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can you bear weight on a broken ankle

It's so nerve-wracking isn't it?! I've started using just the one crutch today so that's progress! Sometimes the symptoms of a broken or fractured ankle can be like that of a sprain. or you are unable to walk at all. What is a broken ankle? According to the American College of Sports Medicine, it is common for athletes to experience some level of frustration and depression following an injury that takes them out of action. Thank you for your advice. Inability to bear weight on your injured ankle However, if you can bear weight on the ankle, don't assume there is no fracture. The treatment of an ankle fracture depends on the type of the fracture and patient factors. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. I was due to go back for my 6 week check on 10th January but ended up going back yesterday instead as my surgical wound wasn't healing. Most of the time, this will be at least 6 to 10 weeks. With time, you will improve. It's also possible to chip the ankle and have a shard of bone loose for example. The e-schoolbag will free you from the weight. 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. 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. Bones may have to be re-broken and realigned surgically. 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. when is it recommended to start putting weight on my ankle? What indicators on the x-ray signify that an ankle is ready to be weight-bearing after an orif for a trimalleolar ankle fracture? Foot pain can sometimes be a sign of an underlying condition that requires medical attention. Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. 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. In terms of how much time; I'm aiming to be walking around the house as much as I can (for at least an hour or so), practising stairs twice a day, taking the boot off and flexing the ankle 3 times a day, and standing with crutches and stretching whole leg a couple of times. Broken ankles can be caused through putting excessive stress on the joint either through heavy impact or twisting it beyond its range of movement. Surgery introduces another variable of complications due to tissue scarring, and possibly nerve damage. According to the Summit Medical Group, you should extend your injured leg so that your knee is straight and loop a towel around the ball of your foot. I twisted my ankle pretty badly 3 days ago and there hasn't been much improvement since the initial injury. You can typically remove your boot and begin to move your ankle up and down immediately after surgery to prevent ankle stiffness. Rest: All ankle sprains require rest. Breaks are much more serious than strains and sprains, and they happen in various ways. You will need to be properly diagnosed before treatment for your ankle can begin. A broken ankle is usually accompanied by distinct symptoms, including: TIP: A broken ankle does not necessarily immobilize the victim. A broken ankle treated with immobilisation will take between 12 and 16 weeks to fully heal. We comply with the HONcode standard for trustworthy health information. Bones need time to heal. Patient follow-up included radiographs and . One of those signs is difficulty putting weight on your foot. Broken Ankle? If your broken bone is displaced and requires surgery or pins to help stabilize it, the healing time will be longer than a . Luckily, apart from obvious stiffness in my ankle I don't seem to experience any pain when I put my foot flat on the floor, so I have found it helpful to alternate wearing my boot and practising the motion exercises. i have been walking also without it. Often, the bone isn't strong enough to bear weight, and you may not be able to use the affected body part until the bone heals. . The ankle can move out of place and heal in an abnormal position, leading to poor balance and arthritis. Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. 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. When can you weight bear on a broken fibula? In fact, sometimes you are even able to weight bear with limited discomfort. Activities for Someone with a Broken Ankle Learn about the various types of orthotics used to help restore mobility. If I do not have a bathtub in my home, how else can I bathe? it has been 7 weeks after fracture and doctor has now advised full weight bearing. Your fibula is a smaller, thinner bone in your lower leg. 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. will her orthopedician know that she has been bearing weight by looking at her x-ray etc. Just don't overdo it starting out. How much pain and difficulty you have in recovery and weight-bearing depends a great deal on what associated soft tissue injury you sustained in your accident. 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. Injuries resulting in broken skin require antibiotics given intravenously (into a vein) to prevent infection. Recovering from ankle pain and starting walking can be a difficult tasks. Your tibia is the big bone in your lower leg and is sometimes called your shinbone. In the event of a compound fracture (an injury in which the bone is sticking out of the skin), emergency surgery, antibiotics, and tetanus prophylaxis are necessary to prevent infection. You may need crutches if you had surgery or an injury that affects your ability to walk. Keeping up with small rehabilitative exercises will keep your energy levels up to perform other exercises and stay on your weight loss plan as you recover. When can I bear weight on my broken ankle? How is it being back at work? I find myself imagining that my ankle will just snap again if I stand on it, but our ORIFs will stop that happening so I hope you feel able to start trying. Do you need crutches for a sprained ankle? Honestly, I think almost everyone recovering from an ankle injury accidentally puts weight on it at some point during the healing process. Most of the time, this will be at least 6 to 10 weeks. Avulsion fractures occur when a small piece or pieces of bone have been pulled off by a tendon or ligament. A broken ankle is a more severe injury than a sprained ankle. If you have suffered a moderate to major fracture, you may need surgery. A broken ankle is a fracture or multiple fractures of one or more of three bones in the ankle joint: the tibia (shinbone), the fibula (outer bone of the lower leg), and the talus. The splint/cast will probably be dirty on the bottom. During single leg stance, an ambulatory person with no physical limitations will carry 100% of their body weight through each leg. Broken ankles can be mistaken for ankle sprains as they have similar symptoms and can occur the same way. Can a broken ankle keep you off your feet for months? If you have a fractured ankle, your symptoms probably will include: After reviewing your symptoms, the doctor will want to know: In addition, your doctor will review your medical history, especially any previous injuries to your ankle, foot or lower leg. A broken ankle can be caused by various events, including: Rapid weight gain may also cause a fracture in your ankle bone. The American Academy of Family Physicians provides guidelines on healing time and weight bearing, depending on the location of the injury. Even if it's a mild sprain and you're still struggling with pain after a couple of weeks, then you need to seek attention for that and get radiographs to make sure you haven't had a fracture. and x-ray if displaced. Anyway, silver lining being my doctor saved me the trip back next week and said from looking at my x-rays all is healing well and I can gradually start weight bearing in my walking boot. When you experience an ankle fracture, it could feel similar to an ankle sprain. National Institute of Arthritis and Musculoskeletal and Skin Diseases Reduce that amount to lose weight while you cannot exercise. my orthopedic surgeon recommends non-weight bearing for 12 full weeks. I have a limp too, my other half has said I'm walking around like the elephant man, ha ha. Get quick access to an HSS orthopedic surgeon. Ankle fractures also occur during slips on icy pavement, falls from a high place, or direct impacts to the ankle during a car crash or motorcycle accident. Even if you can put weight on your ankle, it's essential for the health of your joint that you seek treatment. Can you walk on a broken ankle without pain? Hold it for five seconds and release. For certain fracture patterns, well-designed trials suggest that patients with normal protective sensation can safely bear weight sooner than most protocols permit. It may take time for a fracture to heal even if it is treated surgically, The time required for the healing process can be affected by many factors, including . 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. Sort of like this. These restrictions are meant to protect your body as it is healing. as being in breach of those terms. Your doctor will ask questions about your medical history and activities before giving you a physical exam. 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. If you need surgery, recovery will take longer . By using this website, you agree to our, Broken Ankle: Symptoms, Diagnosis, and Treatment, Ankle Instability: Symptoms, Causes, and Treatment, Ankle Pain: What You Can Do To Find Relief, Avulsion Fracture of the Ankle in Adults and Children, Clubfoot: Symptoms, Causes, and Treatment Options, Osteochondritis Dissecans (Osteochondral Lesion of the Talus), Peroneal Tendonitis - Signs, Symptoms & Treatment, Swollen Ankles - Symptoms, Causes & Treatment, What You Need To Know About A Sprained Ankle, Displaced: broken bones are moved from their normal position, Open: a portion of the bone is protruding from the skin, Intense pain at the location of the break or fracture, Significant swelling that isnt always localized to the site of the fracture, Blisters on feet, especially over the fracture site, Bruising that develops almost immediately after injury, Having your foot stepped on while in motion. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Even after a mild ankle sprain, it can be uncomfortable bearing weight. Last Update: October 15, 2022. . Simple fractures can be displaced or not. Continue to build upper body muscles while you are bed-ridden or unable to put weight on your broken ankle. Repeat on the other side. I recently got a surgery for a trimalleolar ankle fracture as well as open reduction of the syndesmosis with a screw. daily pain with any weight bearing activity. Right after breaking an ankle, you may or may not be able to walk or place weight on the ankle. Join our Group on Facebook: Broken Ankle/Foot/Leg RecoveryOn a Quest for Normalhttps://www.facebook.com/groups/368618886485089/A set of tips from our member. I neeed to see a x-ray to answer that. In orthopaedics, weight bearing refers to how much weight a person puts through an injured body part. An ankle fracture happens when you break one or more bones in your ankle joint. You may also be referred to physical therapy to improve your foot and ankle mobility, strength, and balance. Sharp fragments of bone may compress or sever nearby blood vessels or nerves. The most effective treatment for . That is probably the most important advice I can give you. . Report / Delete Reply. 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. If you put pressure on the ankle too soon it may reinjure the leg. This can prevent you from returning to your normal activities in a timely manner. If ankle is screaming bloody murder it's best to back off and try more later. After surgery, patients may be immediately mobilized or placed in a cast or boot, depending on the condition of the soft tissues and the integrity of the bone repair. Respondents selected how long they would keep the patient non-weight bearing after surgery for each of the potential scenarios. Pain, swelling, tenderness and bruising at your ankle joint, Inability to move your ankle through its normal range of motion. Items needed to do this included a bathroom scale, protective boot or shoe and standard crutches (in some cases a walker may be used). If you think you've sprained your ankle, seek help from our team as soon as possible. Losing weight with a broken ankle requires a different set of exercises and reduced caloric intake to compensate for your lack of physical activity. Score: 4.9/5 (17 votes) . Often the ankle fracture is mistaken for a sprained ankle, and treatment is postponed until the condition worsens. When can I bear weight on my broken ankle? Your doctor can help you with a timeline. Adopt an ongoing program of physiotherapy to strengthen, stabilize, and heal all soft tissue (ligaments, tendons, muscles, etc.) If the fracture is not severe, you may simply be told to use the RICE method. You will then continue to have regular physiotherapy appointments to help with your rehabilitation and help you to return to normal activities. Although the fibula is considered a weight-bearing bone, it bears only 17% of your total body weight when upright. The question is, how do I go about this without limping on to my good foot and keeping weight on my hands? Lightly pull the towel towards your body until you feel the stretch in your calf. Thanks for your reply and it definitely helps knowing you're not the only one going through it. 1. Trying desperately to plan ahead, get ahead, figure what kind of help I'll need realistically once out of boot. Vitamin D supplementation may also be recommended to help improve the ability of your bones to heal. Your provider will tell you when it is OK to place any weight on your injured ankle. What are effective non-weight bearing ankle fracture physical therapies? Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. Occasionally, doctors may use an artificial bone substitute for the graft. Common complications include: The recovery process may take longer if you do not seek immediate treatment. Inability to bear weight on the ankle; Stiffness; Weakness; Severe ankle pain. Putting any weight on an operated foot or ankle can damage the repair that's been done. Maisonneueve fracture, can i start walking 10 weeks post op. ? RICE stands for Rest, Ice, Compression and Elevation. http://www.niams.nih.gov/, National Rehabilitation Information Center (NARIC) still having trouble weight bearing and walking. I have been told to stop doing my range of motion exercises for a couple of weeks as my surgery incision wasn't healing so have just been trying to walk round the house, round the block a couple of times and on my exercise bikeevery little helps I hope! Just don't overdo it starting out. Your doctor may also prescribe you pain medication to reduce pain and inflammation. Such findings influence the decision to arrange X-ray imaging of the joint [ Delahunt, 2018 ; Chen, 2019 ; Nickless, 2019 ]. The doctor will examine your ankle, foot and lower leg. I agree, it is nerve-wracking and it's the fear of undoing any of the healing but it seems to be getting easier. However, as with any significant injury near a joint, arthritis may develop years later. 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. The doctor will tell you when it is time for you to walk on the broken ankle in the boot. Surgery and plates & screws in both ankle (same side) and wrist 2 1/2 weeks ago. At 6 weeks will get boot (for 6 more weeks). Putting weight on someone else's broken ankle is cruel. The metatarsals are the long bones located in our feet, between the tarsal (ankle) bones and the phalanges (toes). An unhealed fracture is called a delayed or non-union, depending upon how much time has passed. 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. People with a more severe ankle sprain characterized by extreme bruising or swelling and an . 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. There are several procedures that may be considered aNd you could consider evaluation with your ? If this was a stable fracture from the onset, then the xray signs on weight bearing will be minimal. It depends. In fact, many people mistake a fracture for a sprain or strain because because they are still able to walk. Significant swelling that isn't always localized to the site of the fracture. 4 years ago, A broken or fractured ankle occurs when there is a partial or complete fracture in the ankle joint. I can bear weight, it doesn't feel like it's going to give out but it is fairly painful. The . Medically reviewed by Drugs.com. Listen to your surgeon. Your provider will tell you when it is OK to place any weight on your injured ankle. 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. Wear protective gear when participating in sports. You should wear a compression stocking to control swelling, ice, and elevation above your heart. Sprains come in many forms. For the most part, patients are advised not to put weight on the ankle for six to twelve weeks. 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. It is not the intention of FootVitals.com to provide medical advice, diagnosis, or treatment recommendations. . Lie down with your foot and leg elevated. 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. Symptoms of a fracture that is not healing normally include tenderness, swelling, and an aching pain that may be felt deep within the affected bone. The ankle joint made up of the tib and fib form a mortice and tenon joint on top of the main foot bone. Patient is a UK registered trade mark. An X-ray can show if you've broken a bone and an MRI can tell if you've torn a ligament. 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. Avoid slippery floors or rugs or loose stair railings, and use bathmats in tubs and showers. With a broken ankle, you'll experience pain immediately that worsens over the following days. In the ankle, three different bones can be fractured: Although there are many ways to fracture an ankle bone, the most common injuries involve a sharp twist of the ankle or a direct impact that fractures at least one of the bony knobs in the ankle. Bearing Weight The easiest way to decipher between a sprained or broken ankle is your ability to bear weight. 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. An ankle is part of the most complex bone structure in the body, with both feet containing half the bones in the body. Use of the forums is subject to our Terms of Use call (404) 592-1186 . A crutch can offer support and ease the pressure of bearing weight on painful joints so you can move around more easily. Doctors typically provide answers within 24 hours. E.g. If you don't have severe pain, swelling, and difficulty weight-bearing, you can treat your injury at home. The study by Dehghan et al confirms that weight-bearing as tolerated can be started as early as 2 weeks postoperatively without risking fixation failure or wound complications. Putting weight on your ankle too soon may mean the bones do not heal properly. Ankle fractures are relatively common,1, 2, 3 often occurring as a result of injuries during sports, a fall, or twisting the ankle. Multiple fractures can keep you entirely off your feet for up to three months. I can't wait for that but I think it's going to be the first/second week in February for me and it can't come soon enough! Your doctor will advise you when and how to move and exercise your injured ankle. All rights reserved. You are very young with a lot of use you want this to be perfect. The answer really depends on the facture. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. Putting weight on your ankle too soon may mean the bones do not heal properly. While you are laid up with your broken ankle, you may become depressed; after all, it could take up to two years before you can return to your intense sports activities. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. Ankle fractures are common injuries among people of all ages, interests and lifestyles. Your ankle joint consists of your tibia, your fibula and your talus. Non-weight bearing cast now. Raise one arm over your head and lower it 20 times. Moreover, it transfers forces as the ankle hits the ground during walking. Risks of complications increase if you do not seek treatment immediately following this type of injury. Blisters on feet, especially over the fracture site. Onwards and upwards and I can't wait to have 2 shoes on and no crutches! I'm going back to work on Monday after 9 weeks, which is why I'm trying to hurry things along, but just listen to what your foot is saying to you. Notes on Weight bearing after ankle surgery, https://patient.info/forums/discuss/weight-bearing-after-ankle-surgery-629795. Read our editorial policy. Last updated on Jan 24, 2022. Posted Plates or screws that may have been added during surgery need the bones to heal around them. Patient's that have used a knee scooter will need to use crutches for this transition. The tibia bears approximately 80% of the body weight. It is important to closely adhere to your weight-bearing restrictions after surgery or injury because otherwise you can disrupt healing and delay your recovery. Find out when to see your doctor, and much more. Hi Vicky, it's nice to know someone's in the same position as me! You may need to use crutches if it hurts to put weight on your foot. If an ankle fracture is treated promptly and properly, the prognosis is good. . Overall, about 80% of all sports-related ankle fractures heal without any long-term complications. In full weight bearing you may find a walking cane helpful as you work on getting balance and gait back. Learn what you can do to help. A small percentage of fractures will not heal with initial treatment. During the healing process, what symptoms should I watch for that would indicate the bones are not healing properly? A broken ankle is usually accompanied by distinct symptoms, including: Intense pain at the location of the break or fracture. Hold for 15 seconds, release and repeat 10 times. The screws allow the patient to bear weight soon after surgery by keeping the upper bone fragment from collapsing onto the lower bone fragment. And sometimes, the tremendous demands we put on our feet . American Academy of Orthopaedic Surgeons: Ankle Fractures, Summit Medical Group: Broken Ankle Rehabilitation. can you bear weight on a broken ankle. Being able to keep active with a broken ankle is important to maintain muscle and keep your heart healthy. If pain gets worse or swelling increases you might check with your physician. It is said that e-schoolbags are going to be brought into use in Chinese middle schools soon. 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. When I twisted it I heard a single loud pop. To learn more, please visit our. Sit on a chair with your injured foot elevated and hold a set of free weights. http://www.sportsmed.org/, National Athletic Trainers' Association . (no gaps, etc). You could have an ankle fracture or a broken bone in your foot. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. 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. It is important that you see a doctor soon after you injure your anklewaiting can make the problem worse. I went back for my cast off yesterday and have been given the moonboot, told to bear weight as is tolerable. 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. Most of the time, this will be at least 6 to 10 weeks. I expect it's all in my head with the fear of putting weight on the bad foot butany advice you lovely people have would be much appreciated! . An athlete who has recovered from an ankle injury may find it helpful to use high-top shoes, an ankle brace or ankle taping to reduce the risk of further joint damage. The length of time will depend on the grade of sprain. 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. 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. Consider your basal metabolic rate and try to consume just enough calories to stay healthy. 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. There are surgical and non-surgical methods of treatment, and your treatment will depend on the severity of the broken ankle. Walking on broken . Your provider will tell you when it is OK to place any weight on your injured ankle. Physiotherapy usually starts at 2-3 weeks post-op. Results: Seven hundred and two surgeons (31%) responded to the survey. Do you need crutches for a Grade 3 sprained ankle? If you need surgery to repair your fractured ankle, your recovery will take longer than an ankle fracture that could be treated without surgery. Going to physio on Wednesday so looking forward to that. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Most people need between 1,800 and 2,000 calories to maintain their weight with no exercise. 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. I have trimaellor fracture on left ankle and 2 broken bones on left wrist. If this occurs, your doctor may need to revise the fixation and perform bone graft surgery to promote healing. The fibula bone bears only 15 to 20% of the body weight. 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. It is important to follow your doctor's instructions about putting weight on your ankle and performing weight-bearing exercises. If this occurs, how long should I wait before contacting you again? 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. If the fracture was borderline stable or unstabl She's probably in a cast or a splint. When you come in for an ankle sprain, one of our specialists evaluates your ankle and asks about your injury. how might surgery help? Then you are in your normal shoes and walking as usual again. Studies have shown that compliance with these restrictions is low, and can have serious consequences. Reduce your calorie intake sufficiently to compensate for the inactivity. In addition, they show that early weight-bearing is associated with increased functional outcome scores. How to treat ankle stiffness after ankle fracture? Dr. Jeffrey Bowman answered 39 years experience How are you getting on now? If you have private healthcare then we can give . Trending; Popular; Contact us; In a twisted my ankle? A more serious ankle fracture often result in the inability to bear weight and can necessitate surgery. Call our Ankle Fracture Line at 833.294.9759. Always speak to your doctor before acting and in cases of emergency seek Data sources include IBM Watson Micromedex (updated 2 Dec 2022), Cerner Multum (updated 7 Dec 2022), ASHP (updated 11 Nov 2022) and others. You should walk and move as much as you can without too much pain or discomfort. This recuperation period is doubled in diabetic patients. Most ankle sprains can be treated without surgery, but some fractures need surgery depending on how severe they are. When ever a patient has surgical correction of a fracture ,they should address their postop concerns to/with the surgeon. 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. 4 users are following. You may be required to use crutches for a few weeks while the fracture heals. If you suffer from a bone disease or medical condition that affects your bones, control the condition by adhering to all treatment programs. But you can still be physically active! Thanks in advance. Putting any weight on an operated foot or ankle can damage the repair that's been done.Bones need time to heal. Your feet and ankles are the daily bearers of your body's full weight. The . Read More Created for people with ongoing healthcare needs but benefits everyone. You will get various answers. I've shattered the opposite ankle before and I . Then you are in your normal shoes and walking as usual again. According to the American Academy of Orthopaedic Surgeons, ligaments also may be damaged when you break one or more bones in your ankle. How can you tell if a broken bone isn't healing? appropriate medical assistance immediately. Initial treatment for fractures includes provisionally setting the fracture, ice, and elevation of the fractured bone. High-impact ankle injuries are especially dangerous if the bone pokes through the skin and is exposed to the air. respect of any healthcare matters. 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 . Bend it back and then once to each side. Limit weight bearing and use crutches if necessary. It depends on what your physical exam and xrays show. Thus, grades of weight bearing are generally expressed as a percent or portion of this number. By gradually increasing weight your body is able to accommodate to see the new forces. If you break your ankle, you will likely have difficulty bearing weight on the fractured ankle. Surgery, which usually involves the insertion of metal hardware, is best postponed until the swelling has gone down. When it comes to using crutches or a walking boot, both can be helpful . 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. I am assuming you are either in a cast or a cam walker. A broken ankle can be just as painful as, if not more painful than, a sprain. 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. Use Crutches. In some cases, a "crack" or "snap" in the ankle at the time of injury, In open fractures, severe ankle deformity, with portions of the fractured bone visible through broken skin, Whether swelling and bruising developed immediately (often a sign of a more serious injury) or several hours later, Whether you had difficulty putting weight on your ankle immediately after the injury happened, You have injured your ankle and cannot walk on it, Your injured ankle is very painful or tender, Your injured ankle is obviously swollen, black and blue, or deformed. can you bear weight on a broken ankle . Does this rare condition affect your child? If you aren't sure if you broke it, and you can walk on it without passing out in pain, you almost certainly didn't break it, but that doesn't mean you don't need a doctor. Use seat-belts when riding in cars, and never drink or use mind-altering drugs before driving. 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. Symptoms that always occur with broken ankle: pain in one ankle, swollen ankle, ankle pain from an injury, constant ankle pain. The location of the fracture also significantly affects healing time and determines if you wear a cast vs a boot for your broken foot. In . 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. If you do use crutches, try to bear some weight on your injured ankle if you can do so without. While sitting with your leg extended, bend your foot forward as far as you can. is there any benefit to the boot other than added protection. Available for Android and iOS devices. A broken ankle, sprained ankle, knee injury, or any other injury which led to the need for a walking boot can be extremely debilitating. If the tibia fracture is severe, you may need surgery. Maintain a safe home to prevent falls. Most people cannot accurately gauge how much weight they're putting on a foot even if they're just grazing the floor with it. Electrical stimulation of the fracture is sometimes used to speed up the healing process. If pain is severe, use crutches until your doctor tells you that you can begin to bear weight.In general, if your pain is bearable, you should try to walk or bear some weight while using crutches and a protective brace, because these activities promote healing. For potential or actual medical emergencies, immediately call 911 or your local emergency service. You may have a fracture, broken bone or serious ligament damage. Early diagnosis is critical to ensuring a healthy recovery and healing process. Can you bear weight on a broken ankle? 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. There are five metatarsals in all. Your doctor will also want you to stay off your injury as much as possible to ensure that it heals properly. Most fractures are with one, the other or both of the tib and fib bones. A broken ankle could keep you from your regular exercise routine for months. She may have caused herself a lot of problems. Broken ankles are very common ankle injuries that are often caused when the ankle rolls inward or outward. Simple fractures are a little more serious, and occur when the bone breaks completely. Comminuted fractures are the most severe, and occur when the bone is shattered into several fragments. I have started walking in the boot using just the one crutch today and seems to be working fine so must be getting a bit of strength back. Plates or screws that may have been added during surgery need the bones to heal around them. Stress fractures occur when there is a crack in the outer shell of the bone. With your bone breaks now healed enough for some weight-bearing activity, go ahead and proceed with confidence-- your bones are not in peril (unless you do something really foolhardy that might cause re-injury). 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. When a broken ankle occurs, there is always damage to the surrounding tissues. Perform biceps and triceps curls with weights. If there is no broken bone you are safe. Always seek the advice of a podiatrist, physician or other qualified health care professional for diagnosis and answers to your medical questions. When a bone breaks or cracks, the injury is called a fracture. Reply 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. How to tell if my ankle is sprained or broken? The terms fractured and broken are interchangeable, as they mean the same thing medically. x-ray showed no fracture no repeat x-ray. If you have a fractured ankle, your symptoms probably will include: Pain, swelling, tenderness and bruising at your ankle joint Inability to move your ankle through its normal range of motion Inability to bear weight on your injured ankle However, if you can bear weight on the ankle, don't assume there is no fracture. Fractures can be categorized as stress fractures, simple fractures, avulsion fractures, and comminuted fractures. By using our website, you consent to our use of cookies. Patient does not provide medical advice, diagnosis or treatment. Unless the weight bearing is sustained, there is probably no problem. Severe ankle pain can usually be described by the following details. 1. If you are going to put weight on a broken ankle joint, especially while exercising, you need to be smart about how you do it. Partial wt bear for 4 weeks You have likely sprained your ankle joint. Start with ankle rotations to maintain mobility in your leg. If you can'tmove your foot or bear any weight, it's likely a break. I had a plate and 7 screws removed from my ankle one week ago, 3 years after a fracture. will her orthopedician know that she has been bearing weight by looking at her x-ray etc. 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. Also called the shinbone, the tibia is the larger and stronger of the two bones and carries more weight. 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. i am weight bearing from start, but was sent home with a boot. Registered in England and Wales. We want the forums to be a useful resource for our users but it is important to remember that the forums are With a clean break that doesn't need surgery, recovery can take around 6 to 8 weeks. A high ankle sprain versus low ankle sprain can explain why you're bruised in upper or lower regions of the foot. I do personally believe that you have to push through some pain as stopping straight away may just be putting off the eventual recovery, but obviously take care and don't push too far. Incurred an ankle fracture (bone chips) & torn ligaments 25 yrs ago. Damaging other parts of your ankle may also increase the cost of treatment. Broken bones may lose blood supply, causing them to die, collapse, and possibly be reabsorbed into the body. He or she also will compare range of motion of the injured ankle with the normal joint movement in your uninjured ankle. The only thing my doctor said to me was to make sure that you put the heel down first and really pay attention to not 'flat-footing' with the boot on- that may feel safer but it won't do anything to help the muscles and ligaments stretch and relax. Perform crunches and sit-ups while sitting on the floor to keep your core strong and stable. Weight bearing after ankle fracture A 44-year-old male asked: A friend of mine has been told to be non weight bearing after her ankle fracture but she has been bearing weight excessively. Metatarsal fracture This can also cause you to have difficulty walking or moving the . Muscles burn more calories than fat and will help you to continue to lose weight as you recover. Upgrade to Patient Pro Medical Professional? . Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Count the number of calories you usually burn during your normal exercise routines. http://www.nata.org/. If the results of your physical examination suggest that that you have a fractured ankle, your doctor will order X-rays to confirm the diagnosis. not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in During your recovery, you will progress the amount of weight you can bear on your foot as tolerated. Call your doctor or go to an emergency room immediately if: Also, check with your doctor if you have less severe symptoms that do not improve within three to four days. This page was last updated on October 30th, 2015. 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). ? When can i start weight bearing after bi-malleolar ankle fracture non displaced? Fibula bone plays a minor role in bearing the weight of the body as we walk. Once your cast is removed, you may need physical therapy before you can resume your normal activities. Keep your injured leg flexible with stretches you can do while you wait to return to your regular exercises. If you're concerned your ankle may be broken, we recommend contacting your doctor, who can conduct an examination or order and xray if necessary. If you have symptoms of an open fracture, the doctor also will want to know the approximate date of your last tetanus shot. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. A broken ankle could keep you from your regular exercise routine for months. If you are experiencing any of these other symptoms but are able to walk, you should still seek medical attention immediately to prevent further complications. When can I bear weight on my broken ankle? For these, please consult a doctor (virtually or in person). They will know the best recommendation for you. Inability to bear weight on the foot. Try our Symptom Checker Got any other symptoms? Total recovery time varies depending on the severity of your injury and the physical demands of your lifestyle. After the cast is removed, your doctor will prescribe physical therapy to help restore the normal range of motion in your ankle joint. Tibia fractures are common and usually caused by a sudden forceful injury, like a fall or motor vehicle accident. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. 8 weeks nwb 4 partial weight bearing, ankle feels good to ditch crutches, this okay? During a bone graft, small pieces of bone are taken from a bone bank or from another part of your body and are placed around the break. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. 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. 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! http://www.naric.com, American Orthopaedic Society for Sports Medicine 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. The lower ends of your fibula and tibia come together . 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. 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. Learn how we can help Introduction. Many people use orthotics to improve the function and stability of their feet. Soreness with walking but the ability to walk normally suggests a contusion or sprain of the ankle. 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. The concept of prescribing weight bearing restrictions applies to . Several randomized, controlled trials of surgically treated ankle fractures have shown no difference in outcomes between immediate and delayed (6 weeks) weight bearing. I have a bit of a limp at the moment but not sure if that's mostly because of the height of the walking boot. Putting weight on your ankle too soon may mean the bones do not heal properly. Egton Medical Information Systems Limited. Because the burden on the bone is minimalcompared with . However, if you cannot stand on the ankle, an evaluation is warranted to rule out a broken ankle or ankle fracture. Broken pieces of bone may begin to rejoin while still unaligned. If you have a mild fracture, your doctor may allow early weight bearing and walking on the ankle as long as it does not cause any discomfort or pain. So you see that while there are certain benchmarks to look for on your recovery path and timeline, it will vary from patient to patient depending on their circumstances. Finally, they were directly asked which factors they felt affected their decision about length of time to keep patients non-weight bearing. Also, how much should I be "walking" around to help my recovery? But only time will tell.1.The e-schoolbag has many functions EXCEPT . A broken ankle usually takes 6 to 8 weeks to heal, but it can take longer. 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. What happens if you put weight on a non weight bearing? and Privacy Policy and steps will be taken to remove posts identified Crutches or walkers are invaluable aids in getting partial weight bearing activity correct (not too little or too much pressure and stress on ankle). If not, give him or her a call about it and bring up any other concerns you may have. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. It is important to follow your doctor's instructions about putting weight on your ankle and performing weight-bearing exercises. Ease back into training by reducing the amount of weight by 20% and gradually work your way back up. Specific treatment will vary based on the type and severity of your . . If your fracture can be treated without surgery, you probably will wear a cast for about six to eight weeks. that were compromised by your injury and subsequent enforced inactivity while you were non-weight bearing. The open wound allows bacteria to contaminate the broken bone, and greatly increases the risk of infection. You are able to walk on the non-weight bearing leg or foot, without actually putting weight . If there is no pain with walking, an ankle fracture is highly unlikely. I fell over 2 weeks ago and partially dislocated my ankle. A broken ankle can be your worst nightmare which can restrict day-to-day activities. Talk to your doctor or to a mental health professional to prevent depression that could lead to overeating and weight gain. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. 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can you bear weight on a broken ankle