Navigating Work Challenges After Ankle Fracture Recovery - Orthopedics

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Ankle fracture recovery issues and work?


In early May, I had a car accident on my way home from work, resulting in a closed ankle fracture that required surgery to insert two screws.
I had my cast removed in mid-June, but I still couldn't put weight on my foot.
During my follow-up appointment in mid-July, the doctor said I could gently place my toes on the ground.
I have another follow-up on August 8 to reassess my condition, and if all goes well, I may be able to bear weight on my foot again.
Therefore, I still need to use crutches to walk, and even after I can bear weight, I will still require crutches for assistance until I fully recover.
However, this situation has exceeded the three-month period for applying for work-related injury benefits, and my job involves lifting and moving items, which may not be feasible if I am still using crutches.
Can I request a medical certificate from my doctor regarding my condition? Thank you for your response, doctor.
🙏

Chi, 20~29 year old female. Ask Date: 2024/07/14

Dr. Wang Jiacheng reply Orthopedics


A physician can issue a certificate based on your condition, but typically, an ankle fracture will heal after three months post-surgery, which means that under normal circumstances, you should be able to return to work.

Reply Date: 2024/07/14

More Info


Navigating work challenges after an ankle fracture recovery can be quite complex, especially when your job requires physical activity such as lifting and moving objects. Given your situation, where you sustained a closed ankle fracture and underwent surgery to insert two pins, it’s understandable that you are concerned about your ability to return to work effectively and safely.

Firstly, it’s important to recognize that recovery from an ankle fracture can vary significantly from person to person. The timeline for returning to full function often depends on several factors, including the severity of the fracture, the surgical procedure performed, and your overall health and fitness level prior to the injury. In your case, it appears that you are still in the recovery phase, as you mentioned that you are using crutches and have not yet fully resumed weight-bearing activities.

As of your last follow-up appointment in mid-July, your doctor indicated that you could begin to gently place weight on your foot. However, it’s crucial to follow your physician’s advice closely. If your doctor has recommended that you continue using crutches until you are fully able to bear weight without pain or discomfort, it is essential to adhere to this guidance. Attempting to return to work while still relying on crutches could not only hinder your recovery but also pose a risk of further injury.

Regarding your ability to return to work, if your job requires significant physical activity, such as lifting and moving items, it may be challenging to perform these tasks safely while still recovering. It is advisable to have an open discussion with your employer about your current limitations. Many employers are willing to accommodate employees recovering from injuries, which may include modified duties or temporary reassignment to less physically demanding tasks.

You can certainly request a medical certificate from your doctor that outlines your current condition and any limitations you may have. This documentation can be helpful in communicating with your employer about your situation. It may also be beneficial for applying for workers' compensation if your injury occurred during work hours, as it can provide evidence of your ongoing recovery process and the need for accommodations.

In terms of your recovery, it is essential to engage in rehabilitation exercises as recommended by your healthcare provider. Physical therapy can play a significant role in regaining strength, flexibility, and function in your ankle. Your therapist will likely focus on exercises that promote range of motion and gradually increase weight-bearing activities as your healing progresses.

Additionally, consider the following tips to support your recovery and transition back to work:
1. Follow Medical Advice: Stick to your doctor's recommendations regarding weight-bearing and mobility. Do not rush the process, as this could lead to complications.

2. Communicate with Your Employer: Keep your employer informed about your recovery progress and any accommodations you may need.

3. Utilize Rehabilitation Services: Engage in physical therapy to strengthen your ankle and improve mobility. This will help you regain confidence in your ability to perform work tasks.

4. Consider Gradual Return: If possible, discuss a phased return to work with your employer, where you can start with lighter duties before fully resuming your regular responsibilities.

5. Stay Positive and Patient: Recovery can be a slow process, but maintaining a positive attitude and being patient with yourself will aid in your overall healing.

In conclusion, while it may be challenging to return to a physically demanding job while still using crutches, open communication with your employer and adherence to your medical team's advice will be key to navigating this transition. Your health and safety should always come first, so take the necessary time to heal properly before fully resuming your work duties.

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