Femoral neck fracture - more than just a bone that heals
A femoral neck fracture - medically known as a proximal femoral fracture - is one of the most common fractures in old age. Fall, sudden pain, operation, rehabilitation. At first glance, a clear sequence of events. And yet this fracture often starts more than just a physical healing process.
For many patients, a femoral neck fracture marks a threshold: between mobility and the need for care. Between independence and dependence. Between trust in their own body - and fear of the next fall.
What happens in the event of a femoral neck fracture?
The fracture affects the junction between the femur and hip joint. Depending on the localization (medial, lateral, pertrochanteric) and dislocation, it is treated surgically: with screws, plates or an endoprosthesis.
However, the real problem often begins after the procedure:
Pain when moving
Insecurity when standing
Fear of stress
Immobility and muscular breakdown
Loss of self-confidence, independence and ability to cope with everyday life
What can we achieve therapeutically?
The therapeutic task after a femoral neck fracture is clear - and complex at the same time: restoring mobility, strength and confidence.
Therapeutic focuses are:
Early mobilization: as much movement as possible, as early as possible - adapted to stability and pain
Gait training with aids: Safety in transitions, gradual reduction of support
Fall prevention through coordination, reaction and visual control
Strengthening the muscles close to the torso, especially the pelvic stabilizers
Body awareness & balance to regain autonomic safety
Psychosocial support: dealing with helplessness, loss and role changes
More than mobility: the psychological break
A femoral neck fracture is often not only an orthopaedic event, but also a biographical one. Many patients experience it as a turning point. It is not uncommon for the physical injury to be followed by withdrawal, depressive moods or a feeling of "growing old overnight".
A therapeutic attitude is needed here:
Patience instead of pressure
Encouragement instead of expectations
Re-experiencing self-efficacy - in small, feasible steps
Conclusion:
A femoral neck fracture is not an isolated case - but it is always an individual process. Our task as therapists is to heal more than just the bone: self-confidence, enjoyment of movement, quality of life.
Because a safe gait starts in the mind - and successful rehab starts in cooperation.
📅 Webinars on pain therapy, mobility support and psychosomatic support can be found here:
www.hockenholz.com/webinare