Manipulation should be done as soon as possible after injury. Six or more hours after the fracture, bleeding and displacement of body fluids may lead to shock. Also, many tissues lose their elasticity and become difficult to return to a normal position. Immobilization will be necessary. A rigid cast placed around the injured area is the most common technique.
Skeletal traction is sometimes necessary.
After immobilization, use frequent ice massage. Fill a large Styrofoam cup with water and freeze. Tear a small amount of foam from the top so ice protrudes. Massage firmly over the injured area in a circle about the size of a baseball. Apply heat instead of ice, if it feels better.