A femur fracture is a break, crack, or crush injury of the thigh bone. It is sometimes referred to as a hip fracture or broken hip when the break is in the upper part of the bone near the hip joint area. Femur fractures that are simple, short cracks in the bone usually do not require surgery. However, fractures that break completely through the bone, or cause the bone to be displaced or crushed, require immediate surgery.
Physical therapists are part of a team of health care professionals who help people recover from femur fractures. Physical therapy may take place in a hospital, in a skilled nursing facility, in the person’s home, or in an outpatient physical therapy clinic.
Physical therapists are movement experts. They improve quality of life through hands-on care, patient education, and prescribed movement. You can contact a physical therapist directly for an evaluation. To find a physical therapist in your area, visit Find a PT.
A femur fracture is a break in the thigh bone (femur). The femur can be fractured in one of these three areas:
Injury commonly occurs when a high-force blow hits the thigh bone. The most common causes of femur fracture are:
A femur fracture may cause extreme pain in the upper leg area or hip area. It also may cause lesser pain in the buttocks, knee, thigh, groin, or back.
You may experience:
Caution: A fractured femur may be life-threatening. Death can occur following a femur fracture due to complications such as blood clots, pneumonia, or infection. Symptoms of life-threatening injury include:
If you have any of these symptoms, call 911 to seek urgent medical attention.
A femur fracture is a serious injury. It is usually diagnosed by a doctor in an emergency room. An X-ray or CT scan will help confirm the fracture. Fractures can range from a simple crack to a severe break in which the femur breaks into pieces that can separate or even pierce through the skin.
Treatment usually involves immediate admission to the hospital, and possible surgery. Extensive treatment in the hospital and physical therapy are also typically required. The majority of people who suffer a femur fracture will need specialized treatment in a skilled nursing or rehabilitation facility.
Full recovery from a femur fracture can take anywhere from 12 weeks to 12 months. But you are not alone. Most people experiencing a femur fracture can begin walking with the help of a physical therapist in the first day or two after injury and/or surgery.
The doctor in charge of your care will determine when the time is right for you to see a physical therapist to assist you with further recovery. Your physical therapist will design a specific treatment program to restore function and help you return to activities of daily living.
Physical therapists support your recovery by helping you:
Your treatment program, based on your unique condition and goals, will be designed to help you return to your regular activities and may include:
Use of an assistive device. At first, your physical therapist may prescribe the use of an assistive device, such as a walker or crutches, and teach you how to use it. Many femur fractures require patients to avoid putting any weight on the broken leg to allow time for the bone to heal. Some people may be allowed to put a small amount of weight on the leg. Each person’s recovery is different. Older adults and people with other health conditions may need to first use a wheelchair.
Manual therapy. Your physical therapist will provide manual (hands-on) therapy to gently help you start to regain motion. They may perform gentle exercises (such as leg movements) that you can’t perform yourself at first.
Strengthening exercises. Your physical therapist will design an exercise program to help you regain movement and strength. You will learn and perform your exercises during your physical therapy sessions and continue them at home when appropriate. Your physical therapist will adjust your exercise program as you improve.
Following injury or surgery, your physical therapist will help you:
Your doctor will determine when a more intense physical therapy program is right for you. Whether in the hospital, an inpatient rehabilitation facility, an outpatient clinic, or at home, a physical therapy treatment program will be designed to help you:
Reduce pain. Your physical therapist may use different types of treatments to control and reduce your pain. These may include:
Improve motion. Your physical therapist will choose specific activities and treatments to help restore normal movement in your leg and hip. These might start with passive motions that your physical therapist applies to your leg and hip joint. They will help you progress to active exercises and stretches that you perform yourself.
Improve strength. Certain exercises will benefit your healing at each stage of recovery; your physical therapist will design a personalized treatment program just for you. They will choose and teach you the proper exercises that will restore your strength, power, and agility. These may include using weights, elastic bands, weighted pulleys, cardio machines, and weight machines.
Return to activities. Your physical therapist will collaborate with you to decide on your recovery goals, including a return to work and sport. They will design your treatment program to help you reach your goals in the safest, fastest, and most effective way possible. Your physical therapist will use equipment, manual techniques, exercises, and work retraining activities. If a return to sport is desired, your physical therapist will work with you on sport-specific techniques and drills to help you achieve your goals.
Prevent future reinjury. Your physical therapist will recommend a home-exercise program to help you strengthen and stretch the muscles around your hip, upper leg, and core to help prevent future problems. These may include strength and flexibility exercises. These exercises will aid the return of balance and are essential to reduce the risk of falls, especially in older adults.
Femur fractures that occur in car accidents, extreme sports, and/or from a high elevation are often outside your control. However, there are some things that you can control to reduce your risk of experiencing a femur fracture, including the following:
All physical therapists are prepared through education and experience to treat femur fractures. However, you may want to consider:
You can find physical therapists who have these and other credentials by using Find a PT, the online tool built by the American Physical Therapy Association to help you search for physical therapists with specific clinical expertise in your geographic area.
General tips when you’re looking for a physical therapist (or any other health care provider):
We understand what you’re going through. And we’ll do whatever it takes to get you back in action. We offer flexible hours and in most cases, we can see you within 24 hours.