Do You Really Need Rehab After an Ankle Fracture?

Is rehabilitation necessary for an ankle fracture?

Hello doctor, I fractured both of my legs on December 29th.
On the 30th, I underwent surgery for a displaced fracture of the right ankle and a fracture of both the medial and lateral malleolus of the left ankle.
I started walking slowly around the 6th week, and now in the 8th week, I can walk slowly without crutches, but I still have difficulties at certain angles.
My family says that I don't need rehabilitation and that I will heal on my own.
Is that true? If I don't undergo rehabilitation, will there be any consequences?

01, 10~19 year old female. Ask Date: 2016/02/24

Dr. Xu Yongnan reply Rehabilitation

Need

Reply Date: 2016/02/24

More Info

After an ankle fracture, rehabilitation is a crucial part of the recovery process. While it may seem tempting to rely solely on time for healing, engaging in a structured rehabilitation program can significantly enhance your recovery and help prevent long-term complications.

1. Importance of Rehabilitation: Rehabilitation after an ankle fracture is essential for several reasons. First, it helps restore range of motion, strength, and function to the affected ankle. After being immobilized for a period, the surrounding muscles and ligaments can become weak and stiff. Rehabilitation exercises are designed to gradually increase flexibility and strength, which is vital for regaining normal function.

2. Potential Consequences of Skipping Rehab: If you choose not to participate in rehabilitation, you may face several potential issues:
- Stiffness and Reduced Range of Motion: Without proper stretching and mobility exercises, your ankle may remain stiff, limiting your ability to perform daily activities and participate in sports.

- Weakness: Muscles around the ankle can weaken due to disuse. This weakness can lead to instability, making you more susceptible to future injuries.

- Chronic Pain: Some individuals may experience ongoing pain or discomfort if the ankle does not heal properly. Rehabilitation can help address these issues early on.

- Long-term Complications: In some cases, inadequate rehabilitation can lead to chronic conditions such as post-traumatic arthritis, which can develop years after the initial injury.

3. Rehabilitation Components: A comprehensive rehabilitation program typically includes:
- Range of Motion Exercises: These exercises help restore flexibility in the ankle joint. They can include gentle ankle circles, toe raises, and stretching.

- Strengthening Exercises: Once you have regained some range of motion, strengthening exercises can help rebuild muscle around the ankle. This may involve resistance bands or body-weight exercises.

- Balance and Proprioception Training: This is crucial for preventing future injuries. Exercises may include standing on one leg or using a balance board.

- Functional Training: As you progress, your rehab may include activities that mimic daily tasks or sports-specific movements to prepare you for a return to normal activities.

4. Consulting a Professional: It is highly recommended to consult with a physical therapist or rehabilitation specialist. They can assess your specific situation, guide you through appropriate exercises, and monitor your progress. They can also modify your rehabilitation program based on how your ankle is healing.

5. Self-Management: While your family may suggest that you can heal without rehab, it is important to understand that self-management alone may not be sufficient. Engaging in a structured program can provide you with the tools and knowledge to ensure a full recovery.

In conclusion, while it may be possible to recover from an ankle fracture without formal rehabilitation, doing so significantly increases the risk of complications and may prolong your recovery. A well-structured rehabilitation program is vital for restoring function, preventing future injuries, and ensuring that you can return to your normal activities with confidence. Therefore, it is advisable to prioritize rehabilitation as part of your recovery journey.

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