Fractured Pubic Rami: Treatments, Symptoms, Diagnosis and Causes

Fractured Pubic Rami Overview

A fractured pubic rami is a break to the bones that form part of the pelvis. This can be a serious injury, especially in the elderly. Fractured pubic rami injuries typically take between 4 and 6 weeks to heal, although recovery time can be longer for severe fractures.

Fractured pubic rami

Fractured pubic rami

The pubic ramus is the name for the superior ramus and the inferior ramus, the two components that form the pelvis. A fractured pubic rami involves a break in one or more of the bones within this group. Although it is quite uncommon for a fractured pubic rami to occur, it is a very serious injury and often causes the patient severe pain, especially if the patient is elderly or when the injury occurs as a result of a high-impact accident, such as being involved in a fall or a road traffic accident.

This guide provides information on the common causes and symptoms of fractured pubic rami injuries, the expected recovery time and the importance of physiotherapy treatment.

To find out more about fractured pubic rami injuries and whether you would qualify for free private medical care, free physiotherapy and medical aids that could help speed up your recovery safely, please click on the Select a Section below:

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What is a Fractured Pubic Rami?

The pubic rami bones make up a part of the pelvis, and a fractured pubic rami is when a break or a fracture occurs in any of the bones within this group. Although this type of injury is not very common, it is extremely serious. Pain is typically one of initial fractured pubic rami symptoms.

The pain associated with this kind of injury can vary in severity depending on the extent of the fractured pubic rami, the circumstances that caused the injury and the general health of the patient. For example, if you have sustained a fractured pubic rami as a result of a fall, you may feel pain on the opposite side of your pelvis to where the fracture has occurred. If you are elderly, you may feel more severe pain than a younger patient. In some fractured pubic rami injuries, there are no initial obvious signs and symptoms.

What Are the Common Causes of a Fractured Pubic Rami?

A fractured pubic rami is most commonly caused by an accidental fall or heavy, weight bearing forces on the pelvis via the hip joint. For example, you may be at a higher risk of sustaining the injury if excessive or repetitive force is placed on your hips or pelvis, such as during long distance running, dancing or jumping.

Other common risk factors for suffering a fractured pubic rami may include:

  • Excessive or repetitive kicking during sports such as football, rugby and martial arts
  • Performing excessive weight bearing activities during pregnancy
  • Weaknesses in gluteals, pelvic or core stabilisers
  • Pelvic instability as a result of pregnancy
  • Joint stiffness in the hips, lumbar spine, knees or ankles
  • Poor balance
  • Regularly wearing high heeled shoes
  • High arches or flat feet
  • Discrepancy in leg length
  • Excessive exercise on hard on uneven surfaces
  • Poor running technique
  • Old age
  • Lack of general fitness and poor muscle conditioning
  • Being overweight
  • Poor bone health
  • Menstrual problems
  • Poor diet

What are the Symptoms of a Fractured Pubic Rami?

The symptoms of a fractured pubic rami can vary, depending on a number of factors, including the severity of the injury, how it occurred and the age and general well-being of the patient. For example, fractured pubic rami in the elderly may cause more severe pain and more serious complications than in a younger patient.

It is important that you seek urgent medical attention if you or someone you are with experiences any of the following fractured pubic rami symptoms:

  • Localised pain in the pelvis or pelvic area. This pain may worsen during high impact exercises such as running or jumping
  • Severe pelvic pain that makes it difficult to carry out usual daily activities
  • Pain that becomes worse when standing or walking
  • Tenderness in the pelvic area
  • Weakness or inflammation in the pelvic area
  • Decreased mobility and flexibility
  • A feeling of stiffness in the affected area

Seeking professional medical care is essential to receiving the appropriate fractured pubic rami treatment. Contact a medical professional if you or someone you know experiences any of the symptoms listed above, whether you have suffered an obvious injury or not.

How is a Fractured Pubic Rami Diagnosed?

Fractured pubic rami diagnosis usually consists of the following procedure:

Emergency Stabilisation

  • If your doctor suspects you have a fractured pubic rami as a result of a high-energy injury, such as being involved in a car accident or suffering a fall from a height, you may be taken to an urgent care centre or an emergency room for treatment

Depending on the cause of your injury and the severity of your symptoms, a medical team may also look for further injuries, such as injuries to your head, upper spine, chest or abdomen. If you have a suspected fractured pubic rami as a result of a high-energy injury, it is likely that a number of medical specialists will assess your condition. In some cases, any circulatory or breathing problems may require assessment and treatment before the fractured pubic rami. The medical team at the hospital will assess your individual needs and diagnose and treat your injuries in order of priority.

Physical Examination

  • If a fractured pubic rami is suspected, your doctor may physically examine your pelvis, hips, and legs. He or she may also assess your injuries for any nerve damage by asking you to move your toes and ankles and checking how well you can feel sensation at the bottom of your feet

If you have sustained your fractured pubic rami as a result of a high-impact accident, your doctor will also assess the rest of your body for further injuries.

Imaging Studies

  • X-rays

X-rays are one of the most common ways to diagnose a fractured pubic rami. If your doctor suspects you suffered this type of injury, you may be referred for an x-ray which will produce fractured pubic rami pictures from a variety of different angles. These images will help your doctor to make an accurate diagnosis of your injury and determine the extent of bone displacement in the case of a severe or complex fracture.

Computed tomography (CT) scans

  • Due to the complexity of many fractured pubic rami injuries, CT scans are often used in the diagnostic procedure. These cross-sectional scans are able to offer a more detailed picture of the inside of your pelvis, the extent of any fractures and any specific patterns in your injuries

Magnetic resonance imaging (MRI) scans

  • If your fractured pubic rami cannot be seen on an x-ray or CT scan, your doctor may refer you for an MRI scan for further investigation

What is the Treatment for a Fractured Pubic Rami?

Fractured pubic rami treatment does not involve surgery as this kind of fracture usually heals on its own with adequate care and physiotherapy. Depending on the severity of your injury, your age and your overall health, it typically takes 6 to 8 weeks for fractured pubic rami injuries to completely heal. During the recovery period, your doctor will monitor any leg or groin pain you experience and may offer you pain-relieving medication to help with your symptoms.

You may be able to walk straight away or soon after you suffered the injury and your doctor is likely to encourage you to keep active to improve your circulation and accelerate your fractured pubic rami recovery time.

Fractured pubic rami treatment

Fractured pubic rami treatment

The physiotherapy team at the hospital will also advise you on gentle exercises that you can undertake to further help your circulation and help to keep your joints mobile. As you begin the rehabilitation process, your physiotherapist may offer you a walking aid, such as crutches or a walking frame and show you how to use them in the right way to help your fractured pubic rami recovery. The physiotherapist may work with you to practise using walking aids for stairs and steps before you are discharged from hospital. They will also talk to you about the kind of ongoing rehabilitation you are likely to need following your hospital discharge and refer you for further treatment if it is deemed necessary.

Ongoing rehabilitation, such as physiotherapy treatment, is one of the most effective ways of accelerating the recovery time following a fractured pubic rami. This kind of treatment can help you to improve your strength and balance as you work towards walking without walking aids and carrying out normal daily activities.

As you begin physiotherapy treatment, your condition will be assessed, and then regularly reviewed as you make your way through the recovery period following your injury.

Physiotherapists are able to assess your ability on and help you to:

  • Get in and out of your chair
  • Get in and out of bed
  • Get in and out of the bath/ shower
  • Walk
  • Climb up and down steps or stairs

Walking and remaining mobile is one of the best ways to recover from a fractured pubic rami injury, therefore your physiotherapist is likely to encourage you to walk short distances separated by taking regular breaks in between. Applying weight on the site of your injury when walking is likely to cause you some degree of discomfort, therefore it may be helpful to continue to use your walking aid until your symptoms begin to subside. You can also take regular pain-relieving medication throughout the day as recommended by your doctor. Fractured pubic rami injuries usually heal within 6 weeks, during which time pain and any other associated symptoms is likely to gradually lessen.

To further help your recovery at home, an occupational therapist can be helpful by:

  • Reviewing your circumstances at home
  • Arranging any necessary equipment to help you maintain your independence as you carry out daily activities
  • Arranging care packages to help you to carry out any tasks that you find particularly difficult following your injury
  • Offering you fractured pubic rami support and advice whenever you need it

What Free Treatment Could I be Entitled to for a Fractured Pubic Rami?

If you have suffered a fractured pubic rami, you could be entitled to free private medical treatment outside of nhs treatment to aid with recovery from your injury. Depending on what area of the UK you live in, you could gain access to professional medical help and support that could accelerate your recovery time and make the rehabilitation process a more comfortable one.

You can find out if you qualify for free, private treatment for your fractured pubic rami injury by getting in touch with our professional and friendly health experts today.

What Kind of Free Treatment for a Fractured Pubic Rami is Available?

If you have suffered a fractured pubic rami, there are many free private treatments available in the UK that can help with the management of your symptoms and the recovery process. This kind of private medical care may include access to essential medical supplies, such as crutches or walking aids, ice packs to reduce swelling and inflammation and invaluable physiotherapy treatment to accelerate your recovery time following your fractured pubic rami diagnosis.

Get in touch with our professional team today to find out what free medical treatments are available in your local area and whether you qualify.

How Long Does it Take to Recover from a Fractured Pubic Rami?

Fractured pubic rami injuries usually take between 4 and 6 weeks to completely heal, although the recovery time can be much longer in elderly patients and in cases where the fracture is severe. Physiotherapy is one of the most effective ways of speeding up your recovery time, whether the fracture is minor or major.

As fractured pubic rami injuries do not require surgery, how quickly you recover often depends on the care you give to your injury after you are discharged from hospital.

During your stay at the hospital, you may be referred to an occupational therapist to assess how well you can carry out your daily activities when you return home. This may include an assessment of the following:

  • Your ability to manage personal care such as getting dressed/ undressed and maintaining personal hygiene
  • Your ability to independently make meals
  • Your ability to get in and out of bed, on and off a chair and in and out of the bath/ shower

To help with your rehabilitation following your fractured pubic rami, your occupational therapist can arrange any necessary help and equipment to aid your recovery at home.

When your doctor determines that you are well enough to be discharged from hospital, your mobility may be extremely limited. It is therefore important that you and your support network start to consider any necessary changes you can make at home to make your recovery easier. For example, you may be able to move your bed downstairs or arrange for help with shopping and meal preparation. The medical team at the hospital will discuss your requirements with you and speak to appropriate staff and your carers about the options available to you.

If you are unhappy with the NHS Treatment and aftercare you have received, you may be entitled to free private treatment and physiotherapy in your area, please speak to one of our health experts today and find out if this is so.

What Kind of Rehabilitation Could I Be Entitled to for a Fracture Pubic Rami?

Many areas of the UK offer private physiotherapy treatment for fractured pubic rami injuries. If you have suffered this type of injury, you may be able to qualify for a free physiotherapy course in your local area. Physiotherapy treatment is one of the most effective ways of aiding recovery from a fractured pubic rami. To find out if you are entitled to this helpful free treatment, contact our friendly and professional team today.

Can I Recover Safer and Possibly Faster From a Fracture Pubic Rami?

Physiotherapy is an essential part of your rehabilitation following your fractured pubic rami injury. Depending on where in the UK you live, you could qualify for free physiotherapy that could aid your recovery in a safe and comfortable way. To find out if you are entitled to free, medical treatment that could help you to recover faster and possibly better, contact our professional team today. We can check by your postcode if you are eligible to access free medical treatment.

I Think My Doctor Missed Something When Treating My Fractured Pubic Rami, What Should I Do?

If you are concerned that you have received incorrect or inadequate treatment for your fractured pubic rami, it is important that you gain as much knowledge as you can which could help allay your fears or could confirm your suspicions.

The links at the bottom of this page provide more information and advice on fractured pubic rami injuries.

Could I Qualify for Free Orthopaedic Assessment of My NHS Broken Bone Report?

If you have suffered a fractured pubic rami, you will always be referred for either an x-ray, a CT scan or an MRI scan. During the diagnostic procedure, your doctor will take your scan or x-ray results and use them to compile a broken bone report, which details the extent of the injury and the kind of treatment that should be carried out. If you would like to see a copy of your report for your broken bone report, you are entitled to request a copy for your safekeeping.

Depending on where in the county you live, you may be eligible to receive a free orthopaedic assessment of your broken bone report. This expert opinion will help to discover any inadequacies in your fractured pubic rami treatment and offer advice on any further courses of treatment which could accelerate your recovery. Get in touch with us now and we can tell you if you are entitled to this free, private service.

Call Us to Find Out Whether You Qualify for Free Orthopaedic Treatment for a Fractured Pubic Rami

If you have suffered a fractured pubic rami and you have been receiving NHS treatment, you could be entitled to free, private medical care to aid your recovery. By getting in touch with our friendly and expert team today, we may be able to put you in touch with with private medical care that is available in your area.

This kind of care could involve giving you access to an expert orthopaedic review of your fractured bone report, you may qualify for invaluable medical supplies such as walking aids, crutches or ice packs. It could mean putting you in touch with a free, private physiotherapy team who can help to accelerate your recovery following your discharge from hospital.

To find out what free private medical help and advice is available in your local area, get in touch with our friendly and professional team today. We are here to help you recover faster and it only takes a short phone call to find out what free medical help you may be entitled to.

Our phone lines are open 7 days a week from 9am till 11pm and a health expert is waiting to take your call on 020 3870 4868.

Links to Helpful Websites

If you would like more information on pubic rami fractures, the following link provides essential reading on this type of injury:

More about fractures to your pubic rami

To find out more about the sort of exercises you can do to help with your rehabilitation following a fractured pubic rami, the link below provides valuable information:

More about exercises to help recovery