Just released to start weight bearing after ankle surgery, Referred to PT but they are 3 weeks out.

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7 weeks after ORIF surgery on my Left ankle, my Dr. released me to start weight bearing  with the Cam boot.  He referred me to a PT, which they are booked out for almost 3 weeks.  Does anyone know if I start at 25% weight bearing with crutches how many hours a day you are suppose to work on this? My Dr. does not seem to have a straight answer and said to work with PT.  I really don't want to wait 3 weeks what can I start to do now?

Thank you.

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  • Posted

    Hi,

    Did your Dr tell you how much weight you can put on your leg and do you have much pain?

    I was given a boot at my 6 weeks appointment and said I can weight bear as much I can tolerate it. I dint have much pain at that point but only when overdo walking. When the dr referred to physio, The next available appointment at my nearest hospital was after 6 weeks and I didn't want to wait so long. I asked them if I can have it any where else and was fortunate to get it in another hospital in the county for 3 days later. A bit far to travel every week but it's worth it. First week the physiotherapist will see how you can walk and assess your pain etc by asking you to move your feet side ways and front and back towards you. I couldn't do much at that point but every session there is change. Was given light exercises to do like moving the feet front and back and to sides. Was told not to overdo if painful and only try slowly. And also try this while in the bath.

    I suggest you call the physio department and request them to see if anything available sooner else where. You can also check with your GP if she can refer you as I started another physio for my back with GP referral at a local clinic but for this I had to wait 6 weeks.

    Good luck

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    • Posted

      Thank you for the great advice, I just received a email back from Dr. and he said full weight bearing in boot.

      I tried but hurt like heck mostly on the inside ankle bone, area of incision.  I have a knee scooter as well and will use it and crutches.  Today I am 8weeks since the break, 6 weeks since surgery.  I was so excited for summer now i can't wait for it to be over then I know I will be walking more. LOL

      Thank you for the time and frame as how much you started walking. Glad to see the progress you are having. thank you encouragement!

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  • Posted

    Regarding how much time you can walk depends on you how you can cope. I use a knee scooter at home. Initially I started with 5 to 10 mins at a time 3 times a day as I had lots of swelling. Now at 10 weeks + I can walk in the boot for long when I go out with crutches. At home I can walk with limping with boot and no crutches. I am now practicing bear foot with crutches.

    Suggest you start slowly and donot rush. Take it easy and increase slowly if you are not in much pain. Happy walking😊

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  • Posted

    In you tube there are the same rehab exercises u will get there . My dr said he will write a prescription for rehab but he will show me what to do. (Ie the ones in you tube). I am still going to go to a physical therapist but you tube helps to show how to do it if you don't have a rehab available and need to start. They are easy and you can't mess up. Your body tells you when to stop. Good luck!

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    • Posted

      Thank you Christina,

      I have been looking at you tube alot of the videos seem older. I will try some of them.

      Thanks for taking the time to answer smile 

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  • Posted

    Hi - Not where you are yet . Go for first follow up appointment 8-9-17 after ankle surgery on 7-27-17. Broken my ankle on 7-17 -17.

    Wish you a smooth transition to walking

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    • Posted

      Thank you Susan, I found this site to late, it is nice to chat with others that have or are going through it so many posts on internet are old posts.  I had a trimalleour break ( never broke anything before) i broke my ankle on 6-3-2017 had to wait 10 days before surgery. Had surgery on 6-14-17 in cast, then on 6-27-17 cast came off and stitches out. They put me in a boot at that time. Just went in 7-27-17 for 6week check up and was given the ok to weight bearing.  If you get to a point with questions ask away! I had so many little ones.  Keep strong and keep us posted!

      Thank you Dawnette

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  • Posted

    Greetings Dawnette,

    Looks like you are getting some good advice here. I thought I would chime in with my thoughts.

    After a bimalleolar fracture and sprain in right ankle, my orthopedist instructed me to start partial weight bearing (PWB) at 6 weeks. He explicitly stated 50% PWB to start (think of it this way-- if you stand evenly on both feet then each foot is supporting 50% of your total body weight).

    Crutches or a walker are indispensable tools to getting PWB right. You simply have to estimate how much weight to put on that foot when you are moving around in crutches. It is important to get some gravity/weight pressure on injured foot to complete the bone healing process (but not so much that you might cause too much harm/pain, but the CAM boot will protect ankle in any case).

    Two weeks later my doctor advanced me to 100% weight bearing (still in airboot/moonboot/CAM boot of course).

    If you don't have a shoe on your good foot that matches the height of CAM boot you should buy some 'even-up' attachments for that shoe. Imbalances in leg height while you are ambulating in CAM boot can lead to pain in other joints like hips and knees.

    Physiotherapy is absolutely essential to a complete and speedy recovery from ankle injuries. A good professional PT working for your benefit is a real plus in recovery (though some patients like me are DIY- internet and YouTube are goldmines of info). But there are a lot of ROM (range of motion) and strengthening ankle exercises you can do on your own that will give you a leg up (pardon pun) in your recovery. Your doctor should have already put you on those exercises as soon as bones were mending and as pain allowed.

    There are lots of other supplemental treatment modalities that others have used with some success to complement PT. These include fascia work, massage, and infrared/red light therapy.

    I would call up your physician or his/her assistant and ask for explicit instructions on how much weight bearing you need to start with, and what ankle exercises you can do now while waiting for a PT appointment.

    You are fortunate to have our real world experience (on this forum) as guideposts on the way to recovery. Many of us had to learn these facts the hard way.

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    • Posted

      Thank you for that!

      I had a trimalleour and sprained and very bruised right leg and ankle they thought I broke that as well, luckly it was not.  My doctor just sent me a email ok to start full weight bearing.  When I step has much as I could I had alot of pain on the inside ankle area of the bone.  

      I found this site to late in my recovery, I was reading all these older posts and I know every few years things advance so thank you for taking the time to answer my questions.  I will look up those even up shoes.  My lower back and right knee just started bothering me a lot in the past 2 weeks.

      Are you all healed up and walking good now?

      Again thank you,

      Dawnette

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    • Posted

      Dawnette,

      Thanks for inquiring about my condition. At about 6 months on from my injury I am doing really quite well. I was walking good almost pain- and swelling-free and without a noticeable limp at about 9 weeks mark, and am now about 80% back to pre-accident ankle function. My goal is to have a healthier and stronger ankle than before the injury.

      My biggest obstacle was dealing with PTTD (post tibial tendon dysfuntion)-- a consequence of my injuries. All the other soft tissue bounced back surprising well- ligaments, muscles, etc., but my post tibial tendon was badly traumatized (basically stretched beyond limits) in my accident. Post tibial tendon is vital, vital to normal ankle function and biomechanics of walking.

      Take careful note that soft tissue trauma can be the limiting factor to recovering ankle function in many, if not most, ankle patients. Hence the importance of a disciplined rehab program to rebuild and rejuvenate damaged soft tissue in and around ankle joint. Based on what I've read here, some patients unknowingly neglect this essential recovery step and subsequently their ankles never heal properly. So then you see that they need one, two, or even more remedial surgeries on ligaments or tendons. Very sadly, sometimes they never get a good functioning ankle back despite surgeries.

      Good luck to you. Do fight for your mobility and get your life back. If life is a game, then now is a time to score that big goal on life's field.

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    • Posted

      Hi kpower

      I had surgery 7-27-17

      Out of hospital 7-30-27. Go back to the Doctor 8-9-17. Every day I am getting closer to walking.

      So uplifting to hear your positive story. Glad you doing so good

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    • Posted

      More people should read your posts and replys.  You seem like a amazing person with a strong will!

      Great advice and I will take it. Glad your pain and swelling is getting better sounds like you had a bad accident.

      Thank you again,

      Sincerely Dawnette

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    • Posted

      Dawnette,

      Thanks for your kind thoughts.

      It sounds like you are well on your way to a complete recovery, backed by good information. Information is power.

      We have all been through probably one of the toughest, if not the toughest, challenges life will throw our way. As many patients know, early on in this experience you have to deal with dread of what comes next-- fears of what could happen (one's imagination can be non-positive some times).

      A strong will coupled with positive energy will help most patients power through the worst and come out on top.

      Again, information helps dispel dread and enables you to make the right decisions in your recovery.

      Again, good luck to you and I hope to see one of your posts here in the not-too-distant future with you reporting in glowing terms about how well your ankle healed.

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  • Posted

    Update..I finally was able to get into the PT last Weds. which was 9 weeks post op.

    She gave me some stretches and we worked on walking in the boot with a cane.

    Getting around with the cane pretty good slow. The muscle/tendon around the ankle is very tight on the outside and hard to stretch. It is nerve racking I feel pain on outside ankle like its going to snap, but that could just be a mental block.  The thing that hurts the most is the lower back, I did take suggestion to get the even up shoe and it has helped a lot. I went and got a massage and they massaged the bad ankle and it felt wonderful on all the tight muscles and some build up of scar tissue, it is recommended to have this done.

    My next appointment is Weds.23rd So we will see what this will bring. Today is 11 weeks since I broke it, 9 1/2 weeks since surgery.  i feel like there is a light at the end of some tunnel. thank you all who replied with great answers and suggestions. 

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  • Posted

    4weeks since op and I had my cast taken off today and transitioned to the boot. I'm still not wb but will start physical therapy Wednesday . I'm not sure on what to suspect from physical therapy, can anyone help. My ankle is a little stiff but I was able to get it in the boot flush. Dr told that since my foot is flush in boot the therapy not going to be to bad . Anyone feel to elaborate 

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