Can I walk on the ground?
I have had an ankle fracture (compound fracture) for 6 weeks, but the doctor said I can put weight on it without crutches.
However, I still feel swelling, and I can only bend the joint to 30 degrees.
Additionally, my ankle and the sole of my foot hurt when I put weight on them.
Is it still advisable to practice weight-bearing? Will putting too much pressure have any negative effects? I would like to request a medical certificate for the number of days I need to rest.
How should this duration be defined? I want to return to work only when I have fully recovered and can walk without pain.
Should I be the one to determine the number of days needed?
BILL, 20~29 year old female. Ask Date: 2005/11/15
Dr. Shi Guozheng reply Orthopedics
Six weeks after surgery for an open ankle fracture, patients can typically begin practicing weight-bearing activities, but this depends on the status of the fracture reduction post-surgery.
If the alignment is good, then it is certainly permissible; however, if the positioning is poor, it is advisable to follow the physician's instructions.
Swelling in the ankle is a common occurrence, and limited range of motion will gradually improve.
For recommendations on how much rest is needed, it is best to consult with the physician and assess personal recovery progress.
Generally, patients can return to work after approximately six to twelve weeks of rest.
Reply Date: 2005/11/15
More Info
After an ankle fracture, particularly an open fracture, the recovery process can be complex and varies significantly from person to person. It’s great to hear that you are six weeks into your recovery and have received clearance from your doctor to start bearing weight on your ankle without crutches. However, it’s important to listen to your body and proceed with caution, especially since you are still experiencing swelling and pain.
Understanding Your Symptoms
The swelling and pain you are experiencing are common after an ankle fracture. The body goes through a healing process that can involve inflammation, which is a natural response to injury. The fact that you can only bend your ankle to 30 degrees indicates that there may still be stiffness in the joint, which is also typical after immobilization. Pain during weight-bearing activities is a signal from your body that you may need to take it slow.
Can You Walk?
Yes, you can start practicing walking, but it should be done gradually. Begin with short distances and pay attention to how your ankle responds. If you experience significant pain or if the swelling worsens, it may be a sign that you are pushing too hard. It’s crucial to use supportive footwear and consider using a brace or wrap for additional stability as you transition to walking.
Impact of Hard Walking
Hard or forceful walking can potentially lead to setbacks in your recovery. It’s essential to avoid putting excessive pressure on your ankle until you feel more comfortable and your range of motion improves. If you feel pain while walking, it’s advisable to stop and rest. You might also want to incorporate gentle range-of-motion exercises to help improve flexibility without overloading the joint.
Recovery Timeline and Work Considerations
Regarding your request for a medical certificate for time off work, it’s important to define your recovery goals clearly. You mentioned wanting to return to work only when you can walk normally without pain. This is a reasonable approach, as returning to work too soon can lead to further injury or prolong your recovery.
Typically, recovery from an ankle fracture can take anywhere from 6 to 12 weeks, depending on the severity of the fracture and individual healing rates. Since you are already six weeks into your recovery, it may be beneficial to schedule a follow-up appointment with your doctor. They can assess your healing progress through an X-ray and provide a more tailored timeline for your return to work.
Recommendations for Recovery
1. Gradual Weight-Bearing: Start with partial weight-bearing and gradually increase as tolerated. Use crutches or a walker if necessary to avoid putting too much weight on your ankle.
2. Physical Therapy: Consider consulting a physical therapist who can guide you through specific exercises to improve strength, flexibility, and balance. They can also help you develop a personalized rehabilitation plan.
3. Pain Management: Use ice and elevation to manage swelling and pain. Over-the-counter pain relievers can also help, but consult your doctor before taking any medication.
4. Monitor Symptoms: Keep track of your pain levels and swelling. If you notice any significant changes, such as increased pain or swelling, contact your healthcare provider.
5. Follow-Up Appointments: Regular check-ups with your doctor are essential to monitor your healing progress and adjust your recovery plan as needed.
In conclusion, while you can start practicing walking, it’s crucial to do so carefully and listen to your body. If you have any doubts or if your symptoms persist, don’t hesitate to reach out to your healthcare provider for further guidance. Your health and safety should always come first in your recovery journey.
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