When will a right ankle fracture heal, and when can I expect to see a reduction in swelling and pain, as well as the ability to walk?
Hello Doctor: Regarding case #162885, I had surgery on October 17 and my foot has not healed, making it impossible for me to walk.
The doctor mentioned that the bone has not healed properly and advised against walking, suggesting that I should have an X-ray in a month at the end of December.
I have taken more than a month off to rest at home, keeping my foot elevated, which has helped reduce swelling.
After resting, I returned to work on December 7, continuing to keep my foot elevated, but I can only elevate it to a 90-degree angle and not above my heart.
After returning home from work, my foot starts to swell significantly and feels numb and painful.
Is this a normal phenomenon? How long will it take for the swelling and pain to subside? What can I do to reduce swelling while sitting? When can I start walking, and will I need rehabilitation? I would like to hear your opinion.
Thank you!
Yingjia, 20~29 year old female. Ask Date: 2020/12/11
Dr. Chen Yongxue reply Orthopedics
Please return to the outpatient clinic to discuss with your attending physician.
Thank you.
Reply Date: 2020/12/11
More Info
When it comes to recovering from an ankle fracture, the timeline for healing can vary significantly based on several factors, including the type and severity of the fracture, the treatment received, and individual healing responses. Generally, most ankle fractures take about 6 to 12 weeks to heal, but this can be longer for more complex fractures or if surgical intervention was required.
In your case, since you had surgery on October 17 and are still experiencing pain and swelling, it is crucial to follow your doctor's advice regarding weight-bearing activities. If your doctor has advised against walking until the next X-ray in December, it is essential to adhere to that guidance to avoid complications such as delayed healing or malunion.
Pain and swelling after an ankle fracture are common, especially in the early stages of recovery. The swelling can be exacerbated by activities such as sitting for extended periods or not elevating the leg properly. Elevating your ankle above the level of your heart can help reduce swelling. If you find it challenging to keep your foot elevated, consider using pillows or cushions to support your leg while sitting or lying down.
The "normal" pain and swelling you are experiencing can be attributed to several factors, including inflammation from the injury, the surgical procedure, and the body's natural healing process. It's also possible that the pain is related to the immobilization of the joint, which can lead to stiffness and discomfort.
As for when you can start walking, this largely depends on the healing progress of your fracture. Your doctor will assess the X-ray results to determine if the bone has healed sufficiently to allow for weight-bearing activities. If the bone is healing well, you may be able to start walking with assistance, such as crutches or a walking boot, to help support your weight without putting too much strain on the healing bone.
Regarding rehabilitation, physical therapy is often recommended after an ankle fracture to restore strength, flexibility, and range of motion. Once your doctor gives you the green light to start walking, a physical therapist can guide you through exercises tailored to your specific needs. These exercises will help prevent stiffness, improve mobility, and strengthen the muscles around the ankle.
In summary, while it can be frustrating to deal with pain and swelling during recovery, it is essential to be patient and follow your healthcare provider's recommendations. Keep your ankle elevated, manage pain with prescribed medications, and prepare for physical therapy once you are cleared to begin walking. With time and appropriate care, you should see improvement in your symptoms and regain your ability to walk without pain. Always communicate with your healthcare provider about any concerns or changes in your condition, as they can provide personalized advice based on your specific situation.
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