Recovery Timeline and Rehabilitation for Right Foot Navicular Fracture - Orthopedics

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Closed fracture of the right navicular bone in the foot?


I had a fall on the stairs on February 6, resulting in a fracture.
I had my cast removed on March 8, but an X-ray still shows a small piece of bone missing.
My foot is still very painful, and it starts to swell and hurt after walking a little.
The area around the injured bone is quite painful.
When can I expect to recover? Would rehabilitation with infrared therapy and electrical stimulation help me heal faster? I need to walk for 12 hours at work; when do you think I can return to work? Should I use an ankle brace to prevent swelling while walking? However, I'm concerned that the brace might press on the area of the fracture and cause pain, so should I use it? Thank you.

Ying, 40~49 year old female. Ask Date: 2024/03/17

Dr. Shi Guozheng reply Orthopedics


It is possible to walk with an ankle brace, and typically, a fracture requires a recovery period of three months.

Reply Date: 2024/03/17

More Info


Recovering from a navicular fracture can be a challenging process, especially when it comes to managing pain and regaining mobility. Based on your situation, it seems you sustained a navicular fracture on February 6 and had your cast removed on March 8. However, you are still experiencing significant pain and swelling, which is not uncommon after such an injury.


Recovery Timeline
Generally, navicular fractures can take anywhere from 6 to 12 weeks to heal, depending on the severity of the fracture and the individual’s overall health. Since you had your cast removed only about a month ago, it is still early in the recovery process. The fact that you are experiencing pain and swelling is a sign that your body is still healing. It is essential to give your body the time it needs to recover fully.


Rehabilitation
Rehabilitation plays a crucial role in recovery. Physical therapy can help improve strength, flexibility, and range of motion in your foot. The use of modalities such as infrared therapy and electrical stimulation can be beneficial in managing pain and promoting healing. These treatments can help reduce inflammation and improve blood circulation, which is vital for recovery.

In your case, it would be advisable to start rehabilitation exercises gradually. Focus on gentle range-of-motion exercises initially, and as your pain decreases, you can incorporate strengthening exercises. Always consult with your physical therapist or healthcare provider before starting any new exercise regimen to ensure it is safe and appropriate for your condition.


Pain Management and Support
Regarding your question about using an ankle brace, it can be beneficial to provide support and stability to your foot as it heals. However, you should ensure that the brace does not put pressure on the painful area of the navicular bone. If you find that the brace exacerbates your pain, it may be worth discussing alternative support options with your healthcare provider.

Returning to Work
As for returning to work, especially if your job requires you to be on your feet for extended periods, it is crucial to listen to your body. If you are still experiencing significant pain and swelling, it may be wise to delay your return until you can walk comfortably without pain. Depending on your healing progress, you might consider a gradual return to work, starting with shorter shifts or modified duties that allow you to rest your foot as needed.


Conclusion
In summary, recovery from a navicular fracture typically takes several weeks to months, and it is essential to be patient with the healing process. Engaging in rehabilitation, managing pain effectively, and using supportive devices like ankle braces can significantly aid your recovery. Always keep an open line of communication with your healthcare provider to monitor your progress and make necessary adjustments to your treatment plan. With time and proper care, you should see improvement in your symptoms and regain the ability to walk comfortably.

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