Orthopaedics · 6 min read
Published · Updated
Editorial note: This article was prepared for this website from the sources listed below. Unless a named clinical reviewer is shown, it has not been attributed to or clinically reviewed by an individual KPMC clinician.
Treat a significant injury carefully
Pain, swelling, bruising, deformity or inability to use a limb can suggest a fracture, but examination and imaging may be required. Keep the person still, support the injured area in the position found and control external bleeding with gentle pressure around, not onto, exposed bone.
Do not attempt to straighten it
Do not push a bone back, repeatedly test movement or give food and drink when urgent surgery may be possible. Remove rings or tight items early if this can be done without moving the injury. Call emergency services after major trauma, for an open wound over a suspected fracture, or when safe transport is uncertain.
Protect recovery
Follow instructions for weight-bearing, cast or splint care, pain medicine and review. Keep immobilisation dry when instructed and never place objects inside a cast. Increasing pain, tightness, numbness, colour change or reduced movement beyond what was explained needs prompt reassessment.
At a glance
Key takeaways
- Support the injury and do not try to straighten it.
- Open fractures and circulation changes require emergency care.
- Attend repeat imaging or fracture follow-up when advised.
When to seek care
- Call emergency services for major trauma, visible bone, heavy bleeding, deformity with a cold or blue limb, or loss of sensation.
- Seek prompt review if a cast becomes very tight, pain escalates, or fingers or toes become numb, pale, blue or difficult to move.
General information only. This article does not replace medical advice, diagnosis or treatment. If symptoms are severe or rapidly worsening, seek urgent medical care. In Malaysia, call 999 for an emergency or go to the nearest emergency department.
Source notes
Article sources
KPMC services related to this topic
Find information about the relevant KPMC service. A healthcare professional can advise whether the service is suitable for your needs.
About KPMC Orthopaedics Request an appointment
