Rehabilitation After Ankle Fracture: Key Questions Answered - Orthopedics

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Fracture rehabilitation issues?


Hello Dr.
Hong, three months ago I fractured my right ankle.
I have undergone internal fixation surgery and had my cast removed for a month now, but I find it difficult to go down stairs and squat.
I would like to ask: 1.
Is there a time limit for rehabilitation? Will I be unable to regain my function after a certain period? 2.
Is it okay to perform lunges? 3.
What exercises can I do to strengthen my ankle dorsiflexion? (I feel like my range of motion is limited.) Thank you for your assistance, Dr.
Hong!

Wei's, 20~29 year old female. Ask Date: 2018/01/09

Dr. Hong Ximing reply Orthopedics


Three months after an ankle fracture surgery, the fracture should be healed.
It is recommended to strengthen the rehabilitation process as much as possible to restore joint and ligament function quickly, in order to prevent irreversible limitations in mobility.

Reply Date: 2018/01/09

More Info


Hello! Thank you for reaching out with your questions regarding rehabilitation after your ankle fracture. It's great to hear that you've had your surgery and are now in the recovery phase. Let's address your concerns one by one.

1. Is there a deadline for rehabilitation? Will I not be able to regain function after a certain period?
Rehabilitation after an ankle fracture does not have a strict deadline, but it is crucial to start as soon as you are cleared by your doctor. The sooner you begin rehabilitation, the better your chances of regaining full function. Generally, the first few months post-surgery are critical for recovery, as this is when the healing process is most active. However, even after this period, you can still improve your strength and mobility. It’s important to understand that recovery can vary significantly from person to person. Factors such as age, overall health, and adherence to rehabilitation exercises play a significant role in your recovery timeline. If you find that you are struggling to regain function, it may be beneficial to consult with a physical therapist who can tailor a rehabilitation program to your specific needs.

2. Is it okay to do lunges?
Lunges can be a beneficial exercise for strengthening the muscles around your ankle, but they should be approached with caution, especially in the early stages of recovery. Before incorporating lunges into your routine, ensure that you have adequate strength and stability in your ankle. It’s advisable to start with modified lunges or partial lunges, focusing on maintaining proper form and avoiding any pain. If you experience discomfort while performing lunges, it may be best to hold off until you have built more strength and stability. Always consult your physical therapist or doctor before starting new exercises to ensure they are appropriate for your current stage of recovery.

3. What exercises can I do to improve my ankle dorsiflexion (pushing the foot down)?
Improving dorsiflexion is essential for regaining full function in your ankle. Here are a few exercises that can help:
- Towel Stretch: Sit on the floor with your legs extended. Loop a towel around the ball of your foot and gently pull the towel towards you while keeping your knee straight. Hold for 15-30 seconds and repeat several times.

- Heel Slides: While sitting or lying down, slide your heel towards your buttocks, bending your knee and allowing your foot to move towards the floor. This helps improve flexibility and range of motion.

- Ankle Pumps: While sitting or lying down, flex and point your toes repeatedly. This exercise helps improve circulation and mobility in the ankle.

- Resistance Band Exercises: Use a resistance band to perform dorsiflexion exercises. Anchor the band to a stable object, loop it around your foot, and pull your toes towards you against the resistance of the band.

Remember to perform these exercises gently and within a pain-free range. If you feel any sharp pain or discomfort, stop the exercise and consult your healthcare provider.

In conclusion, rehabilitation after an ankle fracture is a gradual process that requires patience and consistency. While there is no strict timeline, starting rehabilitation early and following a structured program can significantly enhance your recovery. Always listen to your body and consult with your healthcare provider or physical therapist to ensure you are on the right track. Best of luck with your recovery, and don’t hesitate to reach out if you have more questions!

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