Post-Cast Recovery: Proper Leg Positioning After Fibula Fracture

Activity of the leg after removal of the cast for fibula fracture (non-surgical)?

Hello Doctor, I sustained a fibula fracture near my ankle at the end of March.
After evaluation, surgery was deemed unnecessary, and I was placed in a cast.
The cast was removed in early May, and I began to mobilize my ankle (but I have not yet started weight-bearing).
However, the doctor only advised me to move my ankle and did not specifically mention the positioning of my leg.
Sometimes, while lying in bed, I feel uncomfortable and tend to lie on my side or perform some leg elevation exercises.
On certain days, I experience sharp pain in the injured area, and the injured calf feels heavier.
I would like to inquire if this discomfort could be due to improper positioning of the injured leg, potentially affecting the injury site and causing pain due to bone displacement? Additionally, I would like to ask if there are any specific recommendations for leg positioning after the cast removal that would be beneficial for the injured area.
Thank you for your response.

Jiewen, 40~49 year old female. Ask Date: 2023/05/15

Dr. Shi Guozheng reply Orthopedics

You can perform flexion and extension exercises for the ankle and knee joints regardless of the position.
Additionally, local heat therapy can be applied.

Reply Date: 2023/05/15

More Info

Post-cast recovery after a fibula fracture is a crucial phase in the healing process, and proper leg positioning can significantly impact your recovery. After the removal of the cast, it is essential to follow specific guidelines to ensure that the healing bone is not subjected to unnecessary stress or discomfort.

Firstly, it is important to understand that after a fibula fracture, especially one near the ankle, the leg may feel heavy or uncomfortable due to swelling and the healing process. This sensation can be exacerbated by improper positioning. When lying down, it is advisable to keep the injured leg elevated, ideally above the level of the heart, to help reduce swelling. You can achieve this by using pillows or cushions to support your leg while lying on your back or side. Elevation can also help alleviate some of the discomfort you are experiencing.

Regarding your concern about side-lying positions, it is generally recommended to avoid putting direct pressure on the injured leg. If you must lie on your side, try to position yourself so that the injured leg is on top, avoiding any weight on the fracture site. This positioning helps prevent any potential misalignment or discomfort that could arise from pressure on the healing bone.

The sensation of "pulling" or "cramping" in the injured area could be due to several factors, including muscle tightness, nerve irritation, or even the body adjusting to the absence of the cast. It is not necessarily indicative of bone displacement, especially if you have not experienced any significant trauma to the area since the cast was removed. However, if the pain persists or worsens, it is crucial to consult your physician to rule out any complications.

As for the activity level, while your doctor has advised you to start moving your ankle, it is essential to do so gently and within a comfortable range of motion. Avoid any activities that cause pain or discomfort. Gradually increasing your range of motion will help restore function to the ankle joint, but it should be done carefully to avoid overexertion.

In terms of specific leg positioning after the cast removal, here are some recommendations:
1. Elevation: Keep the leg elevated when resting to minimize swelling.

2. Avoid Pressure: When lying down, avoid putting weight on the injured leg. If lying on your side, ensure the injured leg is on top.

3. Gentle Movement: Engage in gentle ankle movements as advised by your physician, but avoid any sudden or forceful motions.

4. Comfortable Positioning: Use pillows to support your leg in a comfortable position that does not strain the injured area.

5. Listen to Your Body: Pay attention to any pain or discomfort signals. If certain positions or movements cause pain, adjust accordingly.

Lastly, it is essential to maintain regular follow-up appointments with your healthcare provider to monitor the healing process and adjust your rehabilitation plan as necessary. If you have any concerns about your recovery or experience any unusual symptoms, do not hesitate to reach out to your doctor for further evaluation. Proper care and attention during this recovery phase can significantly influence your long-term outcomes and mobility.

Similar Q&A

Rehabilitation After Cast Removal: Walking Again Post-Fibula Fracture

Hello Doctor: I have a fibula fracture and have had a cast for 5 weeks. I had the cast removed on June 29. I would like to ask if I can start practicing walking now. Thank you, Doctor.

Dr. Chen Yongxue reply Orthopedics
The bones of the lower leg include the tibia and fibula. If only the fibula is fractured, rehabilitation can typically begin after the cast is removed for proximal and midshaft fractures, as they do not involve joint stability. However, for distal fractures that affect ankle join...

Post-Cast Care: Essential Tips for Recovery After Fibula Fracture

Hello, I would like to inquire about post-cast care issues. I have a fibula distal fracture, and it has been seven weeks—tomorrow I will have the cast removed. Please answer the following questions: 1. After the cast is removed, how long is it recommended before I can put weigh...

Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, a fibula distal fracture refers to an ankle fracture involving the lateral malleolus. If there is minimal displacement and no impact on the joint surface, conservative treatment can be employed, which involves immobilization in a cast for six ...

Understanding Open Fractures: Recovery Challenges After a Tibia and Fibula Injury

Hello Doctor: I have an open comminuted fracture of the tibia and fibula in my right lower leg due to a car accident, which was surgically repaired on November 8 of this year with internal fixation using plates and screws. However, due to the presence of a traumatic wound, I have...

Dr. Li Wenlin reply Orthopedics
1. If the wound is not healing well, a splint can be used to support the area for easier wound management, although it is not as effective as a cylindrical cast for stabilization. 2. The treatment should be based on X-ray findings, as the distal tibia near the ankle joint may b...

Managing Pain and Recovery After Fibula Fracture Surgery

Hello doctor, I sustained an injury on February 15, 2020, and underwent surgery for internal fixation with a plate on February 18, 2020. It has been a month since the surgery, and I am being awakened at night by pain in the swollen area. What should I pay attention to in order to...

Dr. Chen Yongxue reply Orthopedics
Hello, it is common to experience swelling after surgery, especially in the lower limbs. Please elevate the affected limb as much as possible. If you are unable to elevate it, please use an ankle brace to reduce swelling. As for when you can bear weight, you should consult your a...