Do You Need Rehab After an Ankle Fracture? Exercises and Resources - Orthopedics

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After an ankle fracture, is it necessary to see a rehabilitation specialist?


Thank you, Dr.
Shih, for your response.
If possible, could you provide guidance on how to perform the ankle joint's up-and-down movements, as well as eversion, inversion, and rotational movements? Are there any online tutorials or medical websites where I can learn or practice these exercises? Thank you for your assistance.

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

Dr. Shi Guozheng reply Orthopedics


Dorsiflexion is the action of lifting the foot upwards, while plantar flexion is the action of pointing the foot downwards.
Inversion refers to the movement of the ankle inward with the sole facing up, whereas eversion refers to the movement of the ankle outward with the sole facing up.
Rotation involves lifting the ankle in a manner similar to the wrist, which can be described as rotation, or pronation and supination.
You can find images online for reference.

Reply Date: 2016/02/18

More Info


After an ankle fracture, rehabilitation is crucial for restoring function, strength, and range of motion. The recovery process typically involves several stages, and the specific exercises you can perform will depend on the severity of the fracture, the type of treatment you received (surgical or non-surgical), and your overall health. Here’s a comprehensive overview of the rehabilitation process, including exercises and resources.


Importance of Rehabilitation
Rehabilitation after an ankle fracture is essential for several reasons:
1. Restoration of Range of Motion: After immobilization, the ankle joint can become stiff. Rehabilitation helps regain flexibility and mobility.

2. Strengthening Muscles: The muscles around the ankle may weaken during the healing process. Strengthening exercises are necessary to restore muscle function.

3. Preventing Complications: Proper rehabilitation can help prevent complications such as chronic pain, instability, and re-injury.

4. Improving Balance and Coordination: Ankle injuries can affect your balance. Rehabilitation includes exercises to improve proprioception and coordination.


Rehabilitation Exercises
Once your doctor gives you the green light to start rehabilitation, you can begin with gentle exercises. Here’s a progression of exercises you can consider:
1. Range of Motion Exercises:
- Ankle Pumps: While sitting or lying down, flex and point your toes. This helps improve circulation and mobility.

- Alphabet Exercise: Write the alphabet in the air with your toes. This encourages movement in all directions.

2. Strengthening Exercises:
- Resistance Band Exercises: Use a resistance band to perform ankle dorsiflexion (pulling your toes towards you), plantarflexion (pointing your toes), inversion (turning your foot inward), and eversion (turning your foot outward).

- Heel Raises: Stand on the edge of a step and raise your heels. This strengthens the calf muscles.

3. Balance and Proprioception:
- Single-Leg Stands: Stand on one leg for as long as you can. This improves balance and stability.

- Balance Board Exercises: If available, use a balance board to challenge your stability.

4. Functional Exercises:
- Walking: Start with short distances and gradually increase as tolerated.

- Step-Ups: Step onto a low platform or step to improve strength and coordination.


Resources for Learning Exercises
There are several online resources where you can find instructional videos and detailed explanations of rehabilitation exercises:
1. YouTube: Search for channels dedicated to physical therapy or rehabilitation. Look for videos specifically addressing ankle rehabilitation.

2. Medical Websites: Websites like the American Academy of Orthopaedic Surgeons (AAOS) and the American Physical Therapy Association (APTA) often provide guidelines and resources for rehabilitation exercises.

3. Physical Therapy Apps: There are various apps available that offer guided exercises and rehabilitation programs tailored to your specific needs.


Consult a Professional
While online resources can be helpful, it’s essential to consult with a physical therapist or your healthcare provider before starting any rehabilitation program. They can provide a personalized rehabilitation plan based on your specific condition and monitor your progress.


Conclusion
Rehabilitation after an ankle fracture is vital for a successful recovery. By engaging in a structured rehabilitation program that includes range of motion, strengthening, and balance exercises, you can effectively restore function to your ankle. Utilize online resources for guidance, but always prioritize professional advice to ensure a safe and effective recovery process. Remember, patience and consistency are key to regaining full function and returning to your normal activities.

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