Can You Walk Gently with an AIRCAST After a Foot Fracture? - Orthopedics

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Can a limb using an AIRCAST brace walk gently?


I have a fracture in the fifth metatarsal of my left foot and have been using an AIRCAST for 17 days.
At home, I use my right hand to hold a walking stick for support, and I gently place my injured foot on the ground to move slowly while walking.
Is this acceptable, or should I avoid putting any weight on the injured foot?

Xiao Liu, 60~69 year old female. Ask Date: 2023/07/06

Dr. Shi Guozheng reply Orthopedics


If the fracture is non-displaced, walking can be performed with immobilization.
However, if the fracture is displaced, it is safer to wait for about six weeks.
If there are any doubts, it is best to consult a physician to determine whether walking is permissible.

Reply Date: 2023/07/06

More Info


After a foot fracture, particularly one involving the fifth metatarsal, it is crucial to follow your healthcare provider's recommendations regarding weight-bearing and mobility. In your case, you have been using an AIRCAST for 17 days, which is a common method for immobilizing a fractured foot. The AIRCAST is designed to provide support while allowing some degree of mobility, but it is essential to understand the specifics of your injury and the healing process.

Generally, for a metatarsal fracture, the initial healing phase typically requires non-weight bearing for at least 4 to 6 weeks, depending on the severity of the fracture and the specific recommendations from your physician. During this time, it is usually advised to keep the affected foot elevated and avoid placing any weight on it to promote optimal healing. However, some doctors may allow partial weight-bearing as tolerated, especially if you are using supportive devices like crutches or a walking boot.

In your situation, using a hiking pole for support while gently placing your affected foot on the ground may be acceptable if your doctor has given you the green light for partial weight-bearing. However, if you are experiencing pain, swelling, or discomfort, it is crucial to stop and avoid putting weight on the injured foot. Pain is often an indicator that the fracture may not be healing properly or that you are placing too much strain on it.

It is also important to monitor the healing process through follow-up appointments with your healthcare provider. They may perform X-rays to assess the healing of the fracture and adjust your treatment plan accordingly. If your doctor has not explicitly stated that you can walk with weight on your affected foot, it is best to err on the side of caution and avoid doing so until you receive further guidance.

In addition to following your doctor's advice, consider the following general tips for recovery after a foot fracture:
1. Rest and Elevation: Keep your foot elevated as much as possible to reduce swelling and promote healing.

2. Ice Therapy: Apply ice to the affected area for 15-20 minutes several times a day to help manage swelling and pain.

3. Gradual Weight Bearing: If your doctor allows it, gradually increase the amount of weight you place on your foot as tolerated. Start with short periods and gradually extend the duration as your comfort level improves.

4. Physical Therapy: Once your doctor approves, consider engaging in physical therapy to strengthen the muscles around the foot and improve flexibility. This can help you regain full function and prevent future injuries.

5. Footwear: When you begin to walk more, wear supportive shoes that provide adequate cushioning and stability. Avoid high heels or shoes that do not offer support until you are fully healed.

6. Listen to Your Body: Pay attention to any signs of pain or discomfort. If you experience increased pain, swelling, or any unusual symptoms, contact your healthcare provider immediately.

In summary, while it may be possible to walk gently with an AIRCAST after a foot fracture, it is essential to follow your doctor's specific recommendations regarding weight-bearing and mobility. Always prioritize your healing process and consult with your healthcare provider if you have any doubts or concerns about your recovery.

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