I’m 34 years old. Who always motivates you? You have no control over that part…other than recognizing, believing and allow that portion of your recovery from surgery and fracture healing happen. Surround yourself with support. After an ankle fracture or ankle surgery, you most likely will have a difficult time walking and driving a car. Your surgeon is going to be laser focused on orchestrating the healing your surgery and all 5 those bones, as quickly as possible. I used to run 4 times a week. How fast you heal is not based on some particular arbitrary timeline set by a research study or your doctor’s experience. Ankle range of motion (ROM) exercises are one of the first things your PT will prescribe once you get out of your cast or brace after an ankle fracture. Following those instructions closely is the first step to getting back to running. Sam asks: I sprained my ankle a few weeks ago. Most doctors will promise the most pessimistic prognosis. Your physical therapist can help you choose the correct device. Common impairments that you may need to work on after an ankle fracture include: You may initially be required to walk with an assistive device like a walker or crutches after breaking your ankle. Working with your doctor and physical therapist can ensure that you create a solid plan for you to quickly and safely return to running. Recognize that the doctor is focused on healing your broken metatarsal bones, your healing fibula bone, and your healing tibia. When something changes in our routine, our routines become disrupted. Br Med Bull. Many times, however, your ankle can be reduced without surgical intervention.. Talk to your positive friends and stay connected. How to take action (when it seems like a passive process): Trust, understand and have faith in your doctor’s expertise. There are some people who can never get back to running, even after putting in their best effort to regain normal mobility and strength around their ankle.. One of the problems with immobilization after an ankle fracture: your ankle gets weak and the muscles around the joint get tight. These include:. Returning to running after a broken foot is always tough. If you’re injured, and afraid at the same time, you have to think of your mind as a dangerous neighborhood. Barbara healed herself. Four days ago Alice’s life changed in one instant. Just figure out what you were doing in training and start doing that today. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. He or she may prescribe exercises designed to increase ankle ROM. Most of you can do on your own, but it’s always better if you have someone else who has an outside perspective who can help. 3. So I helped her recognize all of the little things that she could do to optimize her recovery and maintain her fitness. By this time, the bones in your ankle should be well healed and your ROM and strength should be close to normal. Is there a safe way to determine when to start running after ankle surgery, and can a physical therapist help? So remember you already know the path to recovery. Management of ankle fractures is well defined, and open reduction and internal fixation is an excellent option,5 especially for … Your doctor is a surgeon. After I am out of the boot, will I be able to go for runs again? The research studies we as doctors cite are based on the people who were enrolled in those studies, and not you. Experiencing ankle pain when running is common, but it’s not always enough to stop a determined runner in their tracks. Two forms of negativity you have to fight against and overcome, both from your doctor and your own mind. You need to be positive, and steer clear of any and all negativity. Your PT Can Help, The Benefits of Physical Therapy After Fracture Hardware Removal, How a Physical Therapist Can Help You Improve Your Proprioception. Your outlook on your recovery. Today’s episode comes from a question from a podcast listener who wrote in with a question: My name is Alice. Visualize. The reason for that, as we do not want to promise patients something when we don’t actually have control over the delivery of that promise. Believe it or not, that is a decision that fully belongs to you. Your doctor doesn’t want you bummed out or disappointed, if something goes wrong with the healing process. Who are your most positive friends? You do not recover when you are awake or when you are working out. There’ve been many published research studies in medical journals that demonstrate clinically depressed patients actually have depressed immune systems as well. Grade 3 Ankle sprain: Severe Significant tenderness and swelling can be indicative of a complete rupture of the ankle ligament fibres. You have to do everything the doctor has told you will help optimize your healing. Don’t go in there alone. Ⓒ 2020 About, Inc. (Dotdash) — All rights reserved. Prognosis of physical function following ankle fracture: a systematic review with meta-analysis, Scar tissue tightness (if you have had surgery), The amount of effort you put into your rehabilitation. But they don’t really recognize they’re breaking the rules. Be honest with yourself. She wrote in and wanted to know if she might run again: “I’m 34 years old. Click below and just hit send! Over and over, I have seen my own surgical patients step on their for when you’re getting in and out of wheelchairs. Physical Therapy for an Anterior Cruciate Ligament Sprain, Stress fractures: management and treatment, Life impact of ankle fractures: qualitative analysis of patient and clinician experiences. The third thing to think about is whether or not you’re really diligently protecting your sleep. The surgery went well. You just need to make sure you have someone in your corner who can help you find ways to maintain your running fitness even as you heal from the surgery. This includes having a realistic idea of your injury and your own personal capabilities. And simply tune out and avoid everything that you perceive as discouragement. So the first part of that is you need to understand that the doctor really does want you to heal and really does want the best for you. Your surgeon is a highly trained technician. By this time, the bones in your ankle should be well healed and your ROM and strength should be close to normal. You’re likely going to have many fears running through your head. Define your goal, so you can get into gear, Define what “healed” means to your running goals, How to use pain and progress as your guides, Daily tracking exercises every day for 30 days. You can progress your running mileage as long as your pain is minimal and your ROM and strength remain excellent. Do not take it home with you. If you don’t eat like an athlete in and you don’t sleep like a recovering athlete, it will simply take much longer to heal. The truth is no doctor can ever tell you what will happen after the healing process. Dealing with joint pain can cause major disruptions to your day. And that’s why I wrote the Runners Rapid Recovery Journal. Everyone is different, and many factors may limit your ability to return to running after an ankle fracture or surgery. But the second part of that is that you also have to understand that in a sense, the doctor is afraid that you might become disappointed if you’re given optimistic expectations. Some amount of healing must take place initially, but over time, one of your goals may be to return to running after your fracture. You need to think about who can do that for you. Do an honest and thorough review and see if you have really done everything that you have been instructed to do. Ankle injuries are a significant source of morbidity for athletes, accounting for 15–25% of all sports injuries.1–3 The public health impact of these injuries is thought to increase in the future as the current trend is to practice sports at all ages.4 Therefore, surgeons have to inform patients on the possibility and modality that they can return to high demand sports activity after a trauma.

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