Non-displaced fracture of the ankle tibia?
I had a non-displaced, closed fracture of my right ankle from a car accident in January.
As of now, there is no swelling in my ankle, all bruising has resolved, and the pain feels more like it's coming from the surrounding ligaments.
Can I try putting weight on it and walking a bit?
Xiao Fu, 20~29 year old female. Ask Date: 2023/03/29
Dr. Wang Shouji reply Orthopedics
Hello, to assess the degree of fracture and healing status, generally speaking, if there has been a fracture for about two months, some weight-bearing with the use of crutches is permissible.
Changhua Hospital cares about your health.
Wang Shou-ji.
Reply Date: 2023/03/29
More Info
After a non-displaced ankle fracture, the timeline for returning to weight-bearing activities can vary based on individual healing and the specific nature of the injury. In your case, since you mentioned that your ankle is no longer swollen and the bruising has resolved, it indicates that significant healing has likely occurred. However, it is essential to approach this situation with caution.
Generally, for non-displaced fractures, patients are often advised to begin weight-bearing activities around 6 to 8 weeks post-injury, depending on the healing progress and the doctor's recommendations. Since you are experiencing pain primarily in the surrounding ligaments rather than the fracture site itself, this could suggest that your ankle is ready to start bearing some weight. However, it is crucial to ensure that this is done safely to avoid any setbacks in your recovery.
Here are some steps and considerations to keep in mind as you contemplate starting to walk:
1. Consult Your Doctor: Before you begin walking, it is advisable to consult with your healthcare provider or orthopedic specialist. They can assess your healing through physical examination and possibly imaging studies (like an X-ray) to confirm that the fracture has healed adequately.
2. Use Assistive Devices: If you do receive clearance to start walking, consider using crutches or a walking boot initially. This will help you gradually introduce weight to your ankle while minimizing the risk of re-injury.
3. Start Slowly: Begin with short distances and gradually increase the time and distance as tolerated. Pay attention to your body; if you experience pain or discomfort, it may be a sign to reduce your activity level.
4. Focus on Balance and Strength: Incorporate balance exercises and gentle range-of-motion activities to strengthen the muscles around your ankle. This can help improve stability and reduce the risk of future injuries.
5. Monitor Symptoms: Keep an eye on any swelling, pain, or changes in your ankle. If you notice increased discomfort or swelling after attempting to walk, it may be necessary to scale back your activities and consult your doctor.
6. Physical Therapy: If you have not already, consider engaging in physical therapy. A physical therapist can provide tailored exercises to help restore strength, flexibility, and function to your ankle.
7. Follow-Up Appointments: Ensure you attend all follow-up appointments with your healthcare provider to monitor your recovery and make any necessary adjustments to your rehabilitation plan.
In summary, while it is possible that you may be able to start walking after a non-displaced ankle fracture, it is essential to do so under the guidance of a healthcare professional. They can provide personalized advice based on your specific situation and ensure that you are progressing safely. Remember, the goal is to return to full function while minimizing the risk of complications or re-injury.
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