acetabulum .and pubic ramus fracture

Hi ..I am a 57 year old women suffering from a horse accident over 8 months ago.  I have had pelvic and leg pain consistently over this period of time.  I have been to 4 doctors and only be given pain management with anti-inflammatory drugs, pain pills, spinal injections and Lots of physical therapy , including Astym.  I have a fractured acetabulum, left and right fractures of superior pubic ramus, and inferior pubic ramus. I take Celebrex and 2-4 Tramadols to get through a day.  I have a very physical job and have pain that worsens with  walking and lifting.  I especially have pain turning in bed( which results in lack of sleep) and stairsteps, bleachers,. This has been so long , I am beginning to think I will never get over this injury.  Can anyone send me in a direction for recovery?  I am told that time is the only key to this problem.  By the way.  I was totally off work for 8 weeks and on a walker.  I  must work and it is getting harder by the day.  Please help!

[JainMD]

Hi Sherri,
I understand from your post that you have had acetabulum fracture and pubic ramus fracture. I would like to know what treatment they have planned for that.
I didn't understand from your post that have they told you that you that there is no treatment for that.
I think if a pelvic fracture is stable then you can be discharged home and plan for further follow up has to be in place.
Elderly patients with isolated pubic rami fractures can be safely discharged if they can be cared for at home or in another facility.
They will require sufficient pain management to allow them to ambulate, or they should have sufficient help.
If you are non-ambulatory, DVT prophylaxis should be considered.
You can go through following URL if you have any queries.
http://www.emedicine.com/EMERG/topic203.htm
Keep me informed if you have any queries.
Bye.

[lisabeth10]

Hi Sherri,
I am a 61 year old woman who fell on the sidewalk in NYC when I was 59. I still have pubic pain, take tramadol, have seen three physical therapists, had acupuncture, cranial sacral, treatments, you name it, I've tried it The physical therapists say it takes time, so I try to be patient and give it time. Darvocet is a good pain pill for me, (i take the generic) and has no codeine or morphine in it.
Good luck and let me know how you are.
Best,
Lisabeth Billingsley

[Dr Vinod]

Continous pain killers are not a solution. Try to take pain killers only when the pain becomes uncontrolled.
Regarding physical exercise you have to do it yourself at home  repeatedly (same exercises, you do under a Physiotherapist). You have to understand that it all depends on the amount of physiotherapy you put in with good effort to cure your problem conservatively. Take care!

[mariwtr]

hello, I have been searching the web to find more info on the inferior and superior fractures.. Last week a horse fell over on top of me and I too broke both of these on the left i was told bed rest and pain killers. I have seeked out acupuncture"5 element" and also takings herbs and vitamins with laser treatments to the area.. My biggest concern is the time frame to heal and no pun intended but to get back in the saddle since it is my only sorce of income. Good luck to you and fast healing thankyou on any advice you can give

[Dr Vinod]

Hello!

You need enough rest for a period of 12-16 weeks to cure your fracture. Continue your therapy.
Do not exert yourself and follow all instructions of your Orthopedician
Follow up with an X-ray after 12 weeks.
Take anti inflammatory drugs for pain relief.

Take care!

[ananta206]

Hi, I am ananta. I am 29 years old man having pain in palivic area. I met with an accident 3 months ago. During X-ray treatment, there is a fracture in in pubic ramus ( lower inferior pubic rami fracture, minior). Doctor advised me for bed rest. I had taken already 3 month bed rest, till I have pain in my legs and palevic area. I am not able to walk properly. Even I am also getting pain while seating. Please tell me, can I recover? As i am a employe, 3 months I am in bed. Please suggest me what shall I do? please help me. My e-mail id is ananta.***@****

[emilyjdodd]

I fell down the stairs fracturing my pelvic rami in 2 places. I am on crutches to walk how long will it take to heal xxx