Calcaneal closed fracture
My father sustained a closed fracture in his left foot on September 13, with a crack in the heel bone.
He had a follow-up appointment on October 5 for an X-ray, and the doctor mentioned that he is recovering quickly and there are no visible cracks in the bone anymore! However, there is still some swelling in his foot, and he is walking with a slight limp.
He wants to return to work soon, and I would like to know what type of brace would be suitable for him.
His job requires him to be on his feet a lot.
My aunt recommended an inflatable ankle brace; would that be effective? Is there a specific brace designed for the heel?
Ms. Lu, 20~29 year old female. Ask Date: 2016/10/14
Dr. Shi Guozheng reply Orthopedics
A calcaneal fracture typically heals in about two to three months.
After healing, there may still be some swelling, which can be managed with alternating ice and heat therapy.
Performing ankle exercises can help improve circulation, facilitating a quicker recovery of ankle function.
Wearing compression socks on the foot can also help reduce swelling.
Full recovery generally takes around three months.
Reply Date: 2016/10/14
More Info
When it comes to recovering from a calcaneal fracture, the right support and rehabilitation strategies are crucial for ensuring proper healing and regaining mobility. Given your father's recent injury and the fact that he is experiencing some swelling and a slight limp, it’s important to choose the right ankle support and follow a structured recovery plan.
Types of Ankle Supports
1. Air Casts or Inflatable Ankle Braces: These are designed to provide compression and support while allowing for some mobility. They can help reduce swelling and provide stability. The inflatable feature allows for adjustable compression, which can be beneficial as swelling decreases over time. This type of brace is often recommended during the early stages of recovery when the ankle is still healing.
2. Rigid Ankle Braces: These braces are made from hard plastic and provide maximum support. They are typically used after the initial healing phase when the fracture has stabilized. Rigid braces can help prevent excessive movement and protect the ankle from re-injury.
3. Soft Ankle Supports: These are made from elastic materials and provide mild support. They can be useful for individuals who are transitioning back to normal activities and need some support without the bulk of a rigid brace.
4. Custom Orthotics: Depending on the severity of the injury and any pre-existing conditions, custom orthotics may be beneficial. These are specially designed insoles that can help distribute weight evenly and provide additional support to the heel and arch.
Recommendations for Your Father
Given that your father’s fracture is healing well, but he is still experiencing some swelling and a limp, an inflatable ankle brace may be a good option for him. It can provide the necessary support while allowing for some mobility, which is essential for someone who needs to walk frequently for work.
However, it’s also important to consider the following:
- Consult with a Healthcare Professional: Before making any decisions about the type of support to use, it’s best to consult with your father's orthopedic doctor or physical therapist. They can provide personalized recommendations based on his specific condition and recovery progress.
- Gradual Return to Activity: Encourage your father to gradually increase his activity level. While he may be eager to return to work, it’s important to listen to his body and not rush the healing process.
- Physical Therapy: Engaging in physical therapy can be incredibly beneficial. A physical therapist can provide exercises tailored to strengthen the ankle, improve range of motion, and reduce swelling. They can also guide him on how to safely transition back to work.
- Swelling Management: To manage swelling, your father can elevate his foot when resting, apply ice packs, and ensure he is following any prescribed anti-inflammatory medications. Compression socks may also help reduce swelling.
- Footwear: Proper footwear is essential during recovery. Shoes with good arch support and cushioning can help alleviate pressure on the heel and provide stability. Avoiding high heels or shoes that lack support is crucial.
Conclusion
In summary, an inflatable ankle brace could be a suitable option for your father as he continues to recover from his calcaneal fracture. However, it’s essential to consult with a healthcare professional to ensure that the chosen support aligns with his recovery needs. Additionally, incorporating physical therapy and managing swelling will play a significant role in his overall recovery process. With the right support and care, he can regain his strength and mobility effectively.
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