Do You Need Physical Therapy After an Ankle Fracture? - Orthopedics

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Is it necessary to see a rehabilitation specialist after an ankle fracture?


Hello, Doctor.
After my ankle fracture last November, the doctor said I can start rehabilitation now.
Should I do it myself? Is it unnecessary to see a rehabilitation specialist? The doctor mentioned that it's not necessary, but my ankle is still swollen, and I walk with a limp.
Is this normal? My mother keeps saying that it's better to see a rehabilitation specialist for therapy, but my husband thinks it's not necessary.
Is that correct? Do most people usually see a rehabilitation therapist? Could you please help me clarify my doubts? I'm worried that if I do the rehabilitation incorrectly, I might regret it, and I want to make sure I do it right while I still have time.
It's important for me to recover since I have to take care of my child and ride a motorcycle for work.
Thank you for your help, Doctor.

Zhao, 40~49 year old female. Ask Date: 2016/02/18

Dr. Shi Guozheng reply Orthopedics


Basically, you can perform up and down movements of the ankle joint on your own.
If possible, also do eversion and inversion movements, and finally, perform rotational movements.
You can walk afterward.
If your ankle swells after the exercises, you should elevate your foot.

Reply Date: 2016/02/18

More Info


After an ankle fracture, physical therapy can play a crucial role in your recovery process. It is understandable that you have concerns about whether to pursue rehabilitation on your own or seek professional help from a physical therapist. Let's break down the considerations involved in your situation.


Importance of Physical Therapy
1. Restoration of Function: After an ankle fracture, the primary goal of rehabilitation is to restore the range of motion, strength, and functionality of the ankle. Physical therapy can help you achieve these goals more effectively than self-directed rehabilitation alone.

2. Guidance and Expertise: A physical therapist has the training and experience to assess your specific condition and tailor a rehabilitation program that suits your needs. They can provide exercises that are safe and effective, ensuring that you do not overexert yourself or risk re-injury.

3. Monitoring Progress: Regular sessions with a physical therapist allow for ongoing assessment of your recovery. They can modify your rehabilitation program based on your progress, which is something that may be difficult to do on your own.

4. Pain Management: Physical therapists can employ various modalities to help manage pain and swelling, which can be beneficial in the early stages of recovery.


Self-Rehabilitation vs. Professional Help
While some individuals may feel comfortable rehabilitating on their own, it is generally advisable to consult a physical therapist, especially if you are experiencing difficulties such as limping or if your ankle feels unstable. Here are some points to consider:
- Self-Rehabilitation: If you choose to rehabilitate on your own, it is essential to follow a structured program that includes gentle range-of-motion exercises, strengthening exercises, and balance training. However, without professional guidance, you may inadvertently perform exercises that could hinder your recovery.

- Professional Rehabilitation: Many people opt to see a physical therapist after an injury. This is particularly beneficial if you have concerns about your recovery or if you are experiencing persistent pain or instability. A therapist can also provide education on how to safely return to activities such as riding a motorcycle or caring for your child.


Recommendations
1. Consult a Physical Therapist: Given your concerns about your ankle and the fact that you are experiencing a limp, it would be wise to consult a physical therapist. They can assess your condition and provide a personalized rehabilitation plan.

2. Follow Medical Advice: If your doctor has indicated that physical therapy is necessary, it is essential to follow that recommendation. They may have specific reasons for suggesting professional help based on your injury's severity and your recovery progress.

3. Be Proactive: If you feel that your recovery is not progressing as expected, do not hesitate to seek help. Early intervention can prevent long-term complications and ensure a smoother recovery.

4. Balance Your Responsibilities: As you mentioned, you have responsibilities such as caring for your child and returning to work. A physical therapist can help you develop a rehabilitation plan that accommodates your lifestyle and helps you regain mobility and strength efficiently.


Conclusion
In summary, while self-rehabilitation is possible, seeking professional help from a physical therapist is generally recommended after an ankle fracture. They can provide the necessary guidance, support, and tailored exercises to ensure a safe and effective recovery. Given your concerns about limping and the importance of regaining full function for your daily activities, consulting a physical therapist would be a prudent step in your recovery journey. Remember, investing in your rehabilitation now can lead to better long-term outcomes and a quicker return to your normal activities.

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