Coping with Ankle Fractures: Using Crutches After One Week of Injury - Orthopedics

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Ankle fracture without surgical intervention?


A few days ago, I was in a car accident and injured my right foot, resulting in fractures of both the inner and outer ankle.
I chose not to have surgery and instead went home with a cast for recovery.
However, these past few days, even with my foot elevated, it still feels sore and uncomfortable.
With my ankle injury, I am unable to do anything.
In a few days, my boyfriend will return to school, and I will have no one to take care of me.
I don’t know what to do.
Simple tasks like going to the bathroom or turning off the lights are difficult for me.
I really don’t know how to manage.
I would like to know if a walker can be used one week after the fracture, and what precautions I should take.

Xiao Mei, 10~19 year old female. Ask Date: 2020/09/27

Dr. Zhan Xian reply Orthopedics


Hello, Xiao Mei.
For ankle fractures, there is a high chance of displacement without surgical intervention.
Even if a cast is applied, imaging studies are necessary for assessment.
If there is displacement, surgery will be required.
The affected limb should not bear weight, and regular follow-up appointments are essential!

Reply Date: 2020/09/27

More Info


Coping with an ankle fracture can be quite challenging, especially when you are dealing with the discomfort and limitations that come with it. Given your situation, where you have sustained fractures in both the inner and outer ankle and opted for a cast instead of surgical intervention, it is crucial to approach your recovery with care and consideration.

Firstly, using crutches after one week of injury is generally acceptable, provided that your doctor has cleared you for partial weight-bearing activities. Crutches can significantly enhance your mobility and allow you to perform daily tasks more independently, such as going to the bathroom or turning off lights. However, it is essential to follow some guidelines to ensure your safety and promote healing.

1. Consult Your Doctor: Before you start using crutches, it is vital to consult your healthcare provider. They can assess your injury and determine if it is safe for you to begin weight-bearing activities. If they give you the green light, they will also provide specific instructions on how much weight you can put on your injured ankle.

2. Proper Technique: When using crutches, ensure that you are using them correctly. Your crutches should be adjusted to the right height, allowing you to stand comfortably with your elbows slightly bent. When moving, place your weight on your hands and not on your armpits to avoid nerve damage. Always keep your injured foot elevated and avoid putting pressure on it until advised by your doctor.

3. Pain Management: Since you mentioned experiencing pain and discomfort, it is crucial to manage your pain effectively. Over-the-counter pain relievers like ibuprofen or acetaminophen can help alleviate some discomfort. However, consult with your doctor before taking any medication, especially if you have other health conditions or are taking other medications.

4. Rest and Elevation: Make sure to rest your ankle as much as possible. Elevating your foot above the level of your heart can help reduce swelling and pain. Use pillows or cushions to prop your leg up when sitting or lying down.

5. Assistive Devices: If you find crutches challenging to manage, consider using a walker or a knee scooter, which can provide additional stability and support. These devices can make moving around easier, especially if you need to navigate through your home without assistance.

6. Home Modifications: To make your environment more accessible, consider making some modifications. For example, keep essential items within reach, use a shower chair for bathing, and ensure that pathways are clear of obstacles to prevent falls.

7. Support System: Since you mentioned that your boyfriend will be returning to school soon, it might be beneficial to arrange for additional support. Whether it’s asking friends or family to check in on you or utilizing community resources, having a support system can make a significant difference in your recovery.

8. Physical Therapy: Once your doctor gives you the go-ahead, consider engaging in physical therapy. A physical therapist can guide you through exercises that promote healing, improve range of motion, and strengthen the muscles around your ankle.

In conclusion, using crutches after one week of an ankle fracture can be a practical solution to regain some independence, but it must be done with caution and under medical guidance. Always prioritize your safety and follow your healthcare provider's recommendations to ensure a smooth recovery. Remember, healing takes time, and being patient with yourself is essential during this process.

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