I still want to play basketball..?
Hello Dr.
Cheng,
I accidentally came across this website and have a question I would like to ask you.
Two years ago, I injured my right ankle while playing basketball.
Initially, I thought it was just a simple sprain, so I only applied ice for treatment.
However, for the past two years, I have consistently felt pain in my ankle.
I wanted to get a thorough examination, but the doctors I encountered only prescribed ointments or electrotherapy.
It wasn't until today, when I had an X-ray at Hsinchu Hospital in Beitou, that I discovered it was actually a fracture and not just a sprain, as the doctor explained.
There are two fragments in my ankle that need to be surgically removed.
The doctor also mentioned that I should avoid engaging in intense physical activities in the future.
Dr.
Cheng, is this true? I am only 25 years old.
Is there any way through rehabilitation or other methods that I can restore the strength of my ankle? I still want to play basketball.
Thank you for taking the time to read my question.
Tim
Tim, 20~29 year old female. Ask Date: 2002/05/21
Dr. Zheng Shunping reply Physical Fitness
Dear Tin,
Your issue is quite complex.
Whether surgery is necessary can be reconsidered.
If you live in Taipei, you can visit Dr.
Lai Jin-Hsin at the Rehabilitation Department of National Taiwan University Hospital, as he is an authority in this field.
I hope you can still play basketball.
Good luck!
Reply Date: 2002/05/21
More Info
After undergoing ankle surgery, particularly for a condition as serious as a fracture with loose fragments, it is understandable to have concerns about returning to basketball or any high-impact sport. The journey to recovery involves several stages, and it is crucial to approach it with caution and a well-structured rehabilitation plan.
Firstly, it is important to understand that after surgery, the primary goal is to allow the ankle to heal properly. This includes ensuring that the bones are aligned and that any fragments are removed, as your doctor has indicated. The healing process can take several weeks to months, depending on the severity of the injury and the individual’s overall health. During this time, you may experience pain, swelling, and limited mobility, which are normal post-surgical symptoms.
Once you have been cleared by your orthopedic surgeon to begin rehabilitation, it is essential to follow a structured program that focuses on restoring strength, flexibility, and stability to the ankle. This typically involves:
1. Physical Therapy: Engaging in physical therapy is crucial. A physical therapist can design a personalized rehabilitation program that includes exercises to strengthen the muscles around the ankle, improve range of motion, and enhance proprioception (the body’s ability to sense movement, action, and location).
2. Gradual Return to Activity: After the initial healing phase, you can start with low-impact activities such as swimming or cycling to maintain cardiovascular fitness without putting too much strain on the ankle. Gradually, you can introduce more weight-bearing exercises as tolerated.
3. Strength Training: Focus on strengthening the muscles of the lower leg, including the calves, tibialis anterior, and peroneals. This will help support the ankle joint and reduce the risk of re-injury. Resistance bands, ankle weights, and body-weight exercises can be beneficial.
4. Balance and Stability Exercises: Incorporating balance training, such as standing on one leg or using a balance board, can help improve stability and coordination, which are essential for sports like basketball.
5. Monitoring Pain and Swelling: It is crucial to listen to your body. If you experience increased pain or swelling during or after exercises, it may be a sign that you are pushing too hard. Adjust your activities accordingly and consult your healthcare provider if necessary.
6. Gradual Return to Basketball: Once you have regained sufficient strength and stability, you can begin to practice basketball-specific movements. Start with light drills that do not involve jumping or quick lateral movements. As your confidence and strength improve, you can gradually increase the intensity of your practice.
Regarding your concern about never being able to engage in high-impact sports again, it is essential to have an open dialogue with your orthopedic surgeon. While some doctors may advise against returning to certain activities due to the risk of re-injury, many athletes successfully return to their sports after proper rehabilitation. Your age and commitment to rehabilitation play significant roles in your recovery.
In summary, while it may be challenging to return to basketball after ankle surgery, it is not impossible. With a dedicated rehabilitation program, proper guidance from healthcare professionals, and a gradual approach to returning to play, you can work towards regaining your strength and confidence on the court. Always prioritize your health and consult with your medical team throughout your recovery process.
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