cod liver oil, canned salmon, sardines, tuna, fortified cereals, and eggs. Avoid the use of alcohol, caffeine (limit intake if unable to give it up), fast foods, and smoking (chewing tobacco and nicotine patch use included).

All of these chemicals can cause a significant loss of calcium and delay the speedy healing of broken bones. Therefore, too much protein (or too little) and too much fat, salt and sugars can actually rob the body of calcium. Soft drinks contain a large amount of phosphorus that can deplete calcium reserves. Most importantly, follow your therapist’s and doctor’s advice for appropriate exercise with respect to your healing process.

In summary, always consult your doctor before increasing your intake of any nutrient or changing you diet in any way.

If you have a fracture or any other injury, the Jacksonville Orthopaedic Institute can help. To schedule an appointment with a JOI Orthopedic Doctor, call (904)JOI-2000, schedule online, or click the link below. To see a JOI Rehab Therapist in 1 of our 12 locations, call (904)858-7045.

Book An Appointment with a JOI Physician

By: Tiffany Patterson, OT


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