Metatarsal fracture with inability to flex the ankle normally?
Hello Doctor, I sustained a non-displaced fracture of the metatarsal in my left foot on June 19th.
Following your instructions, I have been wearing a pneumatic brace all day.
During my follow-up appointment on August 2nd, I had an X-ray and was told that I could start taking off the brace at home and gradually walk.
However, I noticed that I am limping while walking, and my ankle cannot bend normally.
I would like to ask you: 1.
What ankle rehabilitation exercises can I currently do? 2.
How long will it take for this condition to improve so that I can walk normally? Thank you.
tina, 60~69 year old female. Ask Date: 2023/08/07
Dr. Shi Guozheng reply Orthopedics
1.
You can perform dorsiflexion and plantarflexion exercises for the ankle joint to strengthen the muscles.
2.
It will take approximately three months for recovery.
Reply Date: 2023/08/07
More Info
Recovering from a metatarsal fracture can be a challenging process, especially when it comes to regaining ankle mobility and strength. Based on your situation, here are some insights and recommendations for your recovery journey.
1. Ankle Rehabilitation Exercises
After a metatarsal fracture, it's crucial to gradually reintroduce movement to the ankle joint to restore mobility and strength. Here are some exercises you can consider:
- Ankle Pumps: While sitting or lying down, flex and point your toes. This helps improve circulation and keeps the ankle joint mobile.
- Towel Stretch: Sit with your legs extended in front of you. Use a towel to pull your toes towards you while keeping your knee straight. Hold for 15-30 seconds and repeat several times.
- Alphabet Exercise: While seated, use your big toe to "write" the letters of the alphabet in the air. This helps with mobility and coordination.
- Heel Raises: Stand with your feet shoulder-width apart and slowly raise your heels off the ground, balancing on your toes. This strengthens the calf muscles and improves ankle stability.
- Balance Exercises: Stand on one foot for 10-30 seconds, gradually increasing the time as you gain strength. You can also try this with your eyes closed to challenge your balance further.
- Resistance Band Exercises: If you have access to resistance bands, you can perform ankle dorsiflexion, plantarflexion, inversion, and eversion exercises to strengthen the surrounding muscles.
2. Timeline for Improvement
The timeline for recovery can vary significantly from person to person, depending on factors such as the severity of the fracture, your overall health, and how diligently you follow your rehabilitation program. Generally, you can expect:
- Initial Recovery (0-6 weeks): During this phase, you may experience swelling and limited mobility. It's essential to follow your doctor's advice regarding weight-bearing activities and to use your protective boot as instructed.
- Early Rehabilitation (6-12 weeks): As you begin to walk without the boot, you may notice some limping or difficulty with ankle mobility. This is normal, and with consistent rehabilitation exercises, you should start to see improvements in your walking pattern and ankle flexibility.
- Full Recovery (3-6 months): Most individuals can expect to return to normal activities, including sports, within 3 to 6 months after the injury. However, complete healing of the bone and surrounding soft tissues may take longer.
Additional Tips for Recovery
- Listen to Your Body: If you experience pain during any exercise, stop and consult your healthcare provider. It's essential to differentiate between discomfort from exercising and pain indicating a potential problem.
- Ice and Elevation: If you notice swelling after exercising, apply ice to the affected area and elevate your foot to reduce inflammation.
- Gradual Progression: As you gain strength and mobility, gradually increase the intensity and duration of your exercises. Avoid rushing the process, as this can lead to setbacks.
- Consult a Physical Therapist: If you find it challenging to regain mobility or if you have concerns about your recovery, consider working with a physical therapist. They can provide personalized guidance and ensure you're performing exercises correctly.
- Stay Positive: Recovery can be frustrating, but maintaining a positive mindset and being patient with yourself is crucial. Celebrate small victories along the way, such as improved range of motion or reduced pain.
In conclusion, with a structured rehabilitation program and adherence to your healthcare provider's recommendations, you can expect to regain normal ankle mobility and function following your metatarsal fracture. Remember to be patient and consistent with your exercises, and don't hesitate to seek professional guidance if needed.
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