Fracture Massage

A Fracture Massage is a rehabilitative manual therapy applied to the muscles and soft tissues around a healed or healing fracture (never directly over the broken bone itself). The primary goals are to reduce tension, restore circulation, support normal tissue mobility, and improve functional recovery after immobilization or injury.​

Signs & Symptoms

  • Localized pain, swelling, and tenderness after fracture and immobilization

  • Stiffness, reduced range of motion, and muscle atrophy around the injured area

  • Residual tightness, scar tissue, or fascial restrictions near the site of injury

  • Weakness or imbalance in the muscles adjacent to the fracture

  • Occasionally, nerve symptoms or altered sensation if swelling persists.​

Contraindications

  • Never apply massage directly over new or unhealed fractures; wait until clinical healing is confirmed and cast is removed​

  • Avoid the area if there is active swelling, infection, open wounds, or suspected blood clots

  • Refrain from deep tissue or aggressive techniques until full healing and medical clearance

  • Caution in those with vascular disorders or fragile skin after prolonged immobilization.​

Assessment

  • Review injury history, stage of healing, surgical interventions, and current symptoms

  • Inspect for swelling, bruising, scar tissue, and range of motion limitations

  • Palpate surrounding muscles for tightness, guarding, or adhesions

  • Assess functional strength, flexibility, and coordination in the limb or region

  • Collaborate with medical team and physiotherapy regarding readiness for massage and treatment plan.​

Treatment

  • Use gentle Swedish massage (effleurage, petrissage) to promote circulation and relaxation of adjacent muscles​

  • Myofascial release and scar mobilization techniques to address adhesions and restricted connective tissue (only once incisions are healed)​

  • Manual lymphatic drainage or retrograde massage for swelling reduction, never over fracture site or hardware​

  • Gradual progression of pressure and depth as tissue tolerance improves

  • Focus on functional improvement—range of motion, strength, and flexibility

  • Never work over unhealed bone, open wounds, or excessive pain​

Self Care

  • Adhere strictly to the rehabilitation protocol: rest, ice, compression, elevation in early healing

  • Perform prescribed stretches and gentle exercises, as advised by healthcare provider

  • Scar massage and mobilization once wound is healed to minimize restriction​

  • Maintain hydration, nutrition, and gradual return to activity

  • Avoid high-impact activities and self-massage over the fracture site until cleared by a clinician