1. ANKLE FRACTURES
2. ANKLE SPRAINS, LIGAMENT INJURIES AND SPRAINS
3. INFECTIONS AROUND FOOT AND ANKLE
4. DIABETIC FOOT AND ANKLE PROBLEMS
5. DEFORMITIES – FLAT FOOT, HIGH ARCHED FOOT, CONGENITAL FOOT PROBLEMS,
6. TENDON DISORDERS AND TEARS
7. SPORTS INJURIES
THESE INJURIES NEED TO BE TREATED BY SPECIALIST DOCTOR WHO WAS TRAINED IN FOOT AND ANKLE SURGERY . DR. ADITYA HAVE BEEN A MEMBER OF INDIAN FOOT AND ANKE SOCIETY AND HAVE ALSO BEEN TRAINED IN THESE CONDITIONS.
Ankle fracture – aftercare
An ankle fracture is a break in 1 or more ankle bones. These fractures may:
- Be partial (the bone is only partially cracked, not all the way through)
- Be complete (the bone is broken through and is in 2 parts)
- Occur on one or both sides of the ankle
- Occur where the ligament was injured or torn
More About Your Injury
Some ankle fractures may require surgery when:
- The ends of the bone are out of line with each other (displaced).
- The fracture extends into the ankle joint (intra-articular fracture).
- Tendons or ligaments (tissues that hold muscles and bones together) are torn.
- Your provider thinks your bones may not heal properly without surgery.
- Your provider thinks that surgery can allow faster and more reliable healing.
- In children, the fracture involves the part of the ankle bone where bone is growing.
- When surgery is needed, it may require metal pins, screws, or plates to hold the bones in place as the fracture heals. The hardware may be temporary or permanent.
What to Expect
You may be referred to an orthopedic (bone) doctor. Until that visit:
- You will need to keep your cast or splint on at all times and keep your foot raised as much as possible.
- Do not put any weight on your injured ankle or try to walk on it.
Without surgery, your ankle will be placed in a cast or splint for 4 to 8 weeks. The length of time you must wear a cast or splint depends on the type of fracture you have.
Your cast or splint may be changed more than once, as your swelling goes down. In most cases, you will not be allowed to bear weight on your injured ankle at first.
At some point, you will use a special walking boot as the healing progresses.
To reduce pain and swelling:
- Sit with your foot elevated higher than your knee at least 4 times a day
- Apply an ice pack 20 minutes of every hour, you are awake, for the first 2 days
- After 2 days, use the ice pack for 10 to 20 minutes, 3 times a day as needed
For pain, you can use ibuprofen (Advil, Motrin, and others) or naproxen (Aleve, Naprosyn, and others). You can buy these medicines without a prescription.
- Not use these medicines for the first 24 hours after your injury. They may increase the risk of bleeding.
- Talk with your provider before using these medicines if you have heart disease, high blood pressure, kidney disease, or have had stomach ulcers or internal bleeding in the past.
- Not take more than the amount recommended on the bottle or more than your provider advises you to take.
- Not give aspirin to children.
- Check with your provider about taking anti-inflammatory medicines like Ibuprofen or Naprosyn after fracture. Sometimes, they will not want you to take the medicines as it can affect healing.
Acetaminophen (Tylenol and others) is a pain medicine that is safe for most people. If you have liver disease, ask your provider if this medicine is safe for you.
You may need prescription pain medicines (opioids or narcotics) to keep your pain under control at first.
Your provider will tell you when it is OK to place any weight on your injured ankle. Most of the time, this will be at least 6 to 10 weeks. Putting weight on your ankle too soon may mean the bones do not heal properly.
You may need to have your duties at work changed if your job requires walking, standing, or climbing stairs.
At a certain point, you will be switched to a weight-bearing cast or splint. This will allow you to start walking.
When you start walking again:
- Your muscles will likely be weaker and smaller, and your foot will feel stiff.
- You will begin learning exercises to help you rebuild your strength.
- You may be referred to a physical therapist to help with this process.
- You will need to have full strength in your calf muscle and full range of motion back in your ankle before returning to sports or work activities.
Your provider may do x-rays periodically after your injury to see how your ankle is healing.
Your provider will let you know when you can return to regular activities and sports. Most people need at least 6 to 10 weeks to fully heal.
- When to Call the Doctor
Call your provider if:
Your cast or splint is damaged.
- Your cast or splint is too loose or too tight.
- You have severe pain.
- Your foot or leg is swollen above or below your cast or splint.
- You have numbness, tingling, or coldness in your foot, or your toes look dark.
- You cannot move your toes.
- You have increased swelling in your calf and foot.
- You have shortness of breath or difficulty breathing.
- Also call your provider if you have questions about your injury or your recovery.
Ankle pain involves any discomfort in one or both ankles.
Ankle pain is often due to an ankle sprain.
- As ankle sprain is an injury to the ligaments, which connect bones to one another.
- In most cases, the ankle is twisted inward, causing small tears in the ligaments.
- The tearing leads to swelling and bruising, making it difficult to bear weight on the joint.
- In addition to ankle sprains, ankle pain can be caused by:
- Damage or swelling of tendons (which join muscles to bone) or cartilage (which cushions joints)
- Osteoarthritis, rheumatoid arthritis and other types of arthritis
- Problems in areas near the ankle that can cause you to feel pain in the ankle include:
- Blockage of blood vessels in the leg
- Heel pain or injuries
- Tendonitis around the ankle joint
- Nerve injuries (such as tarsal tunnel syndrome or sciatica)
You may have to get the xrays done and also you may have to undergo full blood panel and all your medical conditions needs to checked
Treatment can range from simple medication , insoles and modifying foot wear and surgery even in rare cases