Post-Ankle Ligament Surgery: When Can You Start Walking Again? - Orthopedics

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Walking after ankle ligament surgery?


I just had surgery on October 20 for a torn ankle ligament, and the surgical site only has mild throbbing and sharp pain.
Can I try walking a little, or is it better to avoid putting weight on it for now? How long will it take for rehabilitation before I can walk and exercise normally?

Wu, 20~29 year old female. Ask Date: 2021/10/26

Dr. Chen Bochen reply Orthopedics


Hello, after ligament surgery, you can generally walk after 4-6 weeks.
However, since each person's injury is different, it's best to consult the surgeon who performed your operation.
The doctor has seen the actual condition of the injury during the surgery and understands the status after the repair, so their advice will be more accurate.

Reply Date: 2021/10/26

More Info


After undergoing ankle ligament surgery, the timeline for returning to normal walking can vary significantly based on several factors, including the extent of the injury, the type of surgical procedure performed, and individual healing rates. Generally, it is crucial to follow your surgeon's specific recommendations regarding weight-bearing activities and rehabilitation.

In your case, since the surgery was performed on October 20, and you are experiencing only mild pain and discomfort, it is essential to approach walking cautiously. Typically, after ankle ligament repair, patients are advised to avoid putting weight on the affected leg for a certain period, often ranging from a few days to several weeks, depending on the surgeon's assessment of the surgical site and the stability of the repair.

Most surgeons recommend using crutches or a walking boot to keep weight off the ankle during the initial healing phase. This helps to prevent complications such as re-injury or improper healing of the ligaments. If your surgeon has not explicitly cleared you to start walking, it is advisable to refrain from doing so until you receive their approval. Attempting to walk too soon can lead to complications, including pain, swelling, and even the risk of damaging the surgical repair.

Rehabilitation typically begins with gentle range-of-motion exercises as soon as the surgeon allows it, often within the first few weeks post-surgery. These exercises are crucial for preventing stiffness and promoting circulation. As healing progresses, physical therapy may be introduced to strengthen the ankle and improve balance and proprioception. The timeline for returning to normal walking can vary, but many patients can expect to start walking without assistance within 6 to 12 weeks post-surgery, depending on their recovery.

In terms of rehabilitation duration, it can take several months to regain full strength and function in the ankle. Patients often find that they can return to light activities or sports within 3 to 6 months, but this can vary widely. It is essential to listen to your body and not rush the process. Pain or discomfort during rehabilitation should be addressed with your physical therapist or surgeon, as it may indicate that you are pushing too hard or that there are underlying issues that need to be managed.

In summary, while mild pain and discomfort may suggest that you are on the right track, it is crucial to follow your surgeon's advice regarding weight-bearing activities. Avoid walking until you receive explicit clearance from your healthcare provider. Engage in prescribed rehabilitation exercises to promote healing and prepare your ankle for the demands of normal walking and eventual return to sports or more vigorous activities. Always prioritize safety and proper healing to ensure the best long-term outcomes for your ankle.

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