Fracture Recovery Progress Tracker

Patient Information

Name: _________________ Date of Injury: _________________ Type of Fracture: _________________ Location: _________________

Daily Pain Assessment

Rate your pain level (0-10): □ 0 □ 1 □ 2 □ 3 □ 4 □ 5 □ 6 □ 7 □ 8 □ 9 □ 10 Pain Description: □ Sharp □ Dull □ Throbbing □ Constant □ Intermittent

Medication Log

Physical Therapy Exercises

Exercise Progress

• Exercise Name: _________________
• Repetitions: _____ Sets: _____
• Difficulty Level: □ Easy □ Moderate □ Challenging
• Comments: _________________

Swelling Monitoring

• Morning Measurement: _____ cm
• Evening Measurement: _____ cm
• Using Ice: □ Yes □ No Times per day: _____

Range of Motion

• Degrees of movement: _____°
• Compared to last week: □ Better □ Same □ Worse

Weekly Goals

Follow-up Appointments

Red Flags (Check if experienced)

□ Severe increase in pain □ Unusual swelling □ Numbness or tingling □ Color changes in extremity □ Fever

Contact your healthcare provider immediately if you experience any red flag symptoms