Last updated on Jan 24, 2022. While your fibulathe long, thin outside bone of your lower legis healing, you should stay mobile through the use of a walking boot to speed up the recovery process. I'm looking forward to my physio appointment on Wednesday, I think that should help me with knowing how much I should be pushing myself and what exercises to do. If the tibia fracture is severe, you may need surgery. Posted You will need to be properly diagnosed before treatment for your ankle can begin. The rule of thumb is that if a person cant bear weight on the limb, if there is painful range of motion, or of the ankle bones is painful, then an x-ray is necessary. Some say that e-textbooks can be easily broken, some say that it is not good to students' eyesight to look at the screen for long. If an ankle fracture is treated promptly and properly, the prognosis is good. Start with ankle rotations to maintain mobility in your leg. When you come in for an ankle sprain, one of our specialists evaluates your ankle and asks about your injury. These are much lighter and more comfortable than a plaster cast and allow controlled weight bearing as well as re-introduction of functional movements, which actually helps the fracture to heal better. Studies have shown that compliance with these restrictions is low, and can have serious consequences. If your fracture can be treated without surgery, you probably will wear a cast for about six to eight weeks. or you are unable to walk at all. Significant swelling that isn't always localized to the site of the fracture. The new, third-generation Freedom Leg Brace is the most comfortable and durable, and makes it possible for anyone with a broken ankle, knee injury, broken leg, or an amputation or other medical condition to walk on both legs without the use of crutches. According to the American Academy of Orthopaedic Surgeons, putting weight on your ankle too early may cause the surgery to fail and require additional surgical interventions. It depends on what your physical exam and xrays show. . Last Update: October 15, 2022. . 8 weeks nwb 4 partial weight bearing, ankle feels good to ditch crutches, this okay? One hundred percent weight bearing means that you can place your full body weight on the leg, as long as you can bear the pressure and it is not too uncomfortable. Patient does not provide medical advice, diagnosis or treatment. This morning I have managed to make it to the kitchen and back on one crutch (same side as my bad foot), but letting the boot take the weight. That is probably the most important advice I can give you. If you put pressure on the ankle too soon it may reinjure the leg. The fibula bone bears only 15 to 20% of the body weight. will her orthopedician know that she has been bearing weight by looking at her x-ray etc. He or she will also order an x-ray to determine the severity and exact location of the fracture and how to treat the problem. Yes I look ridiculous and the limp is slow and awkward, but I think it's important to establish your pain level to determine whether you can push forward or take a rest. Patient follow-up included radiographs and . A fractured, or broken, ankle can result in either minimal damage that allows you to put weight on it during your recovery, or a significant amount of damage, requiring you to stay off your feet quite a bit. Bend it back and then once to each side. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. X-rays are the most common imaging test used to diagnose this type of injury, although your doctor may also order an MRI or CT scan. i have been walking also without it. Your fibula is a smaller, thinner bone in your lower leg. Reply The . If you have symptoms of an open fracture, the doctor also will want to know the approximate date of your last tetanus shot. Use Crutches. Inability to bear weight on your injured ankle However, if you can bear weight on the ankle, don't assume there is no fracture. When can you weight bear on a broken fibula? Many people use orthotics to improve the function and stability of their feet. With time, you will improve. A broken ankle, sprained ankle, knee injury, or any other injury which led to the need for a walking boot can be extremely debilitating. The doctor also will gently press and feel parts of your injured ankle to determine whether there are any points of extreme tenderness that can help to identify the site of a fracture. When a bone breaks or cracks, the injury is called a fracture. Talk to your doctor or to a mental health professional to prevent depression that could lead to overeating and weight gain. is there any benefit to the boot other than added protection. How to treat ankle stiffness after ankle fracture? . By remaining flexible, you'll be able to resume your normal exercises quicker than if you allow your leg to atrophy. Patient is a UK registered trade mark. To learn more, please visit our. and x-ray if displaced. Keep your injured leg flexible with stretches you can do while you wait to return to your regular exercises. Simple fractures are a little more serious, and occur when the bone breaks completely. call (404) 592-1186 . Lightly pull the towel towards your body until you feel the stretch in your calf. When can I bear weight on my broken ankle? The question is, how do I go about this without limping on to my good foot and keeping weight on my hands? It is not the intention of FootVitals.com to provide medical advice, diagnosis, or treatment recommendations. Many people assume that if you can put weight on the ankle then it isn't broken, however, it is possible to walk on a broken ankle, particularly with a less severe fracture. American Medical Association "Family Medical Guide" 4th Edition (John Wiley & Sons, Inc. 2004) 176-177; H. Winter Griffith, MD "Complete Guide to Symptoms, Illness & Surgery" (The Berkeley Publishing Group, 2006) 183, M. Beers "Merck Manual of Medical Information" 2nd home edition (Pocket Books, 2003) 354, Foot Health Facts, Ankle Fractures, http://www.footphysicians.com/footankleinfo/ankle-fracture.htm. Here are some tips to help you avoid a broken ankle: Here are some questions you may want to ask your doctor if you have suffered a broken ankle: Make sure you discuss any prescription, non-prescription, or recreational drugs you use on a daily basis with your doctor. But only time will tell.1.The e-schoolbag has many functions EXCEPT . If you have more extensive damage to your ankle, or the fragments of broken bone are separated far from one another, your doctor will perform surgery to repair your fractured ankle with special screws or wires. The concept of prescribing weight bearing restrictions applies to . Broken ankles are very common ankle injuries that are often caused when the ankle rolls inward or outward. Your doctor will also want you to stay off your injury as much as possible to ensure that it heals properly. I had a plate and 7 screws removed from my ankle one week ago, 3 years after a fracture. The standard protocol in the US for a stable ankle fracture is six weeks non-weight-bearing in a cast followed by six to 10 weeks gradual weight bearing in a walking cast or removable boot. Honestly, I think almost everyone recovering from an ankle injury accidentally puts weight on it at some point during the healing process. If you can't weight bear immediately after, that doesn't necessarily mean that you have a fracture, but if that persists beyond a day or 12 hours to a day, then you probably need an X-ray. Muscles burn more calories than fat and will help you to continue to lose weight as you recover. Items needed to do this included a bathroom scale, protective boot or shoe and standard crutches (in some cases a walker may be used). It seems to vary with doctors, but standard weight-bearing protocol dictates a graduated approach-- several weeks at partial weight bearing (for example 50%), and then full weight-bearing in boot for a few more weeks. Wear protective gear when participating in sports. I've been doing 10 minutes a day on my exercise bike and have walked round the block a couple of times to try and get my bad leg moving again so hopefully that's helping. Thanks for your reply and it definitely helps knowing you're not the only one going through it. People involved in a wide range of athletic activities, including ballet dancers, snowboarders, basketball players and skydivers, are at high risk of ankle fractures because of the physical demands placed on their ankles. 1. Registered in England and Wales. If you can'tmove your foot or bear any weight, it's likely a break. If this occurs, how long should I wait before contacting you again? Surgery introduces another variable of complications due to tissue scarring, and possibly nerve damage. Sort of like this. Learn what you can do to help. Thanks in advance. Adopt an ongoing program of physiotherapy to strengthen, stabilize, and heal all soft tissue (ligaments, tendons, muscles, etc.) The splint/cast will probably be dirty on the bottom. Sprains come in many forms. During the healing process, what symptoms should I watch for that would indicate the bones are not healing properly? This page was last updated on October 30th, 2015. According to the National Institutes of Health, women should eat a minimum of 1,200 calories a day to remain healthy and men need at least 1,500 calories per day. How to tell if my ankle is sprained or broken? Bones need time to heal. If pain gets worse or swelling increases you might check with your physician. Stress fractures occur when there is a crack in the outer shell of the bone. There are several procedures that may be considered aNd you could consider evaluation with your ? appropriate medical assistance immediately. After a significant injury, your pulse, foot movements and skin sensation will be checked to see if there are signs of artery or nerve damage. Continue to build upper body muscles while you are bed-ridden or unable to put weight on your broken ankle. The ankle can move out of place and heal in an abnormal position, leading to poor balance and arthritis. In orthopaedics, weight bearing refers to how much weight a person puts through an injured body part. The length of time will depend on the grade of sprain. Your provider will tell you when it is OK to place any weight on your injured ankle. If you have an ankle fracture i would not do any physical therapy exercises until the cast or boot is removed and fracture healing is observed on x-ra Dr. Donald Alves and another doctor agree. . The lower ends of your fibula and tibia come together . If you suffer from a bone disease or medical condition that affects your bones, control the condition by adhering to all treatment programs. Perform crunches and sit-ups while sitting on the floor to keep your core strong and stable. It is important to follow your doctor's instructions about putting weight on your ankle and performing weight-bearing exercises. This may affect the type of medication your doctor will give you to help you deal with pain, infection, or any other problems you may be experiencing. Activities for Someone with a Broken Ankle that were compromised by your injury and subsequent enforced inactivity while you were non-weight bearing. When ever a patient has surgical correction of a fracture ,they should address their postop concerns to/with the surgeon. Physiotherapy usually starts at 2-3 weeks post-op. There are five metatarsals in all. Your provider will tell you when it is OK to place any weight on your injured ankle. Your tibia is the big bone in your lower leg and is sometimes called your shinbone. RICE stands for Rest, Ice, Compression and Elevation. Initial treatment for fractures includes provisionally setting the fracture, ice, and elevation of the fractured bone. Broken ankles can be caused through putting excessive stress on the joint either through heavy impact or twisting it beyond its range of movement. In terms of bearing weight, if I use both crutches it's quite easy to practise putting my foot down, but I think a lot of it will be in our heads; even though my foot doesn't hurt I am so terrified about putting weight on it. Fractures can be categorized as stress fractures, simple fractures, avulsion fractures, and comminuted fractures. An unhealed fracture is called a delayed or non-union, depending upon how much time has passed. Overall, about 80% of all sports-related ankle fractures heal without any long-term complications. According to the Sports Injury Clinic, one of the first exercises you should undertake following a broken ankle is to move your ankle in complete rotations. Maintain a safe home to prevent falls. When your ankle has mostly healed, there's no swelling, and you can bear weight without discomfort, it's safe to return to lower body weight training, using pain as your guide. I have a limp too, my other half has said I'm walking around like the elephant man, ha ha. All rights reserved. If you can't put any weight down at all, and you can't take any steps because of it, then seeing a doctor and maybe getting x-rays is a good idea. She may have caused herself a lot of problems. Learn about the various types of orthotics used to help restore mobility. Can you bear weight on a broken ankle? The metatarsals are the long bones located in our feet, between the tarsal (ankle) bones and the phalanges (toes). it has been 7 weeks after fracture and doctor has now advised full weight bearing. Does this rare condition affect your child? Putting any weight on an operated foot or ankle can damage the repair that's been done. During this examination, the doctor will check for swelling, deformity, abrasions, bruising and soreness along the lower part of your tibia and fibula, especially at the medial malleolus and lateral malleolus (bony knobs). I posted a few weeks ago following my post surgery check-up (ankle ORIF) and you were all really helpful with tips on range of motion exercises. A crutch can offer support and ease the pressure of bearing weight on painful joints so you can move around more easily. A more serious broken ankle will take time in recovery and delay walking; therefore, avoid putting weight on the injured area until instructed to do so by a doctor. . If there is no broken bone you are safe. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. E.g. You are very young with a lot of use you want this to be perfect. Most fractures are with one, the other or both of the tib and fib bones. A brace or cast may allow you to continue with a mild exercise program or you may require surgery and intensive therapy to regain use of the leg. Being able to keep active with a broken ankle is important to maintain muscle and keep your heart healthy. A fractured, or broken, ankle can result in either minimal damage that allows you to put weight on it during your recovery, or a significant amount of damage, requiring you to stay off your feet quite a bit. Damaging other parts of your ankle may also increase the cost of treatment. Report / Delete Reply. Your doctor will advise you when and how to move and exercise your injured ankle. Repeat on the other side. can you bear weight on a broken ankle. Then you are in your normal shoes and walking as usual again. Soreness with walking but the ability to walk normally suggests a contusion or sprain of the ankle. If ankle is screaming bloody murder it's best to back off and try more later. Raise one arm over your head and lower it 20 times. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Even after a mild ankle sprain, it can be uncomfortable bearing weight. If this was a stable fracture from the onset, then the xray signs on weight bearing will be minimal. 4 years ago, You will then continue to have regular physiotherapy appointments to help with your rehabilitation and help you to return to normal activities. After the cast is removed, your doctor will prescribe physical therapy to help restore the normal range of motion in your ankle joint. And sometimes, the tremendous demands we put on our feet . Introduction. Upgrade to Patient Pro Medical Professional? Sit on a chair with your injured foot elevated and hold a set of free weights. Inability to bear weight on the ankle; Stiffness; Weakness; Severe ankle pain. A broken ankle usually takes 6 to 8 weeks to heal, but it can take longer. Hold it for five seconds and release. Onwards and upwards and I can't wait to have 2 shoes on and no crutches! Your feet and ankles are the daily bearers of your body's full weight. You should wear a compression stocking to control swelling, ice, and elevation above your heart. What indicators on the x-ray signify that an ankle is ready to be weight-bearing after an orif for a trimalleolar ankle fracture? Plates or screws that may have been added during surgery need the bones to heal around them. For example, if you were pregnant and have broken your ankle at some time on the past, and you do not lose the extra weight or receive treatment for the previous injury, you could be causing a small fracture to enlarge. There are surgical and non-surgical methods of treatment, and your treatment will depend on the severity of the broken ankle. During single leg stance, an ambulatory person with no physical limitations will carry 100% of their body weight through each leg. Score: 4.9/5 (17 votes) . To avoid muscle atrophy (the wasting away of a muscle from disuse), your doctor will want you to begin using your ankle soon after the immobilization period is over. You will get various answers. Several randomized, controlled trials of surgically treated ankle fractures have shown no difference in outcomes between immediate and delayed (6 weeks) weight bearing. Listen to your surgeon. Most people need between 1,800 and 2,000 calories to maintain their weight with no exercise. Blisters on feet, especially over the fracture site. Lie down with your foot and leg elevated. I also talked to the surgeon in more detail and it turns out it is the posterior malleolus that was the worst part of my fracture (as well as repair to medial and lateral malleolus) - must have been the shock or medication or lack of understanding that missed that part and as my doctor referred to it as a "nasty fracture" that's probably why! Once they have allowed you to fully weight bear (put all your body weight on your operated leg), they can refer you on for a physiotherapy appointment. The ankle joint made up of the tib and fib form a mortice and tenon joint on top of the main foot bone. The location of the fracture also significantly affects healing time and determines if you wear a cast vs a boot for your broken foot. With a clean break that doesn't need surgery, recovery can take around 6 to 8 weeks. It seems to vary with doctors, but standard weight-bearing protocol dictates a graduated approach-- several weeks at partial weight bearing (for example 50%), and then full weight-bearing in boot for a few more weeks. Thank you for your advice. We comply with the HONcode standard for trustworthy health information. A small percentage of fractures will not heal with initial treatment. A broken ankle occurs when there is either a partial or complete fracture in one or more of the bones comprising the ankle, namely the tibia or the fibula. Vitamin D supplementation may also be recommended to help improve the ability of your bones to heal. Removal of "plate and screws 3 years after fracture" should not require a boot, so the protection accorded is general prophylactic in anticipation of A friend of mine has been told to be non weight bearing after her ankle fracture but she has been bearing weight excessively. This recuperation period is doubled in diabetic patients. ? Going to physio on Wednesday so looking forward to that. Egton Medical Information Systems Limited. You may also be referred to physical therapy to improve your foot and ankle mobility, strength, and balance. http://www.naric.com, American Orthopaedic Society for Sports Medicine Read More Created for people with ongoing healthcare needs but benefits everyone. Because the burden on the bone is minimalcompared with . This can prevent you from returning to your normal activities in a timely manner. The treatment of an ankle fracture depends on the type of the fracture and patient factors. If your ankle fracture involves only one malleolus, and the segments of broken bone lie very close together, your doctor usually can treat the injury by immobilizing your ankle and foot in a cast for six to eight weeks. What are effective non-weight bearing ankle fracture physical therapies? Injuries resulting in broken skin require antibiotics given intravenously (into a vein) to prevent infection. Pain, swelling, tenderness and bruising at your ankle joint, Inability to move your ankle through its normal range of motion. If you have suffered a moderate to major fracture, you may need surgery. not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in Orthopedic Foot and Ankle Surgery 40 years experience Talk now With doc's ok: If your doctor has ok'ed you to start putting weight on it without the need for a brace, it is "progressive weight bearing as tolerated." you start wi. Most of the time, this will be at least 6 to 10 weeks. 1. Symptoms of a broken or fractured ankle include severe, immediate pain, swelling, bruising, deformity in the area and the inability to place any weight on the . For potential or actual medical emergencies, immediately call 911 or your local emergency service. In full weight bearing you may find a walking cane helpful as you work on getting balance and gait back. 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