Effective Rehabilitation Tips for Ankle Fracture Recovery - Orthopedics

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Closed fracture of the medial and lateral malleolus of the right ankle?


Hello Doctor: I sustained a fracture on the inner and outer sides of my right ankle on July 1, and underwent surgery to insert a steel pin on July 2.
It has now been one month, and there are surgical sites on both sides.
I had my cast removed in the second week post-surgery and have started moving around after having my stitches taken out.
I would like to ask for some advice from the doctors on the forum:
1.
Currently, I am unable to fully flex my ankle upwards, and I feel a lot of tightness in the muscles above.
Besides performing daily ankle flexion and extension exercises along with using a resistance band for stretching, what other self-rehabilitation methods can I try?
2.
Due to keeping my foot elevated for an extended period, my knee and thigh are now sore.
What should I do about this? Thank you.

Brenda, 20~29 year old female. Ask Date: 2016/08/02

Dr. Shi Guozheng reply Orthopedics


Poor mobility after ankle surgery is normal, and it is essential to continue rehabilitation exercises for both your ankle and knee joints.
This is the only way to gradually regain function.
Typically, recovery takes about three months.

Reply Date: 2016/08/02

More Info


Recovering from an ankle fracture can be a challenging process, but with the right rehabilitation strategies, you can regain strength and mobility. Here are some effective rehabilitation tips for your recovery:

1. Follow a Structured Rehabilitation Program
After an ankle fracture, it's crucial to follow a structured rehabilitation program tailored to your specific needs. This program should ideally be designed by a physical therapist who can assess your condition and guide you through appropriate exercises.

2. Range of Motion Exercises
Since you mentioned difficulty in achieving full range of motion in your ankle, it's essential to incorporate specific exercises to improve flexibility. Here are some exercises you can do:
- Ankle Pumps: While sitting or lying down, flex and point your toes. This helps improve circulation and mobility.

- Alphabet Exercise: Use your big toe to "write" the letters of the alphabet in the air. This can help with both mobility and coordination.

- Towel Stretch: Sit with your legs extended in front of you. Loop a towel around the ball of your foot and gently pull it towards you while keeping your knee straight. Hold for 15-30 seconds.


3. Strengthening Exercises
Once you have regained some range of motion, you can start strengthening exercises. These may include:
- Resistance Band Exercises: Use a resistance band to perform ankle dorsiflexion (pulling your foot upwards), plantarflexion (pointing your toes), inversion (turning your foot inward), and eversion (turning your foot outward).

- Heel Raises: Stand on the edge of a step and slowly raise your heels, then lower them back down. This exercise strengthens the calf muscles and improves balance.


4. Balance Training
Incorporating balance exercises is vital for ankle recovery. You can try:
- Single-Leg Stands: Stand on one leg for as long as you can. This helps improve stability and strength in the ankle.

- Balance Board Exercises: If you have access to a balance board, use it to challenge your stability further.


5. Addressing Knee and Thigh Discomfort
If you are experiencing discomfort in your knee and thigh due to prolonged elevation of your ankle, consider the following:
- Gentle Stretching: Stretch the muscles in your thigh and calf to alleviate tightness. Focus on hamstring and quadriceps stretches.

- Gradual Weight Bearing: As you progress, gradually increase your weight-bearing activities. This can help reduce stiffness in your knee and thigh.

- Heat Therapy: Applying heat to your knee and thigh can help relax tight muscles and improve blood flow.


6. Pain Management
If you experience pain during rehabilitation, consider using ice therapy after exercises to reduce swelling and discomfort. Over-the-counter pain medications, as advised by your doctor, can also be helpful.


7. Consult with Your Healthcare Provider
Always keep your healthcare provider informed about your progress and any discomfort you experience. They may suggest modifications to your rehabilitation program or refer you to a physical therapist for specialized care.


8. Patience and Consistency
Recovery from an ankle fracture takes time, and it's essential to be patient with yourself. Consistency in your rehabilitation exercises will yield the best results. Aim to perform your exercises daily, gradually increasing intensity as tolerated.


Conclusion
In summary, effective rehabilitation after an ankle fracture involves a combination of range of motion, strengthening, and balance exercises, along with addressing any discomfort in surrounding areas. Always consult with your healthcare provider or a physical therapist to ensure that your rehabilitation program is safe and effective. With dedication and the right approach, you can achieve a successful recovery and return to your normal activities.

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