Ankle Fractures: Healing, Symptoms, and Care Tips - Orthopedics

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Ankle sprain


Hello Doctor: I went to see a doctor for an ankle sprain, and after an X-ray, the doctor said I have a fracture in my ankle.
The doctor applied a cast and prescribed me oral medication, AceoCape Endase Wilcon-U, for one week.
I have a few questions: (1) Since my ankle bone is fractured, will the cast help the bone heal? (2) Although my ankle doesn't hurt, I occasionally feel tingling and soreness, and the toes and the sole of my foot have been bruised with a purple-black discoloration for a week.
Is this considered normal? Besides minimizing movement, is there anything else I should pay attention to? Thank you for your advice! Changhua LILI

mali, 20~29 year old female. Ask Date: 2004/08/14

Dr. Shi Guozheng reply Orthopedics


If a fracture is non-displaced, it can heal with immobilization using a cast.
Generally, the healing time for ankle fractures is approximately six weeks.
The sensation of numbness in the foot may be related to bruising and swelling; elevating the lower limb to improve blood circulation may help alleviate this.
It's worth trying, as the bruising typically resolves in about four weeks.

Reply Date: 2004/08/14

More Info


Hello Lili,
Thank you for reaching out with your concerns regarding your ankle fracture. It's understandable to have questions about your condition, especially after an injury. Let’s address your questions one by one.

1. Does putting a cast on a fractured ankle help the bones heal?
Yes, applying a cast is a standard treatment for ankle fractures. The primary purpose of the cast is to immobilize the fractured area, which is crucial for the healing process. When the bones are kept still, they can align properly and begin to heal. The cast provides support and protection, preventing movement that could disrupt the healing process. Typically, the healing time for a fractured ankle can range from 6 to 12 weeks, depending on the severity of the fracture and the individual's overall health.

2. Is it normal to experience tingling, soreness, and bruising after an ankle fracture?
It is not uncommon to experience some discomfort, tingling, or a sensation of numbness in the affected area after an injury. The bruising you described, particularly the purple-black discoloration, is a typical response to trauma and indicates bleeding under the skin. This bruising can take time to resolve. However, if the tingling persists or worsens, it could indicate nerve involvement or other complications, and you should consult your doctor.

3. What additional care should I take besides limiting movement?
In addition to minimizing movement, here are some care tips to consider:
- Elevation: Keep your foot elevated above the level of your heart as much as possible to reduce swelling.

- Ice Therapy: Applying ice packs to the injured area for 15-20 minutes every few hours can help manage swelling and pain.

- Pain Management: Continue taking any prescribed medications as directed. If you experience increased pain, consult your doctor.

- Follow-Up Appointments: Ensure you attend all follow-up appointments with your healthcare provider to monitor the healing process. X-rays may be taken to assess the alignment and healing of the bones.

- Physical Therapy: Once your doctor gives the go-ahead, physical therapy may be beneficial to restore strength and mobility to your ankle. This is particularly important after the cast is removed.

4. Signs to Watch For:
While some discomfort is normal, be vigilant for signs of complications, such as:
- Increased pain or swelling that does not improve with rest and ice.

- Changes in skin color or temperature around the injury.

- Persistent numbness or tingling that does not resolve.

- Any signs of infection, such as fever, increased redness, or discharge from the injury site.

In conclusion, while a cast is an effective way to promote healing in a fractured ankle, it is essential to monitor your symptoms and follow your doctor's advice closely. If you have any concerns or if your symptoms change, do not hesitate to reach out to your healthcare provider for further evaluation. Wishing you a smooth recovery!
Best regards,
Doctor Q&A Teams

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