Right ankle fracture?
Hello, Dr.
Hong.
I would like to inquire about my right ankle fracture from a car accident on March 2nd.
I had surgery and had a metal screw inserted.
However, it has been almost two months, and my ankle still feels a bit stiff.
Should I be paying attention to anything specific, or is there any rehabilitation I can do or should avoid? Can I move my ankle?
Mr. Hong, 20~29 year old female. Ask Date: 2016/04/27
Dr. Hong Ximing reply Orthopedics
Eight weeks after an ankle fracture surgery, partial weight-bearing exercises should be possible.
Swelling can be managed with warm baths or heat therapy.
For detailed information, it is advisable to consult a rehabilitation specialist.
Reply Date: 2016/04/27
More Info
Recovering from an ankle fracture, especially after surgery involving the insertion of screws or plates, can be a challenging process. It’s essential to follow a structured rehabilitation plan to ensure proper healing and regain full function of your ankle. Here are some recovery tips and considerations for your right ankle fracture:
1. Follow Your Doctor's Instructions:
- Always adhere to the guidelines provided by your orthopedic surgeon. They will give you specific instructions based on the nature of your fracture and the surgical procedure performed.
2. Weight Bearing:
- Depending on the severity of your fracture and the surgical intervention, your doctor may advise you on when to start bearing weight on your ankle. Initially, you may need to use crutches or a walker to avoid putting weight on the injured ankle. Gradually, as healing progresses, you will be allowed to put more weight on it.
3. Range of Motion Exercises:
- Once your doctor gives you the green light, start with gentle range of motion exercises. These exercises can help prevent stiffness and improve flexibility. Simple movements like ankle circles, pointing and flexing your toes, and moving your foot side to side can be beneficial. Start slowly and increase the range as tolerated.
4. Strengthening Exercises:
- After a few weeks of healing, you can begin strengthening exercises. Resistance bands can be used to perform exercises that target the muscles around the ankle. This will help restore strength and stability to the joint.
5. Physical Therapy:
- Consider enrolling in a physical therapy program. A physical therapist can provide a tailored rehabilitation plan, monitor your progress, and ensure that you are performing exercises correctly. They can also introduce modalities such as ultrasound or electrical stimulation to aid in recovery.
6. Manage Swelling:
- Swelling is common after an ankle fracture. Elevate your ankle above heart level when resting, and apply ice packs for 15-20 minutes several times a day to reduce swelling. Compression wraps may also help manage swelling.
7. Pain Management:
- Use over-the-counter pain relievers as recommended by your doctor. If you experience significant pain, consult your healthcare provider for further evaluation.
8. Monitor for Complications:
- Keep an eye out for signs of complications, such as increased pain, swelling, redness, or warmth around the ankle, which could indicate infection or other issues. If you notice any of these symptoms, contact your doctor immediately.
9. Gradual Return to Activities:
- As your ankle heals, gradually return to your normal activities. Avoid high-impact activities until your doctor clears you for them. Low-impact exercises, such as swimming or cycling, may be recommended as you progress.
10. Long-term Considerations:
- Understand that recovery can take time, and some individuals may experience lingering stiffness or discomfort. Consistent rehabilitation and patience are key to achieving the best possible outcome.
Conclusion:
In summary, recovery from an ankle fracture after surgery requires a combination of rest, rehabilitation, and gradual reintroduction of activities. Always consult with your healthcare provider before starting any new exercises or making changes to your recovery plan. With dedication and proper care, you can regain full function of your ankle and return to your regular activities.
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