Is My Ankle Broken - Diagnosis and Treatment Options

[@karlagijan954]

I had broke my ankle last May 15,2020. Searching videos in youtube, this is the best ive ever seen. Informative and now i understand well more my condition, bimalleolar ankle fracture. Until now i havent undergone surgery and continue to follow check ups in the orthopedics. Thank you doc, this helps.

[@TalkingWithDocs]

Hi Karla. Thanks so much for the kind words. Best of luck to you in the rest of your recovery. Thanks for watching and subscribing if you did.

[@christinericci6473]

Hi, may I ask you how long it took to rehab your ankle? I didn't have surgery; (fractures below ankle joint) - cast and boot 9 weeks. Started PT at home 2 weeks ago and my ankle's not doing well. How long did you have to rehab it before you could go without a boot or brace for support? (p.s. I'm not able to tolerate crutches).

[@ChristianRosachammyjoy]

@@christinericci6473 how are you now? I didn't choose surgery too. I'm on cast.

[@user-wb2yv7ll9d]

Hey Karla, hope you're doing great. Any update?

[@cys9429]

What excellent videos! Wish I had seen them soon after I broke my ankle in Dec. In retrospect, I think I had poor medical care with my ortho P. A. and now I have some complications. There is now displacement in the distal fibula, I still have pain and swelling, and possibly facing a non-union fracture. My CT scan report looks nothing like the “everything looks good” “you won’t have arthritis or need surgery” he gave me on my last appt. I feel as tho I’m starting over and wasted all that time. The videos are a great learning tool. Thanks for posting!

[@TalkingWithDocs]

Hi Cy S. We are sorry to hear that things are not going as well as you had hoped. Certainly when you break a bone around a joint there can be long term issues that relate to how the bone has healed as well as due to the severity of the original injury. A non union of the fibula is very rare but not unheard of. If you are uncertain of the quality of the care you received, a second opinion can often be helpful. Good luck and thanks for the positive feedback! Spread the word

[@Carpendiem1984]

Talking With Docs wonderful info

[@rleonaf]

yes same thing with me some of these Drs are trash and only there for the check want to spend less time and send their MA or PA to do the dirty work they don’t want to do i hope it worked out i just broke my ankle 4 weeks ago and i’m questioning this orthopedic i went to as well maybe getting a second opinion they just threw any boot on my leg and it’s not fitting like i think it should

[@nologic_sprtn733]

I got myself a long oblique distal fibula fracture while skateboarding in a skate park for the first time on the 7th of June. Surgery was on June 12 (a plate and 10 screws out of which 2 are syndesmosis screws) and my post op is tomorrow (June 25). I’ve been wearing a moon boot and taking meds, pain pretty much went away on day 3. Hoping to not get a cast but that’s inevitable. These videos are really just a great way to inform patients of what to expect and can provide lots of comfort to many. Huge thanks

[@TalkingWithDocs]

Hi NoLogic_SPRTN. So if you had surgery, you may not need an actual cast. We often treat our operative and non operative patients with aircast type boots. They are as good as a cast. Hope that helps. Thanks so much for the kind words and for watching. Best of luck!

[@nologic_sprtn733]

Hey, @@TalkingWithDocs. I ended up keeping the boot, I'll have it for another 4 weeks. I was really surprised but relieved that I won't be in a cast. Thanks :)

[@carmenlund]

Unfortunately I have had a hip replacement and an ankle fracture within within the pas 6 mnths, I listen to your videos on both my ussyes ad fiybd tiyr oresebtatuibs si enlightening but also humorous. They remind me of the Car Talk guys. One definitely needs and appreciates humor when they are experiecing health challanges. Thank you for very helpful advice.

[@TalkingWithDocs]

Thanks so much Carmen. Sorry to hear you are having a difficult year but glad we can help in any small way. Thanks for watching and subscribing if you did.

[@PriyankaJainsite]

Thanks from India. I m into 5th week of my ankle Fracture and got cast removed n dealing with swelling n pain. Useful information.

[@justabhiishek]

how much time it take to walk properly?

[@meletx6533]

Excellent information that my ER and orthopedic doctors did not give me. Thankful you provided this.

[@TalkingWithDocs]

Very welcome. Thanks for watching and subscribing

[@jackielyons8684]

This is great! I'm 35 weeks pregnant and just broke my ankle slipping down the stairs! I'd love to see more content on how to manage daily life post ankle break diagnosis (I'm in a boot non-weight baring for 6 weeks then might still need to operate post delivering bub). Thaanks!

[@TalkingWithDocs]

Hi Jackie. Usually once the bone has healed it will be lots of physio for you between taking care of the baby. Best of luck to you. Thanks for watching.

[@uhu69]

Just broke/dislocated my ankle today after an unleashed dog attack while on my bicycle. I just wanted to thank you for your video. It really helped me to understand what I can expect. Your videos and knowledge are amazing.

[@TalkingWithDocs]

Alex hope you have a speedy recovery. Glad we can help in any way. Thanks for watching and subscribing

[@tracileigh3873]

I had a trimalleolar fracture in December.... I don't do anything half way! Thanks for the helpful videos!

[@TalkingWithDocs]

Hi T L. Glad that you enjoyed the videos. Hope the recovery is going well.

[@anibor_wack_a_troll]

I have a trimalleolar as well. Mine happened in February. I have a syndesmosis injury too, and I hope your walking well in recovery.

[@tracileigh3873]

Hi, RP! Oh gosh, I am so sorry! I feel your pain. :( You must be close to being on your feet...maybe in a boot? There is light at the end of the tunnel! I’ve now kicked the boot to the curb and am walking on my own. Ankle Is still wonky, but I can walk. Lol I remember just wanting to reach out to people in my same situation. Basically, I wanted them to tell me that they were walking. I wish you a quick recovery and that you’ll be back to your regular activities soon! :)

[@beyming4507]

Thank you so much for this informative session.

[@TalkingWithDocs]

Hi Bey Ming. You are very welcome. So glad we could help. Thanks for watching.

[@LuminairPrime]

I'm watching orthopedic lectures on KZbin, and it seems that surgeons are migrating from syndesmosis screw fixation to tether fixation. There seems to be an understanding that screw fixation: 1) gives the surgeon a higher chance of malreduction, and 2) gives the patient reduced dorsiflexion. Furthermore, my perception is that there seems to be an unspoken hope among surgeons that their syndesmosis screws will break within the joint after ligament healing, thus restoring ankle flexibility without needing removal. (However, I have not seen a discussion about complications of this, for example how a headless screw might get in a surgeon's way if that area was reinjured.) My question: if we formalized the unofficial understanding of syndesmosis screw fixation, would it still be an ethical procedure when a tether is available instead? In other words: is it ethical to use something which you know works worse, and which you hope will break at the right time to work better?

[@TalkingWithDocs]

So there have been studies looking at the broken hardware. One published by Dr Weening and it did not affect outcome. There is a trend toward the tether but as far as we know it has not been shown to be superior yet but maybe someday

[@ashutoshsrivastava2877]

Thank you Doctors. I underwent a syndesmotic screw removal surgery post 8 weeks of ORIF of my right ankle. Now I am not sure whether I should start walking on my ankle putting full weight or I should walk putting partial weight with the help of elbow crutches. Please guide the way forward to progress towards normal walking.

[@TalkingWithDocs]

Hi Ashutosh. The best plan would be to discuss this with your surgeon who is most familiar with your injury and your healing thus far. Typically you would start full weightbearing around this time but all surgeons are a little different. Hope that helps.

[@josephkurian]

Hi Ashutosh, how you are feeling now? Did you recover fully and back to normal walk? BTW, what type of fracture you had? I had a bimalleolar fracture 3 weeks ago, ORIF done. I am very scared of my recovery after reading lots of blogs and articles.

[@BP-uq7jd]

Had a tib/fib fracture almost 3 years ago. Been dealing with pain and lack of movement and swelling in my ankle. Had rod taken out of my leg but it didn’t help. Got a second opinion now having surgery to remove my plate and 10 screws and also a anteromedial capsulotomy to hopefully help with my ankle movement. Crossing my fingers it all helps. Loved the video and the info

[@TalkingWithDocs]

Hi Brian. Sorry to hear about the long tough road. Hopefully removing the rest of the hardware helps. It is always hard to say as some of the issues may be related to the actual injury. Best of luck. Glad you like the videos. Sorry for the delayed response. Thanks for watching and subscribing if you did.

[@TwoGunz2008]

I am in week 2 of my pilon fracture after my operation. Still got ages to go yipeee :( lol. Keep up the videos guys there great!! And I wish everyone else with broken boans with months of lovely annoying healing time a fast recovery :D

[@claudiusmaximus319]

have you recovered yet?

[@robs1714]

Did the same, tibial plafond with dislocation … two syndesmotic screws coming out and medial malleolus screws coming out too

[@jade8245]

You are awesome for making these videos. So clear, just had surgery and these videos are great

[@TalkingWithDocs]

Hi Jade F. Sorry for the delayed response but thanks for your kind words and you are very welcome! Hope your recovery is going well. Thanks for watching and subscribing if you did.

[@cecilmayers3429]

Perfect guys thank u very much I broke my fibula yesterday so I had questions

[@TalkingWithDocs]

Hi Cecil. Sorry to hear you broke your ankle but glad to hear we could help out in any way. Best of luck during your recovery and thanks for watching

[@meowmix3236]

I’m at the end of week 12 post op for a right bimalleolar ankle fracture and I tore two ligaments. Now I’m sporting a plate, screws and two tight ropes. Non weight bearing for 6 weeks. Check up at 2 weeks, xrays at 6 weeks which I was then allowed to bear 50% weight. Further check up at 12 weeks and cleared to start bearing 100% weight. As an adult it is so very difficult to manage walking again. Takes time. Definitely need to build up the strength in the right leg and ankle. Glad I live in Australia and have health insurance and was able to get great medical care.

[@TalkingWithDocs]

Hi Tabbetha. Glad to hear you are doing well and fortunate enough to have access to socialized medicine like in Canada. It is a long recovery for sure. Slow and steady wins the race. Good luck and keep us posted. Thanks for watching.

[@user-wb2yv7ll9d]

Hi Tabetha, hope you are doing great 🙂

[@janices6159]

I am an 80 year old woman who fractured an ankle. This is what a radiologist said: "There is a transverse fracture of the medial malleolus, at the level plafond, with moderate medial displacement of the distal fracture fragment. The tibialplafond is mediallysubluxed relative to the talar dome. There is irregularity of corftex at the anterior tibial plafond, which could be related to the medial malleolus fracture or could represent an additional, distal tibia fracture. There is a mildly displaced obliquely oriented distal fibular fracture proximal to and at the level of the tibial plafond. The talar dome is smooth. " This was as of 5/23/20. Since then I have been wearing casts. Last one I wear with a cast shoe. The radiologist's report as of 7/7/20 is "Bones/joints: The joint spaces are preserved. No bony lesions identified. Bimalleolar fractures again noted. Partial healing." My concern is about putting pressure on my ankle. Unlike most people from what I have heard I have not had pain. I have been told to walk on my foot until I feel pain. Since that is not happening what should I consider when practicing walking? I appreciate your videos and advice and suggestions very much.

[@TalkingWithDocs]

Hi Janice. Ankle fractures like yours can take a long time to heal and sometimes even require surgery. Our best advice is to listen to your surgeon. Start partial weight bearing and then get reassessed with an xray to see if the fracture is stable. Hope that helps. You are very welcome for any help we can provide. Thanks for watching and subscribing if you did.

[@reidtillery2856]

Excellent video. Helpful and explicative. You guys are great on the video together. Thank you.

[@TalkingWithDocs]

Hi Reid. Thanks for the positive feedback. We are doing our best! And thanks for watching.

[@neets-dq9bd]

Straight forward and detailed information is what works best for me! This was very helpful. I am trying to find a KZbin Video that can tell me what might go wrong if I am putting some weight on my ankle because I'm not feeling any pain. In other words, am I doing serious damage versus the possibility that my injury is healing well and it may be okay to put partial weight bearing on my ankle as tolerated.

[@TalkingWithDocs]

Hi neets1234. Thanks for the positive feedback. When it comes to increasing weight bearing in the setting of an ankle fracture this is always best done under the supervision of an orthopedic surgeon who can base that decision on the xray findings and the timeline of your injury. But usually less pain means the fracture is healing. Hope that helps. And thanks for watching.

[@hunnybSue]

I broke my ankle February 2003, I'm told it was a compound fracture (I was run over by a car trailer) I was trapped beneath one of the wheels, and also hanging over a pit. The mudguard ripped a chunk of skin from the outside of my lower leg. Both ends of the bone were visible above the skin. I was given a tetanus injection as a precaution, the trailer has recently been used on a farm. In surgery later that night the bone was stabilized, and I was in a back slab, so nurses could check progress. Two days later I was given a skin graft to cover the skin ripped off by the mudguard. It healed beautifully. My only complaint is the site, sadly it's in an awkward position and plastic surgery won't make any difference. The ankle itself is still very painful. I do have osteoarthritis in the joint now. And it's constantly swollen not to mention painful. My Dr had talked about fusion but I'm not in favour of the idea.

[@TalkingWithDocs]

Hi Susan. Sorry to hear this. Yes post traumatic arthritis is common and fusion or ankle replacement are typically the surgical options. Best of luck to you. Thanks for watching and subscribing

[@iliav07]

Great video. A quick question regarding treatments. I have a lateral oblique malleolar fracture with either mild or minimal displacement. The doctor decided to have me in a hard cast for 4 weeks with an aircast for a further 6 weeks. My first question is, what is a mild/minimal displacement? And, when is it possible to recover fully without surgery in that case, assuming there are no other fractures.

[@TalkingWithDocs]

Hi I V. So the amount of displacement is likely 1-2mm or a very small amount. Typically the bone will heal in about 6 weeks and patients can often return to normal activity around 3-4 months but every patient and fracture are different. Thanks for watching and good luck to you.

[@kimberlyfrancis926]

I just broke my ankle and I had two screws into plates put in my ankle and my orthopedic doctor didn't tell me about no blood clocks

[@TalkingWithDocs]

Hi Kimberly. It is rare but possible. You should discuss it with them. Thanks for watching and subscribing if you did.

[@BrigidSamhain]

wow blood clocks - is that like a blood clot?

[@jonathangarduno874]

This guys know there stuff!! Great job guys 👍

[@TalkingWithDocs]

Thanks so much Jonathan! Thanks for watching and subscribing if you did.

[@sharoniam5426]

You always should get a MRI and a Ct scan. You can not see the fractures well on a xray.

[@TalkingWithDocs]

Hi SHARON I AM. So xrays typically show fractures the best. An MRI or CT is often used to diagnose soft tissue injuries, fractures that are much more subtle or to give more detail about complex fractures.

[@JDR18297pr]

Nice, im happy i saw your video, i just broke my ankle, Nondisplaced Fibular Ankle Fracture, Treated with Immobilization, i like everything you Doctors explained, very easy to understand, now, the Doctor reffered me to a Podiatrist, gave me a paper that says " Follow Up In 2 Days, i couldn't find an appointment so i can be seeing in 2 days, but i did found one to be seing in a week, you mentioned is no need to go see an Orthopedic right away, so that gave me a peace of mind and less worry! also do you have another video on how to take good care of the ankle at home so it can heal good? Thank you.

[@TalkingWithDocs]

Hi DAMIAN. Sorry to hear you broke your ankle. Simply be careful and follow the instructions you have been given. Should go well. All the best. Thanks for watching and subscribing if you did

[@JDR18297pr]

@@AlwaysLoveEvery1 @Be Kind Hi there, Thanks for asking, I'm doing well, it has been around 7 months now, i have to say im about 98% still a little stiffed thou, I'm so sorry it happened to you too!! mine was nondisplaced fibular fractured, not as your which is Lateral Malleolus, so that one is like on your ankle knob bone i guess, mine was a little upper, a thin break, i was lucky i can say that because no surgery required! but yea, is a stressed journey! just follow all the instructions, and whatever you do, DO NOT PUT NOT EVEN A LIGHT WEIGHT ON IT,, wish you a very fast recovery ( is on your part) take good care of it!👍

[@JDR18297pr]

@@TalkingWithDocs Thanks for the reply, it has been almost 7 months😁, I'm ok thanks Docs👍

[@janetingacollins6409]

Shattered my ankle falling from a ladder onto concrete about 35 years ago. I had surgery and they placed plates, screws and pin/wire. Both inside and outside were involved. All hardware was removed about 1-1 1/2 years later. Now I have lots of pain when ankle is not at 90 degrees - walking uphill or downhill or driving a car. Been taking NSAIDS for 10+ years. Meds are not providing much relief. I was told at some point I would possibly need an ankle replacement. What is the current success of an ankle replacement?

[@TalkingWithDocs]

Hi Janet. Sorry to hear about your accident. So ankle replacements have come a long way in the last 10 years so they are quite successful for the right patient. Best to sit down and discuss with a foot and ankle specialist. Best of luck to you. Stay safe. Thanks for watching and subscribing if you did.

[@juliehillebrand3920]

3+ years ago I had a broken left ankle. A Trimalleolar comminuted fracture. I had surgery. A six inch plate with six screws in the fibula and two 2.5 screws in the tibia. An excellent orthopedic surgeon. In a cast immobilized for six months. And six months of physical therapy that truly worked well. I am walking quite well. Healed beautifully This ankle was so very swollen ( just about 2.5 - 3 times it’s size) that I had fracture blisters and had to wait three weeks to do surgery. I was a real challenge. I always am. anesthesiologist draw straws as to who is going to get me now. Pacemaker/Mobitz type 2 second degree heart block and issues with O2 data dropping with pain meds. They always intubate me. And I do fine. Lol.

[@TalkingWithDocs]

Glad you are ok Julie. Thanks for watching, subscribing and sharing with someone if you did.

[@dimib69]

Thank you, doc's for your great video and simple explanation for whole process and realistic times for recovering. I broke my ankle couple of days ago and I'm wondering how to prevent swelling process which become after the surgery. Thank you

[@TalkingWithDocs]

You are very welcome Dimitar. Best of luck in your recovery. Thanks for watching and subscribing if you did.

[@florazarate5746]

thank you much very good explanation

[@TalkingWithDocs]

Very welcome flora. Thanks for watching and subscribing if you did

[@tammyh6714]

I wish all doctors also include about the medial side.

[@bonnieweiss-mcdonald5436]

Trimalleor ankle fracture here that heal misaligned....the tibia talus juncture. Most of cartilage is gone. My options given: orthotics for supination, realignment surgery cutting bottom of tibia to align with talus, fusion, ankle replacement. I've chosen the orthotics. Is there a possibility they proper shoes (flat and flexible) plus the proper orthotics can realign the bones? My orthopedic ankle/foot specialist suggest Scientificfoot #3. Thank you!

[@TalkingWithDocs]

Hi Bonnie. Sorry to hear this. So not really but orthotics can change their position while standing to potentially reduce your symptoms. Best of luck. Thanks for watching and subscribing

[@shahree100]

Thank you!

[@TalkingWithDocs]

You are very welcome Shahriar.

[@terri6584]

Thank you doctors!

[@TalkingWithDocs]

Very welcome Theresa. Thanks for watching and subscribing if you did

[@tracysmith5948]

Last week I managed to trip down a 2 inch step and break my right ankle and sprain my left ankle. After the initial cast the doctor let me use an aircast. Need to have it for 5 weeks. Have to inject myself with anti coagulant for ten days.

[@TalkingWithDocs]

Hi Tracy. That is no good! Best of luck during your recovery. Thanks for watching, subscribing and sharing with someone if you did.

[@ivieaschuster285]

I had Orif 4 weeks ago and have 3 plates, 12 screws and 6 pins. I had trimalleolar fracture. Stitches came out last week and now in air cast full boot for 4 more weeks non weight bearing

[@TalkingWithDocs]

Good luck! Thanks for watching and subscribing

[@bobbymitchell3602]

Hi I recently fractured my fibula about a week ago and was put on a boot and was fine but these last 2 days when I put my foot down it’s in excruciating pain and also hurts to even touch the top of my foot it’s like a throbbing pain also burning thank you love your videos!

[@TalkingWithDocs]

Hi Bobby. This is not uncommon. Just make sure the skin is ok and not being blistered by the boot. Good luck. Thanks for watching, subscribing and sharing with someone if you did.

[@robs1714]

Gave myself a trimal walking the dog and slipping on ice, smashed up my syndesmosis too …. Screws all come out in December

[@nissaforyou]

why do doctors always push surgery for these ankle breaks? My mom broke her ankle, and we can't afford surgery, so the orthopedist said he would do a cast. I am wondering if you skip surgery and do the cast for a 65 year old, what is the difference? Is the recovery longer? What is better?

[@TalkingWithDocs]

Hi Ivonne. Surgeons do not typically push surgery however there are specific indications where surgery is better for ankle fractures and this would include displaced fractures, bimalleolar fractures (so medial and lateral) or Weber C type fractures (or fractures that are higher up on the fibula but have an associated syndesmotic ligament rupture). The purpose of the surgery is to allow the bones to heal in a proper position and reduce the chances of have a stiff painful ankle or developing arthritis in the ankle. Hope that helps. Good luck to your mom. Thanks for watching!

[@bettysmith7045]

Thanks for the video, I really love orthopedics! I am hoping to further my education eventually to do PA school or NP

[@TalkingWithDocs]

Hi Betty. You are very welcome. That is awesome that you love orthopedics. What is nice about it as a specialty is that you can really help improve people's lives. Thanks for watching and good luck with your career.

[@miltonmakoni9003]

Hi Doctor, this is great information that I was looking for, I have got a question, I broke my ankle last seven weeks ago and I'm going to remove the cast in two days. I'm a professional dancer. Will I be able to dance again? After how much time of rest?

[@TalkingWithDocs]

Hi Milton. Usually another 6 weeks out of the cast with lots of physiotherapy but yes, you should be able to dance again. Good luck and thanks for watching!

[@cezariebeaudry3620]

Can you do a video on the pros and cons vs hard cast and surgery for slightly displaced fractured fibula? The doctor told me either option will work, but I’m afraid to make the decision without guidance.

[@TalkingWithDocs]

Hi Cezarie. If the surgeon says both options are equal we would likely lean towards non operative treatment to avoid the risks of surgery. If it was further displaced surgery may be required. If you are unsure a second opinion would be reasonable. Thanks for watching and subscribing if you did

[@user-wb2yv7ll9d]

Thanks for another awesome video. Is post traumatic osteoarthritis inevitable after ankle fracture? I suppose there are degrees of that and that things like exercise and proper weight will help? Thanks!

[@TalkingWithDocs]

Hi H. Definitely depends on the severity of the fracture so the answer is not inevitable but possible. Thanks for watching and subscribing

[@1987CosaNostra1987]

Thank u doc. Very inportant ansers

[@TalkingWithDocs]

You are very welcome cosa nostra omerta.

[@shahree100]

It’s funny how graciously they accept the thanks from Cosa Nostra Omerta 😂😂 this is textbook bone dry humour.

[@mitshyetienne9255]

Hi Docs! I fractured my fibula 3.5 weeks ago. It's considered a clean brake, no surgery needed, no ligaments involved. The ER doc told me that recovery from this type of fracture is 100% back to normal; no arthritis down the line, no pain in the area from running etc. You seem to say different. I did see an orthopedic doctor and got a fiberglass cast for 3 weeks and will be reassessed. I'm a runner, will there be any repercussions in the future?

[@TalkingWithDocs]

Hi Mitshy. So we will commonly tell patients that you may not get back to 100% but that doesn't mean that you won't. Some people won't but others will. It depends on the patient, the fracture, the healing, etc. Usually 5-6 weeks in an aircast or fiberglass cast then some physio. Many patients will return to running. Hope that helps.

[@mitshyetienne9255]

Talking With Docs Thank you Docs 😊

[@TalkingWithDocs]

You are very welcome! Good luck.

[@BrandtJacobus]

Really appreciate your insight,.. broke my ankle 14 years ago, I failed miserably with “at home” exercises/instructions from PT. Anything I can do to increase mobility this late in the game? Had plates and pins surgery etc., had them removed as well. Thanks again!

[@TalkingWithDocs]

Hi Brandt. You are welcome. As for improving your range, you may benefit from physio. It is a little late however you just never know. Work with a therapist that can give you a home program so you can work on it daily on your own. Good luck and thanks for watching.

In my case I had surgery after the double fracture right ankle accident beginning of december 2001. But I had to wait for about 2 days before surgery took place and in the meantime I was not allowed to eat or drink. I only had ice cubes. It was a hard lesson for me which left me with a lot of trauma.

[@TalkingWithDocs]

Hi Christina. An ankle fracture is a serious injury and certainly can lead to some degree of permanent dysfunction due to the damage of the cartilage at the time of the injury. It is not uncommon at many centers to wait a day or two for surgery and this typically will not affect the outcome in a negative way. If your ankle has become arthritis as a result there are some both operative and non operative treatments to try and reduce your pain and improve your function however this should be discussed with you by a qualified foot and ankle surgeon. Good luck

Thank you for your reaction. I am not going back to the ankle surgeon. He might not even work at the hospital anymore. And when I saw him a couple of years after the surgery, he said: "Our Lord can't heal everything". And that was it!

[@TalkingWithDocs]

Probably not the best answer on his part. Maybe consider a second opinion.

[@jimbob2980]

excellent..thank you.

[@TalkingWithDocs]

You are welcome Jimbob! Thanks for watching, subscribing and sharing with someone if you did.

[@Mekinhumbel]

Great stuff! You guys should have way more views! I apparently have a lateral malleolus fracture, and rocking the boot right now...all of this is great to know, especially for free on YT!

[@TalkingWithDocs]

Hi sadfj. Thanks for the kind words and we are hoping to continue to grow! Best of luck to you rockin the boot. Thanks for watching and subscribing if you did.

[@oUDL]

Im 16 years of age,Do you reckon it will heal faster because im not an adult yet?

[@TalkingWithDocs]

Hi Memes. You look 18 in your picture. And yes, it typically will heal faster as a younger person. Good luck and thanks for watching.

[@kimfitzgerald702]

We have a joke saying that rings very true…”that’ll come back to haunt me” whenever we get certain types of injuries!

[@TalkingWithDocs]

Yes Kim it will. Thanks for watching and subscribing

[@CommonSense-iu6wz]

Thank you so much I understand a lot more now my fiberglass cast is about to come off later this week only after 4 weeks after two plates and a screw after a pretty bad break but there is no swelling and everything is healing pretty good should I be concerned

[@TalkingWithDocs]

Hi Common Sense. Sounds like you are well on your way. Pain and swelling are always good guides to healing. Ultimately the xray will decide once and for all. Good luck and thanks for watching.

[@hardno123]

I have a plate and screws In my ankle..just started walking on it in therapy...how long does it take to regain range of motion...my doctor said I won't get the full range back but

[@TalkingWithDocs]

Hi Eric. It is possible that you may not get full range. Often improvement can take 6 months or more. Lots of physio and time. Good luck and thanks for watching.

[@nicholascapone6428]

Hi! I love your channel! This video has helped me out a lot, I’m just curious though, I had fractured my fibula about 3 weeks ago, it’s painless enough that I haven’t been taking medicine, however, I’ve been noticing some pain behind my knee lately (in the last few days) when I go to stand or if I’m upright for too long, it goes away almost immediately when I lift or elevate my leg.. is that normal? (I’ve had blood clots before in shallow veins so I want to make sure it’s not a cause for concern) Thanks in advance!!

[@TalkingWithDocs]

Hi Nicholas. Thanks for the positive feedback. Blood clots are always a possibility with any lower extremity injury. If the pain goes away when you lift your leg it is less likely related to a clot. If the pain is constant and increasing and you have lower leg swelling you should definitely be assessed. Often the leg will be sore when hanging down. That will improve once you are walking more normally. Good luck and thanks for watching!

[@mojavewolf1]

I broke my ankle 3 weeks ago . I waited a week before going into Urgent care because we had Pandemic starting with COVID 😩It was broke and it was reset in ER . I went to ortho four days later .I did not want surgery as can’t afford it . So they put a cast on and set me up to be checked four weeks later . But cast became to loose and I went in in two weeks . The Dr took the cast off and decided to put a boot on . She is chief of podiatry. She said not much has healed yet . But she wants me to treat boot like cast and no weight baring and back in four weeks . I’m 65 but have always been fairly active and like riding my Harley . The Harley didn’t take me out ! A wet bathroom floor did in the middle of the night ! Dr said my blood work showed good calcium for my age and good vitamin D . I am taking supplements too , to try and help . I don’t smoke or drink . But take meds for anxiety and depression . Is it unusual for bone not to heal in two weeks? Also I’m having panic about blood clots !!! I don’t just lay in bed I move around on a scooter . I can’t stay in bed ! I’m totally freaking out about blood clots now !! Can you talk to me . Yes I’m health phobic too . I was a weight trainer in my forties and ran 20 miles a week . Before my break , I went walking 2 to 3 days a week at six mile stretches each time with my dog . I’m scared now about hearing of blood clots .

[@TalkingWithDocs]

Hi Pamela. So it is very common to not see healing on an xray at two weeks. Don't despair. With respect to blood clots, try to stay as active as you can and consider taking 81mg ASA if that is ok with your family doctor or specialist. Once the bone has healed (typically 6 weeks) you will wean out of the boot and do some physio and you will be on your way. Best of luck and thanks for watching.

[@mojavewolf1]

Talking With Docs Thank you Doctors for replying 👍I’m going to get X-rays done again today ! 🙏

[@lindamartin6860]

Broke my ankle, metal plate & screws, cast for 2 weeks, then a giant boot. I cannot sleep with the very heavy boot, so I took the liner out, put it on my foot, and inflated it to immobilize the foot. Is this the right decision?

[@TalkingWithDocs]

Hmm Linda. The boot was designed to have the liner in so it is hard to comment. The purpose is to help you anke move less. Maybe ask your surgeon if there are other options. Thanks for watching and subscribing

[@AlbinasLove]

Nooo! What’s wrong with the video? I really want to listen about a broken ankle 🙈 got mine broken few weeks ago

[@TalkingWithDocs]

Hi albinak777. Was there something wrong with the video?

[@AlbinasLove]

Talking With Docs it says “Something went wrong. Tap to retry” every time. and it shows video is 0minutes 0 seconds ☹️

[@TalkingWithDocs]

Hi albinak777. It seems to work on this end. Maybe try from a different device. Good luck.

[@dodokwak]

Thank you.

[@TalkingWithDocs]

Very welcome. Thanks for watching and subscribing if you did

[@bethmccall3735]

I had a torn tendine repaired on my right foot, now I have oasarthritis in my right foot ( bone to bone) is that treatable?

[@impyRM03]

How long would someone expect to be "breaking up scar tissue". It's something i read and hear about but dont know what it would feel like or how long it would be expected to be present during the recovery phase (post-op)

[@TalkingWithDocs]

Thanks for the question. So it is difficult to give a specific amount of time for how long stiffness would remain after surgery without knowing the exact injury and type of operation. Typically stiffness can be improved for months after surgery. Usually the largest gains are appreciated early on as swelling is reduced and physiotherapy is started. But you can continue to improve for a year after the injury. Hope that helps

[@emmanuelpintu31]

wow great video!! Exact information that i was looking for, i have been on KZbin for more than 2 weeks now, yours is the best informative video, my Lateral Malleolus is fractured and doctor said no surgery is needed, i have the synthetic caste on and not moved my leg except for the washrooms in the morning, i am on first day of 6th week, how many days would it take for me to get back to normal once my cast is removed and would there be any pain in future for this kind of fracture

[@TalkingWithDocs]

Hi Emmanuel. So every patient and fracture is different but usually patients are well on the way 7-10 days after cast removal. It will require some physio and hard work on your part but with time it will improve. Thanks for watching.

[@emmanuelpintu31]

@@TalkingWithDocs Thank you for letting me know, so its been 2 months and 4 days to be precise in total and my cast was taken off 17 days back i am still using Elbow crutch only one side to walk, when can i walk without the elbow crutch? there is not much of a pain but swelling is still there and my medication is over, should i take swelling control pills or is that normal?

[@TalkingWithDocs]

Hi Emmanuel. So persistent swelling is common. Typically patients can get rid of crutches once pain allows stable walking. This is best discussed with your treating surgeon. Good luck.

[@impyRM03]

What sort of strength from a ORIF fib can you expect from the bone post healing? Does the bone remain more prone to break or less prone with the plate/screws?

[@TalkingWithDocs]

That is a difficult question to answer and every case would be different. Generally speaking, if the bone heals properly, the area where the plate lies would be as strong or stronger than your bone. however if you fell or suffered further trauma, the area above and below the plate can be prone to fracture depending on the scenario. Hope that helps.

[@impyRM03]

Excellent, thank you :)

[@Igneous773]

I know someone that was sent home with no cast or foot bracelet, and simply told to rotate the ankle.

[@TalkingWithDocs]

That seems odd Red. Thanks for watching and subscribing if you did

[@nancyakach7296]

Thank you Talking Docs... I suffered bimalleolar fracture and haven't gone for surgery, it's a month today, and am scheduled to go for one on 1st Dec... It will be 6 weeks post injury, will the surgery be too late. Thanks

[@TalkingWithDocs]

Hi Nancy. The short answer is no. Any interval healing can be cleaned up, put the pieces back where they are supposed to go and hold them there with a plate and usually two screws. Best of luck to you! Thanks for watching and subscribing if you did.

[@munajedski]

Is that 3 month recovery from the time of injury or from the time of surgery? I realize it is a general estimate.

[@TalkingWithDocs]

Hi M Jedski. So usually it takes the bone 6 weeks to heal and then another 6 weeks to get the ankle strong and mobile again so 3 months from the injury. Hope that helps.

[@mikeybally4338]

Great information!!! So, A small piece of bone broke off (medial Malleous avulsion) I was given a boot. and crutches. Do I have to wear the boot all the time or can I wrap my ankle? I find the boot uncomfortable. I keep adjusting the straps and inflating and deflating the sides to hold my heel flat. How long will this take to heal. I have yet to see an orthopaedic as it has been 3/4 days since injury

[@TalkingWithDocs]

Hi Mikey. Ideally you should wear it as much as possible. Often 4-6 weeks to heal but we usually let people weight bear. Best of luck. Thanks for watching and subscribing if you did

[@darlenebrocker7277]

I broken my ankle all 3 and dislocated it I had surgery 2 plates screws and some wire placed to hold one of the bones

[@TalkingWithDocs]

Nice Darlene. Best of luck during recovery. Thanks for watching and subscribing

[@chrisp8991]

Hello Doctors. First I’d like to thank you both for such a thorough video. As a patient who is unfamiliar with my injury this answered so many questions. I Fractured my Fibula and was in a cast for 5 1/2 weeks. Doctor has taken another X-ray and there is still a slight area in my Fibula that hasn’t healed. Doctor has put me in an air boot and said I can put weight as tolerated. It hurts a lot when I try to put weight and afraid of re-injury. Should I be worried? I’m thinking to seek a second opinion since I’m not happy with my doctors lack of information. Thanks you

[@TalkingWithDocs]

Hi Chris P. You are very welcome. Often when you first start weight bearing the pain can be significant. Xrays at 6 weeks will also often not show complete union of the fracture however it typically is very stable at this point. It would be up to you to consider a second opinion. Gradually the pain should decrease. If it doesn't you should then consider being reassessed. Good luck and thanks for watching.

[@byrutesyvret890]

@@TalkingWithDocs lppļ. !

[@smokeygoat4616]

Good video and great explanation. But I got a question, so I injuired my ankle, and I also feel pain down near my pinky toe. And when i walk down stairs I also feel pain where the cartilage acts like cushion what do you think happened ?

[@TalkingWithDocs]

Hi Smokey Goat. So you can also injure your foot when you injure your ankle. It could be broken or strained. Best wait to know is to start with an xray. Good luck and thanks for watching

[@kelliscarbrough9580]

So when you were discussing the use of crutches or a cane or a walker neither of you mentioned a knee walker what are your opinion on knee walkers??

[@TalkingWithDocs]

Hi Kelli. Knee walkers are great. So are knee scooters! Whatever helps keep you moving safely. Thanks for watching and subscribing if you did

[@hongboli9565]

Hi doctors! I enjoy watching your videos and found them very helpful. I am a 53 yo healthy male that has been playing adult league hockey for 9 years. I broke my right ankle (both tibia and fibula) on the ice 4 weeks ago and underwent an ORIF surgery 2 weeks ago. Recovery is going well although I am receiving treatment for positive test of DVT. I love hockey and have difficulties with impact activities such as running. My question: with all the health benefits that come with hockey and the risks you know, such as arthritis, DVT, or any other factors not discussed in this video, is it advisable in your professional opinion for me to continue playing hockey at this point of my life? Thanks!

[@TalkingWithDocs]

Hi Hongbo. If you heal well many patients would consider returning to hockey with the understanding that if you fall you could break your leg again. Many people reach a point where they feel it is not worth the risk. That is a personal decision. Good luck. Thanks for watching and subscribing if you did

[@hongboli9565]

@@TalkingWithDocs Thank you doctors for your advice! Are there ways to find out if the healed bones are as strong as the pre-injury ones?

[@OffTheLineFox]

At what point is an ankle/leg fx so severe that amputation is considered? I have a really bad pilon fx from a fall from 2 stories. I was told my ankle was a bag of bones and nothing was holding my foot to my leg but skin. An ex-fix was put on initially and then I just had surgery to attempt ORIF repair but amputation has been mentioned. Thankfully, not by the surgeon himself yet.

[@TalkingWithDocs]

Hi OffTheLineFox. Sorry to hear about your injury which is certainly severe. A pilon is a hard fracture to fix because often the bone is in many pieces and the soft tissues and blood supply are not very good. The decision to amputate is often more related to neurovascular supply or chronic infection that cannot be cured. Even with ORIF, the plan would be to try and restore bone stock and if it healed, that may allow an ankle replacement in the future. Every case is very different though. Have a frank discussion with your surgeon. Best of luck to you during your recovery. Thanks for watching and subscribing if you did.

[@barbarasabo3471]

Thank you for all your info. I am 13 years post op for a fractured calcaneus with ORIF surgery. I have had continued pain with swelling since day one. My walking/standing time is reduced because of the pain. I've seen multiply Doctors over the years, and most of them suggest a fusion, but with no promise of pain reduction. Since the original surgery was so traumatic to me, I really would like to have all the hardware out and see where I am with the pain. My last visit to a surgeon, suggested that I have the metal removed and he was very critical of fusions. He felt fusion generally have poor results. I am so confused as to the best step. I prefer removing the hardware, but have nightmares that after 13 years it will be enmeshed in the tissue and difficult to get out. What is your opinion? I want to have a life again.

[@TalkingWithDocs]

Hi Barbara. Sorry to hear you are having a difficult time. Calcaneal fractures are very difficult fractures to treat. Removing the hardware can be difficult and may not relieve your pain. There is a real chance your pain is related to post traumatic arthritis and that is why the other surgeons have suggested fusion which is not guaranteed to be successful. It is a complicated decision for sure. If you do not want a fusion, having the hardware removed is reasonable especially if you have found a surgeon that could do it. You are entitled to want your life back. We wish you the best of luck on your journey. Thanks for watching.

[@shareeplayle2693]

What about an avulsion fracture. Its 4 weeks in and use either walking on my tippy toes or using a knee scooter. I wont dare put my foot down as even with the boot touching the ankle, it hurts.

[@TalkingWithDocs]

We would usually let an avulsion fracture weight bear. Talk to your doc. Thanks for watching and subscribing

[@amartens5420]

Husband just fractured his medial malleolus. At the ER the attending Dr. said air cast with no weight bearing for 6 weeks, bone was not displaced so thought that would be all that was needed and will be referred to an orthopedic surgeon within a few weeks for check up. He left and then I was allowed to come in and by then it was just a nurse that seemed very unsure of instructions and without consulting with Dr. and sounding very unsure of her answers, she said he was allowed to take the boot off anytime to shower or even to sleep and when questioned by me thought it would be fine even from the first day forward. I am not really sure this is a good idea and can't get a hold of anyone on the long weekend here. Generally speaking do you allow your patients with similar to take off the aircast boot at all in the first couple of days/weeks and if so what parameters do you give them? Thank you.

[@TalkingWithDocs]

Hi A. Sorry to hear this. In general we tell patients to keep it on. 5 minutes a day to wash your foot. No weight bearing. Yes on when sleeping. Also we would usually X-ray weekly for the first couple of weeks. Best of luck. Thanks for watching and subscribing

[@Elizabethmccrory992]

I had broken my right ankle back in 2017 along with my back

[@TalkingWithDocs]

Oh no

[@Mari-kj9rt]

I broke my ankle February 23, 18 It was a pilon Varient ? trimalleolar ankle fracture and dislocation. I have a plate and 14 screws. I have been in PT for almost a year now with limited success. My surgeon has sent me to an ankle specialist for further care and am now having surgery on Wednesday to remove hardware, scope the ankle and lengthen the Achilles tendon as that seemed to become a big problem. The specialist said the first repair was done very well but my injury was serious. He told me at some time I will likely need an ankle replacement surgery due to the extent of the injury but go wait until I'm older for that. Both surgeons have mentioned trauma arthritis. How common are replacements needed years after an injury like that?

[@TalkingWithDocs]

Hi Mari. Thanks for your question. Unfortunately after a Pilon type fracture arthritis is almost inevitable due to the damage caused at the time of the injury. It is always best to delay as long as possible. Good luck with your upcoming surgery and hopefully it can reduce your pain and improve your function. Thanks for watching.

[@Ninja_Drummer]

Hi Docs, it's me again. Currently at the 5 week mark after fibula fracture above ankle- no surgery just moon boot. Final check up in a week's time. I can feel now that putting weight on the leg (with boot on) is causing no pain and feels fine. Would weight bearing in the boot, rather than crutches be beneficial, neutral or hindering to healing at this stage of recovery? I appreciate your opinions greatly.

[@TalkingWithDocs]

It really depends on the location of the fracture and the amount of healing. We often let people walk around this time. Need to confirm with your surgeon. Best of luck

[@kathystokes4781]

had trimallular fracutre r ankle surgery 9 mos ago, waiting the yr out to remove hardward 9 screws total and one plate. but at age 68, osteoporosis, if they remove a fibular plate and screws will those holes fill it with osteoporosis? or what, sure dont need any more breaks

[@TalkingWithDocs]

Hi Kathy. Typically the risk of fracture after plate removal is low but not zero. You should discuss all of the pros and cons with your surgeon and only have the hardware out if you are having problems related to it. Hope that helps.

[@Furryspy1]

A minor avulsion talus fracture. A gp said I could try walking on it in 2 weeks from break & if no pain get in with it? Does this sound like good advice

[@TalkingWithDocs]

It does in an aircast usually

[@Sara-km6ss]

Thanks for your channel! What are your thoughts on taking ibuprofen during recovery? I have heard there is evidence that ibuprofen can delay recovery but the verdict seems to be mixed.

[@TalkingWithDocs]

Hi Sara. The evidence for delayed bone healing in the setting of fractures due to NSAIDs is pretty weak. We use it regularly. Thanks for watching and subscribing

[@jobin118]

Had an ankle fracture 6 weeks ago. I was on a walking boot. My question is if it’s ok to wet my feet when showering. Normally I used to put a waterproof sleeve to cover it.

[@TalkingWithDocs]

Hi Jobin. So every patient and surgeon are different but we would normally say you could get your feet wet. Just honor whatever weightbearing restrictions you were told. Hope that helps. Thanks for watching and subscribing if you did.

[@jobin118]

Talking With Docs Thanks Docs. Much appreciated.

[@dianaspatariu8967]

hi. nice video! i ve been misdiagnosed with a sprained ankle 3 weeks ago. i was told i can bear weight after 5 days which i tried..i walked like 4-5km total in about 3 weeks without knowing i have in fact Weber A fracture (fibular malleolus) after doing an MRI )after 3 weeks….during wich i tried to walk while feeling pain.starting on 21st day there was no pain. i never wore a boot walker during this time. my question now is, if after these 3 weeks, should i wear a walking boot even if there is no pain anymore? thank you.

[@TalkingWithDocs]

Hi Diana. We would usually keep a Weber A in a boot for 5-6 weeks full weight bearing. Thanks for watching and subscribing if you did

[@nicolehill2270]

How long does a broken ankle take to heal

[@TalkingWithDocs]

Hi Nicole. Usually about 6 weeks for the bone and 6 more weeks to get strong and mobile but all cases are a bit different. Hope that helps. Good luck! Thanks for watching and subscribing if you did

[@MarshaMarshaMarsh4]

Got a Compound Talus fracture video?

[@TalkingWithDocs]

No we don’t Marsha. That is a complicated injury. Best of luck during your recovery. Thanks for watching and subscribing if you did

[@donnamaecarta-rios3142]

I broke my ankle in 3 places exposused fracture. It's getting worse with time it hurts more. I need to have my screws removed

[@TalkingWithDocs]

Hi Donna. If the screws are prominent and painful, hardware removal is often required. Best to discuss with your treating surgeon. Best of luck to you. Thanks for watching and for subscribing if you did.

[@tonirebbeck3399]

I experienced a trimalleolar fracture 3 years ago. Surgeon was pleased with outcome. About a year following surgery at times when I stepped I'd experience a horrible sharp pain with total loss of stability. I would break my fall by using a counter, wall or nearby person. I did go to the Dr. , x-ray was taken, told bones and hardware looked fine, didn't see any cause, did see some arthritis. It started as a intermittent issue and with-in a couple months became more and more constant. After falling often, I could no longer rely on my ankle and started using a walker placing weight on my arms. Determined to walk, I used trial-and-error, and finally found a way to step with my foot turned (very) outward and the ankle was much more stable. Is this something that is considered normal arthritis after a bad fracture?

[@TalkingWithDocs]

Hi Toni. Sorry to hear that. Yes arthritis can progress after a bad fracture causing pain and instability. You may want to consider an ankle brace. Best of luck. Thanks for watching and subscribing if you did

[@tonirebbeck3399]

@@TalkingWithDocs thank you very much

[@margaretdrapeau4937]

Of all the videos out there this one is very informative. I'm in a nwb cast( my second one) until the end of February. I broke my ankle the beginning of December. I have a plate on one side and screws in the other. My question is when it's healing is it normal to ache sometimes and if I'm up too long it tightens on my leg. I elevate 80%of the day. Is that what to expect?

[@TalkingWithDocs]

Hi Margaret. It is always difficult to answer specific questions but generally speaking, the operative leg will feel heavy and swollen and achy for 3-6 months after surgery for an ankle fracture. This will typically be better in the morning and worse at the end of the day. So yes your course sounds typical. It is only more concerning if the swelling and pain is getting worse - if this happens, please get reassessed. Thanks for watching!

[@margaretdrapeau4937]

@@TalkingWithDocs Thanks so much

[@stephaniebrown6443]

I had ankle surgery 3 weeks ago the doc told me to wear my boot everyday all day until bed I don't do that ,will that effect the healing process?

[@TalkingWithDocs]

Hi Stephanie. It may. Often the boot helps protect the fixation while the bone heals. Best of luck. Thanks for watching and subscribing

[@kathybarker8949]

I broke mine and had surgery on Tuesday. The 21, get my boot in two weeks and I’m no weight bearing

[@TalkingWithDocs]

Hi Kathy. Well happy post op day 5! Hope you are doing alright. Best of luck in your recovery. Thanks for watching and subscribing if you did.

[@arisettinon8105]

Would it be okay to ride a recumbent stationary bike during the 12 week recovery time? If it doesn’t cause pain?

[@TalkingWithDocs]

Hi Arisett. If you are in a boot or cast this might be difficult. After that it would usually be ok. Hope that helps. Thanks for watching and subscribing if you did.

[@kellywilliams237]

I’m backkkkk... ok I had the surgery already lived in a hard cast for like 4-6 weeks, and have been doing PT for about 4 weeks now. My issue is I’m noticing a burning sensation around the ankle sometimes I’m walking but most times I don’t have to be doing anything and I feel the sensation. Is this normal ? And knee pain P.S. I have a plate and 8 screws

[@TalkingWithDocs]

Hi Kelly. These types of symptoms are not uncommon and typically will improve with time. Always a good idea to discuss with your surgeon. Thanks for watching.

[@davidgee8299]

Hardware failing/falling out?.. Does it just happen all of a sudden or is there signs to look out for before hardware fails? What happens when your screws fall out and stuff?

[@commonsense3207]

Im looking for the same answer as you. What sort of failure? Stainless screws breaking? How can a stainless plate break? Please elaborate.

[@TalkingWithDocs]

Hi David and Common Sense. So hardware failure typically occurs slowly if the bone does not heal. It could lead to broken screws or a broken plate. Usually it would present as pain and swelling and is confirmed with an xray. Hope that helps. Thanks for watching and good luck!

[@Ninja_Drummer]

Hi Docs, I'm 2 and a half weeks into recovery following an ankle fracture (fibula) in a CAM boot. Ankle area still quite swollen but starting to go down. I have noticed my 3 middle toes have what I can only describe as partial numbness, particularly on the bottom of them. I can wiggle them and they look normal colour etc. Rest of foot normal sensation. Is this normal or should I revisit hospital? I can't imagine what they would be able to do there anyway?

[@TalkingWithDocs]

This is not uncommon and can be related to the swelling and the pressure of the boot. You could consider deflating the bladder slightly. If it gets worse get seen. Best of luck

[@kimr6372]

Did they just come out of surgery or are they about to go?

[@TalkingWithDocs]

Hi Kim R. It could be either. Hope you found the vide helpful. Thanks for watching.

[@rosetapire8010]

Thank you for the information . I have a fracture to fibila outside ankle bone. I am on the week 6 and still I have pain and swollen ankle. I am concern because my foot is purple-blue color when I try to walk or to do exercise. What does this mean please? Thank you

[@TalkingWithDocs]

Hi Roseta. You are very welcome. When you are not walking properly the circulation of your foot will be abnormal. Typically this will improve with time once you are out of the boot or cast. Hope that helps. Thanks for watching and subscribing if you did.

[@nancym2318]

Hello docs : great informative video: Well I broke my ankle 😝. Non surgery & in cast boot. It is going on 4 wks. Suppose to have PT Jan 31 22 is that to soon before my next appointment 2/16/22. Concern

[@TalkingWithDocs]

Hi Nancy. Depending on the fracture pattern some PT coukd start as soon as 4 weeks later. Let pain be your guide. Good luck. Thanks for watching and subscribing if you did

[@melgo09]

I broke my fibula playing soccer. just curious how would you rule out an achilles injury on top of having the fracture. Or would they be unlikely to occur together? I was taken out of a plaster cast and put in a boot 8 days after the injury and noticed quite a bit of bruising up my calf.

[@TalkingWithDocs]

It would be very unlikely to have both injuries. When bones break, they bleed and this blood can track both up and down and cause bruising. If you were unable to flex your ankle that would be an indication of an Achilles rupture however this would be very uncommon. Hope that helps!

[@melgo09]

Talking With Docs Thanks for the reply! I've been taken out of a plaster cast now and put in an air boot. I'm about 2 weeks post fracture and I've noticed that my big toe is numb. it has good circulation, and m able to move it but it is stiff and does not have full flexion. Should this be a concern or do I have damage to a nerve that will eventually come back?

[@chandrejoubert2739]

Good day doc . Thank you for all the infomation . Please help me i had a nasty fall and broke my lower fibula had thorn ligimants amd my tibia was slightly pushed out to far. I had surgery 10 weeks ago , recovery seems well i am walking on crutchs using bought my feed . I however was never refer to a physiotherapist i am trying to do it on my own now . But since yesterday my foot feel so tender and its sore when touch it . What can it be its swollen .

[@TalkingWithDocs]

Hi chandre. It is very common for the foot and ankle to be swollen for 3-6 months after an ankle fracture. It may be related to your amount of activity. If you are concerned you should contact your surgeon. Best of luck in your recovery. Thanks for watching and subscribing if you did.

[@southphillyexplorer]

Can I do Rom exercises before weight bearing after surgery from a pilon fracture?

[@TalkingWithDocs]

Hi South Philly Paisan. So this is best discussed with your surgeon but usually the ankle is kept quiet for 6 weeks or so to let the bone heal. Best of luck to you. Thanks for watching and subscribing if you did.