Rehabilitation for Fibula Fracture
Hello Dr.
Li, I would like to ask about my right distal fibula fracture (with a crack) that has been 3 months since the injury.
A few days ago, I had my cast removed, and the doctor said that I should use crutches for assistance while walking for the next month.
I would like to know what exercises I can do at home for rehabilitation.
Mr. Chen, 10~19 year old female. Ask Date: 2013/06/16
Dr. Li Weiqiang reply Rehabilitation
Dear Mr.
Chen,
Do you feel stiffness after the cast was removed from your distal fibula fracture near the ankle joint on your right foot? You can soak it in warm water (around 40 degrees Celsius for 20 minutes) and try to move your ankle as much as possible.
You may use crutches to walk, but please avoid full weight-bearing on your right foot for now and gradually increase strength.
If you have any questions, feel free to consult again.
Wishing you safety and health,
Director of the Rehabilitation Department, Taoyuan General Hospital, Health Department
Li Wei-Chiang
Reply Date: 2013/06/16
More Info
Recovering from a fibula fracture, especially after having a cast removed, is a crucial phase in your rehabilitation journey. It's great to hear that you are eager to start your home rehabilitation exercises. However, it's essential to approach this process carefully and progressively to ensure proper healing and avoid complications.
Understanding Your Condition
A fibula fracture, particularly a distal fibula fracture, can vary in severity. Since you mentioned that you have a crack and have recently had your cast removed, your doctor has likely assessed that the bone is healing well enough to begin weight-bearing activities with the assistance of crutches. This is a positive sign, but it also means that you need to be cautious as you transition back to normal activities.
Home Rehabilitation Exercises
Here are some effective home rehabilitation exercises you can consider, but remember to consult with your healthcare provider or physical therapist before starting any new exercise regimen:
1. Ankle Pumps: While sitting or lying down, flex your foot up and down. This exercise helps improve circulation and keeps the ankle joint mobile. Aim for 10-15 repetitions, several times a day.
2. Toe Taps: While seated, keep your heel on the ground and lift your toes up and down. This movement helps strengthen the muscles around your ankle and improve flexibility.
3. Heel Slides: While lying on your back, slide your heel towards your buttocks and then back to the starting position. This exercise helps regain range of motion in your knee and ankle.
4. Towel Stretch: Sit with your legs extended in front of you. Use a towel to gently pull your toes towards you while keeping your knee straight. Hold for 15-30 seconds. This stretch can help improve flexibility in your calf muscles.
5. Balance Exercises: Once you feel comfortable bearing weight, try standing on one leg (the uninjured leg) for 10-30 seconds. You can progress to standing on the injured leg with support from a wall or chair. This will help improve your balance and stability.
6. Resistance Band Exercises: If you have access to resistance bands, you can perform ankle dorsiflexion (pulling your toes towards you), plantarflexion (pointing your toes), inversion (turning your foot inward), and eversion (turning your foot outward). These exercises will strengthen the muscles around your ankle.
7. Walking: As you gain confidence and strength, practice walking with your crutches. Gradually increase the distance as tolerated. Pay attention to any pain or discomfort and adjust accordingly.
Important Considerations
- Pain Management: It's normal to experience some discomfort as you start moving your ankle and foot. However, sharp pain or significant swelling should be reported to your healthcare provider.
- Progression: Start slowly and gradually increase the intensity and duration of your exercises. Listen to your body and do not push through severe pain.
- Consultation: Regular follow-ups with your healthcare provider or physical therapist are essential to monitor your progress and make necessary adjustments to your rehabilitation plan.
- Weight-Bearing: Follow your doctor's advice regarding weight-bearing activities. If they recommend using crutches for a month, ensure you adhere to this guideline to avoid putting too much stress on the healing bone.
Conclusion
Home rehabilitation after a fibula fracture is a vital step towards regaining full function and mobility. By incorporating these exercises into your daily routine and maintaining open communication with your healthcare team, you can optimize your recovery process. Remember, patience and consistency are key in rehabilitation, and it's essential to allow your body the time it needs to heal properly.
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