One Month Post-Injury: When Can I Start Walking Again?

It's been a month and I still don't dare to walk?

Hello Doctor, in three days it will be one month since my injury.
I was in a car accident where my foot was run over by a motorcycle, resulting in fractures in the middle three bones of the midfoot.
However, the doctor assessed that surgery and casting were not necessary, and I was advised to use an elastic bandage instead.
Currently, I am using crutches with four points of support and have not put weight on that foot since the injury.
I would like to ask you, Doctor, I only let my foot hang down while showering, and it turns purple and feels uncomfortable, but otherwise, there are no significant sensations; it just looks dark and bruised.
When do you think I can try to walk? I do not feel pain when my heel touches the floor.
I was thinking that at least I could go to the hospital to get another X-ray to check the healing progress, but my family is very busy, and it’s inconvenient for me to go alone with crutches.
Also, about two to three weeks ago, I experienced a tightening and painful sensation in my foot; is that normal? Thank you for answering these lengthy questions.

Qiaoting, 20~29 year old female. Ask Date: 2016/07/03

Dr. Shi Guozheng reply Orthopedics

The bones in the foot are called metatarsals.
Typically, if a metatarsal fracture does not involve significant displacement, surgical treatment is not required.
After the fracture, there may be bleeding, leading to swelling for a period of time, especially when the foot is dangling down or when standing for extended periods.
If it has been a month since the fracture, you can try to put weight on it; if there is no pain, you can gradually increase the load.
It is advisable to get an X-ray to check the healing progress, which usually takes about eight to twelve weeks.
Current pain is considered normal.

Reply Date: 2016/07/03

More Info

After a month of recovery from your foot injury, it’s understandable to be eager to start walking again, especially after experiencing a traumatic event like a motorcycle accident. Based on your description of the injury, where you have sustained fractures in the metatarsal bones of your foot, it’s crucial to approach your recovery with caution and follow your healthcare provider's advice closely.

Understanding Your Injury and Recovery
1. Nature of the Injury: You mentioned that you have fractures in the middle three metatarsal bones but that surgery and casting were not deemed necessary. This suggests that your fractures may be stable enough to heal without surgical intervention. The use of an elastic bandage indicates that your doctor is likely aiming to provide support while allowing some degree of movement.

2. Current Symptoms: The discoloration and swelling you experience when your foot is in a dependent position (hanging down) are common after such injuries. This is due to gravity causing blood to pool in the injured area, leading to bruising and swelling. Elevating your foot when resting can help reduce this swelling.

3. Walking and Weight Bearing: Since you have not placed any weight on your injured foot for a month, it is essential to gradually reintroduce weight-bearing activities. If your doctor has not explicitly stated when you can start walking, it is generally advisable to wait until you can tolerate some weight on the foot without pain. Since you mentioned that you can touch your heel to the ground without pain, this is a positive sign.

Recommendations for Walking Again
1. Consult Your Doctor: Before making any decisions about walking, it’s best to consult your healthcare provider. They may want to perform an X-ray to assess the healing of your fractures. This will provide a clearer picture of whether your bones are healing properly and if you can start putting weight on your foot.

2. Gradual Weight Bearing: If your doctor gives you the green light, start by putting minimal weight on your foot while using your crutches for support. You might begin with just standing on the injured foot for a few seconds at a time, gradually increasing the duration as tolerated.

3. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can guide you through exercises that promote healing, improve strength, and enhance mobility. They can also help you with techniques to safely transition from crutches to walking.

4. Monitor Symptoms: Pay attention to how your foot responds as you begin to put weight on it. If you experience significant pain, swelling, or any new symptoms, it’s crucial to stop and consult your doctor.

5. Addressing Tightness and Pain: The tightness and pain you felt a couple of weeks ago are likely due to muscle atrophy and stiffness from disuse. Gentle stretching and mobility exercises can help alleviate this discomfort. Again, a physical therapist can provide tailored exercises to address these issues.

Conclusion
In summary, while it’s understandable to want to start walking again after a month of recovery, it’s essential to proceed with caution. Consult your healthcare provider for a follow-up appointment to assess your healing progress. If cleared to walk, start gradually and consider physical therapy to aid your recovery. Remember, patience is key in the healing process, and taking the right steps now can lead to a better long-term outcome.

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