Post-Surgery Walking Guidelines: Can I Put Weight on My Foot? - Orthopedics

Share to:

Continuation of the issue with steel nails?


Dear Dr.
Zhou,
Thank you very much for your response! Regarding the part about not putting weight on the affected area, the surgeon informed me that I could start to bear weight and walk a little when I was discharged on August 19.
Therefore, my current activities in the dorm room involve some weight-bearing (a total of no more than one hour per day, including standing).
May I ask, is it acceptable to perform limited weight-bearing movements indoors (side-to-side movements) for short durations, or should it be completely avoided? If it is not advisable, considering that I have been bearing weight since August 30, two weeks post-surgery on August 16, will this affect my healing process? Thank you again for your assistance.

gt;o

Dr. Zhou Lizhi reply Orthopedics


The degree of fracture fragmentation and the strength of the fixation determine the healing process.
Generally, complete fracture healing requires 3 to 4 months, while initial healing takes about 1.5 to 2 months.
Therefore, if the fixation is stable, weight-bearing can be initiated, but during the early stages, it is advisable to maintain a weight distribution of 3:7 (affected limb: healthy limb).

Reply Date: 2010/09/16

More Info


After undergoing surgery, especially for conditions related to the foot, it is crucial to follow specific guidelines regarding weight-bearing activities to ensure proper healing and recovery. In your case, it seems you have had a surgical procedure that may involve the foot or ankle, and you are seeking clarification on whether you can put weight on your foot during your recovery phase.


Understanding Post-Surgery Weight Bearing
1. Weight-Bearing Status: The ability to put weight on your foot post-surgery largely depends on the type of surgery you had and the specific instructions given by your surgeon. Generally, there are three categories of weight-bearing status:
- Non-weight bearing (NWB): You should not put any weight on the affected foot. This is often the case immediately after surgeries involving significant repairs, such as ligament reconstructions or major fractures.

- Toe-touch weight bearing (TTWB): You can lightly touch your toes to the ground for balance but should not put any significant weight on the foot.

- Partial weight bearing (PWB): You can put some weight on the foot, but it is usually limited to a certain percentage of your body weight, often guided by the use of crutches or a walker.

- Full weight bearing (FWB): You can put your full weight on the foot as tolerated.

2. Importance of Following Guidelines: Adhering to your surgeon's recommendations is vital. If your surgeon advised against putting weight on your foot, doing so prematurely could lead to complications such as delayed healing, increased pain, or even re-injury. It is essential to understand that the healing process involves not just the physical repair of tissues but also the restoration of function, which can be compromised by premature weight bearing.


Your Current Situation
From your message, it appears that you have been advised to avoid putting weight on your foot initially, but you have started to do so based on your surgeon's later instructions. If your surgeon has indicated that you can begin to put some weight on your foot, it is likely that you are in a phase where gradual weight bearing is acceptable. However, if there is any confusion or if you have not received clear instructions, it is best to consult your surgeon or physical therapist for clarification.


Recommendations for Walking Post-Surgery
1. Gradual Progression: If you have been cleared to start putting weight on your foot, do so gradually. Begin with short periods of standing or walking, and pay attention to any pain or discomfort. If you experience significant pain, it may be a sign that you are overdoing it.

2. Use of Assistive Devices: If you are still in the early stages of recovery, using crutches, a walker, or a cane can help you maintain balance and reduce the load on your foot while you adjust to weight bearing.

3. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can provide you with exercises tailored to your recovery stage, helping to strengthen the muscles around the foot and improve your gait.

4. Monitoring Symptoms: Keep an eye on any swelling, pain, or changes in your foot's condition. If you notice any adverse symptoms, it is crucial to contact your healthcare provider.

5. Follow-Up Appointments: Attend all follow-up appointments with your surgeon to monitor your healing progress. They may perform imaging studies to assess the surgical site and determine if you can advance your weight-bearing status.


Conclusion
In summary, while it is understandable to want to return to normal activities post-surgery, it is essential to follow your surgeon's guidelines regarding weight bearing. If you have been advised that you can start to put weight on your foot, do so cautiously and gradually. Always prioritize communication with your healthcare team to ensure a safe and effective recovery process.

Similar Q&A

Walking After Fifth Metatarsal Fracture Surgery: What You Need to Know

I suffered a fracture of the fifth metatarsal in my right foot due to a car accident and underwent surgery to insert screws. It has been six weeks since the operation, and I have already had the splint removed. I am currently using a liquid-filled cane to walk. Doctor, can I star...


Dr. Chen Bochen reply Orthopedics
Hello Kevin, Actually, I would need to see your recent X-ray to provide you with a more accurate answer. However, on average, you can start bearing weight on your fifth metatarsal fracture about six weeks after surgery. It is important to wear hard-soled shoes; boots, thick-sol...

[Read More] Walking After Fifth Metatarsal Fracture Surgery: What You Need to Know


How Soon After Fifth Metatarsal Surgery Can You Walk Safely?

Hello Doctor: I would like to inquire about my surgery on February 10, during which a metal plate was inserted. I had a follow-up appointment on February 22, and my recovery is progressing well. My attending physician informed me that I can use a wearable inflatable rehabilitatio...


Dr. Wang Jiacheng reply Orthopedics
After surgery, the joints can be mobilized to prevent adhesions, but it is not necessary to bear weight on them. If the fracture has not yet healed, walking and applying weight may lead to displacement.

[Read More] How Soon After Fifth Metatarsal Surgery Can You Walk Safely?


Weight-Bearing Walking Training After Metatarsal Fracture: Guidelines and Tips

Three weeks ago, I fell and sustained closed fractures of the first, second, and third metatarsals in my left foot. The third metatarsal has a slight displacement, but the doctor said it was minor and only required external fixation. Yesterday, during my follow-up appointment, th...


Dr. Shi Guozheng reply Orthopedics
Metatarsal fractures typically heal within two months, so the doctor has advised you to return for a follow-up appointment to remove the cast at that time. As for the appropriate amount of weight to apply, it depends on whether you experience pain when putting weight on your foot...

[Read More] Weight-Bearing Walking Training After Metatarsal Fracture: Guidelines and Tips


Should You Use Ankle Braces After Ankle Fracture Surgery?

Hello, I have a closed fracture of the left ankle. On February 5th, I underwent surgery with self-funded plates and bone grafting. I had my stitches removed yesterday, and the doctor said I could gently place weight on my foot based on my pain tolerance. If it's manageable, ...


Dr. Shi Guozheng reply Orthopedics
If the bone fracture is well-reduced and securely fixed, it is possible to avoid using a brace. However, when putting weight on the leg, only partial weight should be applied, not exceeding half of the body weight. Gradually attempt to bear weight. After six to twelve weeks, it s...

[Read More] Should You Use Ankle Braces After Ankle Fracture Surgery?


Related FAQ

Foot

(Orthopedics)

Post-Tibial Fracture Surgery

(Orthopedics)

Post-Knee Surgery

(Orthopedics)

Leg

(Surgery)

Metatarsal Fracture

(Orthopedics)

Toes

(Surgery)

Feet

(Neurosurgery)

Post-Clavicle Fracture Surgery

(Orthopedics)

Post-Ankle Ligament Surgery

(Orthopedics)

Leg Fracture

(Orthopedics)