Recovery Timeline for Medial Malleolus Fracture: What to Expect - Orthopedics

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Fracture of the left tibial medial malleolus?


Hello, doctor.
I was hit by a car while walking on April 15, and although my left foot's outer ankle made contact with the ground, I sustained a fracture of the inner ankle.
The doctor recommended two months of rest.
I did not undergo surgery; after two weeks in a cast, the doctor instructed me to switch to an ankle brace.
I started rehabilitation one month after the injury, and currently, I am only receiving infrared and electrical therapy.

It has been over 50 days, but I still cannot walk independently.
When I place my foot on the ground, I feel pain in the upper side of the bone, and my entire ankle is very tight.
When I pull my foot back, I experience pain around the outer bone.
My company is urging me to return to work, so I would like to ask how much longer I might need rehabilitation to fully recover and be able to walk normally and ride a bike?

Nini, 30~39 year old female. Ask Date: 2022/06/08

Dr. Shi Guozheng reply Orthopedics


Fractures of the inner ankle typically take about three months to heal, and normal activity can usually resume around that same timeframe.

Reply Date: 2022/06/08

More Info


Recovering from a medial malleolus fracture can be a complex process, and the timeline for recovery varies significantly from person to person based on several factors, including the severity of the fracture, the effectiveness of rehabilitation, and individual health conditions.
In your case, you sustained a fracture on April 15, and after two weeks in a cast, you transitioned to an ankle brace. You have been undergoing rehabilitation for about a month, focusing on infrared and electrical therapy. As of now, you are experiencing pain when putting weight on your foot and tightness in the ankle, which is not uncommon during the recovery phase.

Typically, the recovery timeline for a medial malleolus fracture can be broken down into several stages:
1. Initial Healing (0-6 weeks): During the first few weeks, the primary goal is to allow the fracture to heal. This often involves immobilization in a cast or brace. Pain and swelling are common, and it is crucial to follow your doctor's advice regarding weight-bearing activities.
2. Rehabilitation Phase (6-12 weeks): After the initial healing period, rehabilitation begins. This phase focuses on restoring range of motion, strength, and function. Physical therapy may include exercises to improve flexibility, strength, and balance. You mentioned that you have started rehabilitation, which is a positive step.
3. Functional Recovery (3-6 months): Most patients can expect to return to normal activities, including walking and possibly cycling, within three to six months after the injury. However, full recovery, where you can engage in high-impact activities or sports, may take longer.
4. Long-term Recovery (6 months and beyond): Some individuals may experience lingering stiffness or discomfort in the ankle for several months. Continued physical therapy and exercises at home can help improve mobility and strength over time.

Given that you are currently experiencing pain and tightness, it is essential to communicate these symptoms to your healthcare provider. They may recommend adjustments to your rehabilitation program, such as incorporating more specific exercises to address your pain and tightness.
In terms of your work situation, it is crucial to prioritize your recovery over returning to work prematurely. If your job requires standing or walking for extended periods, it may exacerbate your condition and prolong your recovery. Discussing your situation with your employer and possibly obtaining a medical note from your doctor may help in negotiating a delayed return to work.

In summary, while it is difficult to predict an exact timeline for your recovery, many individuals can expect to see significant improvements within three to six months. Continuing with your rehabilitation, being mindful of your pain levels, and maintaining open communication with your healthcare team will be vital in ensuring a successful recovery. If you have any concerns or if your symptoms worsen, do not hesitate to seek further medical advice.

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