How to recover from a broken ankle. Swelling on the ankle. Therapeutic gymnastics during the immobilization period
The ankle, in conjunction with the heel, forms the basis of the ankle. Bottom part legs experience throughout the day heaviest load, especially in the presence of excess weight. A fracture of this area of the leg is considered a complex injury, the treatment of which includes professional rehabilitation and recovery.
If you ignore the specified period of treatment, they will develop serious complications, the resulting fracture will remind you of itself for a long period, sometimes for life. It is possible to do leg rehabilitation yourself at home, but better rehabilitation be under the constant supervision of a professional. The doctor will assess the risks and possible complications. Thanks to special knowledge, the process will take a minimum possible time. You should not rely solely on the doctor. It is important to follow the recommendations and appointments for the full period.
The first part of any rehabilitation after a fracture is wearing a plaster cast. The duration of the period depends on:
- Difficulty of fracture;
- Complications encountered during surgery or plaster application;
- Nature of the ankle injury.
If no complications are observed, the plaster is removed after 5-10 weeks. If the fracture is displaced, the period may drag on for six months.
After a fracture, it is important to follow the doctor’s recommendations and constantly be under his supervision. In practice, a temporary plaster cast is often initially applied and worn until the bone tissue heals. Then the temporary measure is replaced with a closed cast, which is removed after the fracture has completely healed.
In order for the fusion process to occur correctly and quickly, you should not lean on the injured leg until the doctor’s permission. Any recovery exercises are carried out with the permission of the doctor.
The second part of the rehabilitation period after an ankle fracture is aimed at restoring the mobility of the leg that was in a cast. More often, the patient is prescribed procedures used in combination:
- Physiotherapy;
- Massage;
- Physical therapy exercises.
Physiotherapy
During the recovery period, the patient is prescribed physical therapy procedures. Thanks to their use, clear and specific goals are achieved in restoring ankle mobility:
- Strengthening bone tissue;
- Acceleration of bone fusion processes;
- Normalization of blood circulation processes;
- Relieving swelling.
Effectiveness in recovery from ankle fractures are:
- Electrophoresis;
- Ultraviolet exposure;
- Warming up;
- Mud applications;
- Exposure to harmless currents.
At the beginning of recovery, procedures are carried out under the strict supervision of medical workers; in the future, it is permissible to develop the leg independently. Physiotherapy courses are often complemented by courses of therapeutic massage.
Features of massage during recovery
It is important to visit a professional massage therapist during the rehabilitation period for correct perception medical procedure. If there is swelling at the ankle fracture site, massage will help cope with the disorder. Regular manipulation helps restore sensitivity to tissues.
When performing a massage, the main procedures are:
- Stroking;
- Trituration;
- Kneading.
To improve the result, the massage is supplemented with the use of flavored oils that improve lymph flow.
During the first procedures, there is noticeable discomfort, which gradually decreases.
It is advisable that the massage be performed by a master, but sometimes this is not possible. Then you should do the massage yourself at home, better in the morning and in the evening. When carried out, they are positioned standing. The techniques used during the procedures are similar to professional massage. Each technique is performed at least ten times.
Remember, when carrying out a massage procedure, it is important not to overdo it and not cause pain.
The Power of Physical Therapy
After attending physiotherapy and massage procedures, further restoration of the damaged ankle is carried out, and physical therapy exercises will be required. By performing each exercise, the damaged joint in the ankle area will gradually regain mobility, muscles and tissues will regain elasticity and firmness.
It is worth starting the exercises under the guidance and supervision of a master who will help in compiling the complex; you will need to monitor the correct execution. In the future, you can perform the exercises yourself at home. The duration of the lesson does not exceed 10 minutes. The load on the injured limb increases gradually; if pain occurs, it is recommended to temporarily postpone the exercise.
When restoring an ankle after a fracture, the physical therapy complex consists of simple exercises, which can be carried out easily and simply. Approximately the complex includes:
- Walking with full support on the injured leg. It is important not to overdo it so as not to worsen the condition of the ankle;
- Swing your leg in different sides, back and forth. When raising your leg, you should hold it for a moment;
- Translational rotations of the foot;
- Lying on the floor, perform cross leg swings;
- Gradual lifts from heel to toe. The exercise can be done on one leg;
- Performing neat swings in different directions with a slight delay of the injured leg in the top position for a moment;
- Raising the leg back without bending the back;
- Knee lift with a slight leg hold.
Walking is important during recovery. It is acceptable to simply walk on level ground or use exercise equipment. For the most basic exercise machine, choose a simple staircase in your home. Going down the stairs after a fracture is much more difficult than going up.
The main goal of therapeutic physical education is the gradual restoration of mobility of the affected area of the leg. There are other goals achieved when performing exercises:
- Thanks to exercises, swelling of the injured ankle is reduced;
- Exercises become preventive measures for the development of flat feet and curvature of the finger;
- Blood circulation improves.
Additionally, the set of exercises with which recovery is carried out is filled with flexion exercises, performed with the fingers and other joints. It is acceptable to pick up small objects with your fingers and roll a tennis ball on the floor. Slow walking alternately: on your heels, then on your toes, has a good restorative effect. Important throughout recovery period wear shoes with special orthopedic insoles.
Remember throughout the recovery period that the duration of the course directly depends on the severity and nature of the ankle fracture. If you ignore gymnastics, the consequences of a fracture are expected to be serious. The damaged area of the ankle can for a long time cause inconvenience, causing pain in the damaged area.
Features of recovery from a displaced fracture
With such a displaced injury, the recovery period is much longer; the damaged lower limb after a fracture remains in a stationary position for a long time; it needs to be developed more carefully.
Recovery procedures begin already during the period when a plaster cast is placed on the leg. The start of procedures is scheduled from the second week after receiving a fracture; exercises in the first stage of recovery are as gentle as possible. The signal about the possibility of conducting the first classes is X-ray when the doctor observes on film the beginning recovery processes fusion and damaged tissues. Exercises begin to be introduced gradually.
Anterior ankle dislocation is often one of the most difficult and dangerous injuries; recovery at certain intervals is controlled by x-rays. Thanks to this examination, the slightest changes in healing are monitored.
If the ankle bone does not heal within long period, surgical intervention by a surgeon and additional development are required. The complication will require an increase in the rehabilitation period.
An ankle fracture is one of the most common types of lower extremity injuries. You can get it if a person makes too many amplitude movements of the leg, or it takes an uncomfortable position. It is very important that after such a fracture the victim undergoes rehabilitation and follows all the doctor’s instructions. This will help him recover faster and walk.
General information about injury
An ankle fracture is an injury to the bone structure resulting from a blow, fall, or twisting. lower limb, etc.
The therapy consists of placing a plaster cast on the injured leg to immobilize it, fixing it in its anatomical position.
How long rehabilitation will take after an ankle fracture, and how long a person will have to wear a cast, depends on the nature and complexity of the damage to the joints. Often, this takes about two months. If a displaced bimalleolar fracture was sustained, the patient can recover from six to twelve months, or even more.
Types of injury
Experts divide an ankle fracture into:
- Supination and pronation;
- Isolated:
- lateral;
- medial.
- Multiple:
- bimalleolar;
- trimalleolar.
- Injury to ligaments;
- Indoor and outdoor;
- With and without offset;
- Injury accompanied by damage to the ankle ring:
- stable;
- unstable.
If they appear discomfort in the ankle area, indicating a possible fracture, you should immediately seek help from a specialist. He will examine the injured area of the limb, conduct diagnostics, and, having received the results, he will be able to recommend effective therapy. A fracture cannot be treated at home. The complications that may arise can be very dangerous.
Video
Ankle fracture
Symptoms
There is such characteristic symptoms, indicating the presence of an ankle fracture:
- sharp pains, crunching, presence of a hematoma in the area of the injury;
- swelling of the limb, loss of its ability to work.
Painful sensations occur immediately after injury to the lower limb, but a person who is in a state of passion may not feel this. When he recovers from shock, the pain becomes pronounced. The victim cannot step on the injured leg. To prevent painful shock from developing, a person urgently needs medical help.
If a crunch was heard upon impact, this is a clear sign of a bone fracture. It is accompanied by swelling of the injured area. If the vessels have been damaged, swelling may occur over the entire surface of the leg. Hematomas may also appear, indicating bleeding in the soft tissues. This picture increases the recovery time after a fracture and makes the limb inoperable. 
Rehabilitation period
The severity of the lower limb injury affects the duration of the rehabilitation period. So that the victim can quickly return to full motor activity, doctors recommend the following treatment methods:
- massage;
- physiotherapeutic procedures;
- performing exercise therapy;
- wearing a bandage that fixes the damaged area;
- following a special diet.
Fixing bandages
When undergoing rehabilitation after an ankle fracture, after removing the cast, the patient is advised to buy a fixation device, which is designed to reduce the load on the injured limb. It could be:
- Soft and elastic;
- Medium hardness, hard;
- Pressing and protective;
- Therapeutic or corrective;
- Immobilizing.
To achieve maximum effect, doctors advise buying orthopedic shoes, or insoles that help relieve swelling and reduce the likelihood of foot deformities. 
Exercise therapy
Exercises, physical education and gymnastics, specially designed for each patient, taking into account the characteristics of the resulting ankle fracture, are an integral part of rehabilitation.
The patient develops the articular part of the leg, returning it to motor activity, making the muscle corset more elastic.
The ankle gradually gets used to the loads that it has to withstand every day.
First lessons physical therapy, it is better to carry out under the supervision of a specialist. When a person learns to do a set of simple exercises correctly, so as not to further injure the ankle, training is allowed to continue at home.
The load on the injured lower limb, during exercise therapy, should increase gradually. At first, it is recommended to exercise once every two days. When your doctor allows it, you can start training every day. This will help reduce the risk of serious consequences.
If pain occurs during exercise, you must cancel the exercise and go for a consultation with a rehabilitation specialist. You can continue performing exercise therapy only if he gives permission to do so.
Physiotherapeutic procedures
After a joint injury, treatment includes various physiotherapeutic procedures. They are prescribed when the patient's plaster cast is removed, but there are also procedures that need to be attended from the first days of therapy, even after surgery.
Physiotherapy for an ankle injury:
- Stimulates blood circulation in damaged tissues;
- Eliminates swelling, hematomas;
- Relieves acute pain;
- Promotes proper fusion of bone structures;
- Activates metabolic processes.
Therapy for an ankle fracture may include the following physical procedures:
- electrophoresis of calcium preparations;
- therapy using magnetic waves;
- thermal baths;
- different kinds applications;
- shock wave therapy;
- laser therapy.
Massage
With the help of massage, blood flow is stimulated and metabolic processes in the area of injury are activated. As a result, the swelling of the damaged area subsides, the pain is relieved, and the regeneration of injured tissues and bones is activated. When the patient's plaster cast is removed, recovery from an ankle fracture must include a course of massage. It is imperative to choose a massage therapist responsibly.
An inexperienced specialist can cause even more harm to the limb.
To reduce the pain and discomfort that are present during the first massage sessions, ointments that can eliminate pain are used. A total of ten to twenty sessions may be required, twice a day. If the massage therapist teaches the victim the technique of performing a massage, he can do it at home, without help. After the procedure, it is necessary to apply a fixation device to the leg.
For a broken ankle, massage helps:
Diet
Another important point, during rehabilitation after an ankle fracture - maintaining proper nutrition. Every day, the foods that make up the diet of the affected person must be saturated with calcium, phosphorus, and iron. If this is not enough, you need to purchase special vitamin and mineral complexes.
Not only the dietary habits that a person adheres to can saturate him with everything he needs bone structures. Your doctor may prescribe medications that increase your calcium levels.
Features of rehabilitation
When the plaster cast is removed, after a long period of immobilization of the injured leg, serious consequences may appear:
- swelling of the soft tissues in the area of the fracture;
- poor motor activity of the joint part of the limb;
- lameness.
Rehabilitation after removing the plaster helps to make the muscle corset more elastic, tone it, remove blood and lymphatic congestion, swelling, and also restore full functionality to the ankle and leg.
What to do after removing the cast
The person understands that after removing the cast, he still cannot jump up and run. If a person has a fractured ankle, the cast is removed, what to do next? This question is often asked to doctors. traumatologist.
Function ankle joint recovers gradually from such an injury. And if you try to speed up this process, you can seriously harm yourself.
Of course, the ideal option is physiotherapeutic procedures combined with therapeutic exercises under the supervision of a doctor. But not everyone has this opportunity. Sometimes it’s difficult to even get to the clinic and find the right specialist.
Then we act according to the principle: “Help yourself,” especially since it is not so difficult!
The simplest thing you can do is warm foot baths with a salt solution (done 2-3 times a day). Dissolve 1 tablespoon sea salt per 1 liter warm water and support your injured leg. The joint should warm up well.
It can be done light gymnastics right in the water – bend and straighten your foot, don’t just do circular movements! There shouldn't be any effort either, but a little pain can be tolerated. After all, after 5-6 weeks of immobility, it is difficult for the joint to immediately perform the entire range of movements.
Swelling in the ankle
After a cast, swelling almost always occurs at the site of injury. After all, the plaster presses on soft fabrics, compresses blood vessels. And when the pressure stops, the blood rushes in with renewed vigor, and the leg swells. This is especially true for older people with circulatory problems.The best thing to do here is in the morning, without getting out of bed and without putting your legs down, immediately bandage the joint with an elastic bandage or put on a special compression stocking (stockings, tights - especially if you have venous insufficiency). Only then can you get up and start walking.
It is advisable to live in this mode for 2-3 weeks, until blood circulation normalizes and swelling disappears.
Nutrition
You say, “What does nutrition have to do with it?” But the fact is that there are products that accelerate the healing of bone and cartilage tissue. These include foods rich in calcium - everyone knows that this is cottage cheese, sour cream, and all dairy products.
But not everyone knows that during and after fractures it is very useful to eat strong broths and jellied meat.
It is advisable to take vitamins containing calcium and vitamin D.
Walking
And, of course, the best way to develop the ankle is walking. Gradually, step by step, start walking. Increase the load every day, and remember, the main thing is gradualness. When the ankle fracture has healed and the cast has been removed, developing the joint should be your main focus.
Massage
Massage can be different - tonic and soothing, but in our case you need to do it very light massage ankle, not even a massage, but circular movements, stroking.
Watch how a professional does it, you can do the same:
Share
Articles on the topic
214 comments
Samira, everything will be okay. At this age, fractures heal quickly. It’s clear that in a month it won’t be possible to do any more jogging. But after 7–8 months, depending on the condition of the leg, it may be possible to begin to gradually get into shape. Look online for stories of great athletes (for example, Yu. Vlasov, V. Dikul). The same V. Dikul received severe injuries and nothing happened, he got up and again did the “hard work”. The same professional football players also end up with fractures. There are sports doctors for recovery, and traumatologists (if there are experienced ones) will also help you recover. Don't worry - everything will be fine!
Good luck.Good afternoon. June 03, fracture of the fifth metatarsal without displacement. Three weeks in a cast. Starting from the fifth day, I began to slowly lean on my leg. I didn’t feel any pain. The first day after removing the cast, a non-rigid orthosis with silicone inserts and an orthopedic insole were placed on the leg. By evening the temperature rose to 37.5. Is it possible that the temperature rose after walking without crutches?
Perhaps Anna. You can’t walk for a long time and step on your foot completely.
Everything is gradual with control of the result. That is, for example, walk lightly on your leg for about 20 minutes. If the next day negative reaction no, then you can increase the duration of movement by 10 minutes and slightly increase the load on the leg. If the reaction is not very good, as in your case, return to a gentle regime for day two. Then try again. Well, and so on until a complete return to the BEFORE turning point regime.Nastya
I have a closed ankle fracture, they put a cast on me, I had a follow-up scan on June 14th, I’ve been walking with the cast for 2 weeks now, I’m walking on crutches, but I started stepping on my toes, is this dangerous? And sometimes the bone hurts.
Nastya, you need to PROCEED (that is, very carefully) on the entire foot, and not just on the toe. If on a sock, then it turns out increased load. Error!
Evgenia Alekseeva
Yes, of course, I'm very worried. Thank you for your answer. The opinion of a specialist was very important to me.
Evgenia Alekseeva
Hello! On May 23, my 11-year-old son suffered a fracture of the outer malleolus on his left leg. He has a trip to Ireland planned for a language camp on July 2. Do you think his leg will recover by this time, and will he be able to get around without the help of adults? Among the chronic diseases, my son has hypothyroidism and excess weight. Best regards, Evgenia
Evgenia, a child at this age will not be able to control his behavior, which must be extremely careful. Especially with these health problems.
You probably understand this.Lyudmila
Good afternoon. I am 55 years old. After breaking both ankles without displacement, the leg remained in a cast for 2 months and 12 days. The plaster was removed today and the doctor told me to wear the orthosis all the time, only take it off at night. Can I wear the orthosis all day?
Lyudmila, in principle, if there is no movement (walking) during the day, then you don’t have to wear the orthosis. That is, during the day, wear only if you need to go somewhere. You can carefully “hobble” “to the kitchen” (in the sense of walking without an orthosis, but without putting full weight on the leg). That is, within the confines of the apartment, you can train your leg by carefully stepping on it and listening to the sensations. If it hurts, then put on an orthosis; if not, then walk slowly. For the next 2 - 3 weeks, go outside only in an orthosis (after all, age).
Svetlana
Good afternoon I twisted my leg on the stairs and received a closed fracture of the lateral malleolus of my left leg without displacement. They put a cellocast plaster on, and the doctor said I could walk without crutches. I've read a lot of articles and they say you can't go everywhere. Now the question is what to do, there is no way to not walk at all. Is it possible to walk in cellocast while stepping on your foot?
Svetlana, of course, right now you can’t walk in the same mode as before applying the plaster. You need to enter the walking mode GRADUALLY.
That is, right now you can step on your foot quite a bit (this mode is called START). It’s better to lean on a support (perhaps with someone’s arm or a stick for a while). The point is not to put too much strain on your leg right now. Every other day, if there is no pain, you can very slowly increase the load. If everything is painless, then within a month you will be able to walk tolerably. So divide the full load by 30 days and so you will understand how to increase from, say, a third of the load to full at the end of the month. The most important thing is gradualism.
Not walking at all is not good, since recovery in this case will take a very long time.Valentina
I am 50 years old. I have a non-displaced ankle fracture. X-rays showed that the bones were very transparent. They told me to remove the plaster myself in a month. Now 2 weeks have passed. Is it possible to start stepping on my leg in a cast?
You can, just not ATTACK, but START. That is, you do not transfer all the weight to your leg in a cast, but at first only a little. If it doesn’t hurt, then after 2–3 days you can slightly increase the load. But only a little. If it doesn’t hurt again, then after another 2–3 days you can increase it.
The load should be short-term at first so as not to tire the leg.Valentina
Thanks a lot
Hello. At the end of January, she suffered a closed comminuted fracture of the distal end tibia and c/3 of the fibula. Tibial osteosynthesis was performed using a locked rod. Now they recommended walking with a 50 percent load, but on two crutches. The leg does not hurt, the joints bend/extend. It's been almost 10 weeks since the surgery. When approximately can I stop using crutches? Now I have started walking more, my leg swells in the evening, but in the morning everything is back to normal. I don't use any ointments. Is it possible to continue loading the leg further? You can feel the end of the rod in your knee and feel a slight warmth when you touch it. It should be? Thank you.
After a couple of weeks, try using one crutch with an elbow support instead of crutches, or maybe a cane if your body weight is moderate. If you are overweight, you should not increase the load so quickly.
Amneshka
Hello, on February 27, a non-displaced fracture of the outer ankle was diagnosed, the traumatologist ordered me to walk on 50% of my body weight by the day the cast was removed, on March 28, the cast was removed, but then a problem arose
1) I can’t swing my leg over in a cast to wash myself in the bathroom
2) when walking, sometimes I can’t correctly calculate the forces, but my leg doesn’t hurt, should I control this or just continue to work on it?Keep developing.
Hello, on January 27, surgery was performed on the ankle joint with the installation of a metal structure inside (to be removed after a year), and plastic surgery of the ligaments was performed. The plaster was removed on March 2, laser, magnet, and physical therapy were prescribed; When doing the exercises there is a feeling of pain, I start a little. Please tell me the exercise should be done through pain? When will it be possible to lean on my leg? Thank you
Anna, Exercises must be performed through pain, but without fanaticism. Controlling the pain. More pain means less stress, less pain means more stress. Until the pain stably stops, just start (that is, without full load).
Valeria
Good afternoon 14.01. broke her leg - closed fracture of the ankles of the right leg with displacement of fragments, damage to the distal tibiofibular syndesmosis with subluxation of the foot outward. 23.01. They performed an operation - open reduction of a fractured ankle and lower leg and metal osteosynthesis. The doctor said that 14.03. it is necessary to begin to step on the leg in the cast “as if it were healthy,” while remaining on crutches. Tell me, is the load on the sore leg too much? Thanks in advance for your answer.
Valeria, the doctor said “staying on crutches.” This means that the load must be controlled. Naturally, the doctor’s phrase “as if healthy” does not mean full load right away. No. Everything should be gradual. Accustom your leg to loads again, starting with the minimum. This is called “stepping on” your foot. That is, day by day, load from light to full load, for example, moving to full load in a month. This is in the absence of pain.
If it hurts, then reduce the load a little, but don’t stop starting – your leg should get used to it anyway.Valeria
Thank you very much for the clarification!
Victoria
Hello.
25.01. The ankle was broken on the outside, without displacement. The plaster was removed on February 21.
The attending physician, who is also a surgeon, said that during the week you can only load the leg by 10%, but after reading here, you recommend gradually increasing the load. Those. Can I try to start walking during this week? I do massage and other exercises myself at home, can you recommend anything, the doctor didn’t recommend anything(Victoria, the doctor was right when he said – load 10% during the week. And that doesn't mean walking.
GETTING STARTED... just GETTING STARTED...
next week you can increase the load by 15% - proceed according to how you feel a little more..
still on the trail. week at 20% - try to start a little more...
well, etc.
Read about gymnasticsNatalie
Hello! 4.01 sprained my ankle! It was advancing little by little, I thought it was a dislocation or sprain. On January 05, an x-ray showed a non-displaced ankle fracture. A splint was applied. Crutches make your arms hurt and your leg becomes tense when suspended. Is it possible to immediately step on the plaster slowly, after 7 hours? He's probably frozen already...
Irina
Hello! I am 47 years old, an ankle fracture without displacement of the big bone occurred on December 15th. There was no severe pain, an x-ray and a cast were done right away. I went to the magnet, I drink calcium and mumiyo. Now the broken leg doesn’t hurt and I step on it a little. Question: when can the cast be removed? I'm leaving on vacation on January 11, 2017. The decision was made to go even in a cast and on crutches. It's a long flight ahead. What are your recommendations? Thanks in advance for your answer.
In principle, on the 10th the plaster can be removed. While on vacation, use an elastic bandage while walking. It is advisable not to walk too much. The bandage can be removed at rest.
Irina
Thank you, can I apply troxevasin to my leg during the flight? Or maybe I should take aspirin for cardio?
Both troxevasin and aspirin are superfluous. The body should not be overloaded with external influences.
Irina
Thanks for the quick replies.
Victoria
Doctor, Thank you very much!! Happy New Year!!! Good health to you!!
I’m really looking forward to January 10, it will be 18 days since I’ve been in a cast, I want to ask the doctor for a repeat x-ray. So I want to remove the plaster as soon as possible, I want everything to grow together correctly. I ruined all my holidays...Victoria
Tell me, sometimes I strain my leg, it happens sharp pain... well, it turns out... one night there were cramps in calf muscle this leg, I'm afraid there was no displacement... What do you think?
Doctor, how long does it take to walk in a cast, roughly?Victoria, first of all.
1. The pain will continue for a couple of weeks.
2. To eliminate possible night cramps, drink at least a third of a glass clean water just before bed. You can have half a glass if you can stand the night without the toilet. Cramps are not associated with displacement.
3. The standard period of stay in a cast is 3-4 weeks. Not more.Victoria
Good evening, doctor! On December 23, 2016, I slipped and broke my right fibula;
diagnosis: (S-82.4) Closed fracture the upper third of the fibula in satisfactory condition. They applied a U splint from the fingers to the middle of the thigh, the plaster became loose... Today is 9 days from the date of the fracture, the ankle began to hurt (it was on at the time the plaster was applied). big boss, swelling...), the fracture site hurts. The surgeon at the clinic doesn’t know what to do with my plaster... On January 10, 2017, I made an appointment with a Traumatologist-Orthopedist (operating) for a consultation.
Please tell me how long it takes for such fractures to heal, and whether displacement can occur due to the fact that the plaster goes in different directions...at night, because my leg is numb, I turn it first on one side or the other, and always move my fingers , so it is possible?
I walk on crutches, I use my leg, I drink gelatin on an empty stomach, I eat cottage cheese every day, sesame seeds, cod liver, jellied meat, drink fish fat and folic acid, vitamins C, venarus 2 times a day.Victoria, as a temporary option, until the 10th, you can strengthen the cast with an elastic bandage directly on top of the cast.
Moving your fingers is, in principle, not fatal.
I wonder if the lump went down or stayed that way. The swelling will continue until blood vessels will not return to normal.Daria
Thank you very much for your detailed answer! Happy New Year!)))
Daria
Hello! On November 16, I hit the outside of my foot hard, I thought it was a bruise, because... the pain was tolerable, there was a bruise at the site of the blow, and swelling later appeared. But a week later there was no improvement and I still decided to go to the hospital. The result: fracture of the 3rd and 4th metatarsal bones with displacement. The bone had to be set and a cast was put on. I spent a month with him and came to see a doctor. I still had a little pain when I pressed lightly on the fracture site. The doctor, without even asking me anything, decided to remove the plaster. I tell him that I need to take another picture, what if it didn’t work out? He says, let’s take off the plaster right now and do it. As a result, the picture showed that everything was normal, but the bone callus had not completely formed. The doctor says that there is no point in reapplying the plaster, but I can’t step on my leg for another week.
I have these questions:
1. Why was it necessary to remove the plaster without taking a picture, because even with the plaster you could see whether everything had fused together or not?
2. Will the fact that the leg is no longer fixed affect further fusion of the bone?
3. Why does my leg still swell after the cast is removed if I stay in bed for a long time? vertical position?
4. When can I step on my foot and how long does it take for me to develop my foot and begin to walk normally?Daria, answers in order.
1. A month is enough to walk in a cast, which is why the doctor did not consult with you.
2. Will not affect.
3. Because the circulatory system has been disrupted and now it takes time to restore it. Do a soft, gentle self-massage of your legs. Every day and even several times a day for 3–5 minutes. Using gentle movements, “disperse” the blood in places of swelling. Just without fanaticism! Soft.
4. You can attack right now. If you are afraid, you can bandage it with an elastic bandage before walking and immediately remove it after walking.
Naturally, start advancing (or approaching) lightly. If there are no unpleasant sensations, then after a week or two, slightly increase the walking time. Restoration of functions occurs gradually - from six months to a year. So, focus on getting back to your previous routine.Daria
I have more questions. A week passed after the cast was removed, I began to slowly step on my leg and walk a little. But I can’t step on my foot completely, because... It hurts at the fracture site and it still hurts to press on this place, it even seems to me that it hurts more than before I started walking. Is this how it should be? Or does this mean that the bone has not fully healed?
Daria, the bone will heal “to the end” only in a year.
If the pain is severe, you need to reduce the load and do not forget to do self-massage.Victoria
Anna, please help! Broke my ankle. But this became known only a week after the injury. At the emergency hospital, after taking the picture, the doctor said: ligament rupture. And he told me to put on the retainer. I moved around with him for a week, even going outside a short distance away. The pain began to increase. And a week later, a picture at the clinic showed a fracture. Now in a cast, they said for 3 weeks. Tell me: isn’t it dangerous that I walked with a fracture? How do you generally ‘handle’ a leg in a cast? Is it possible to remove the cast, let my leg rest, and then put it back on? Do I need to fix it with an elastic bandage (the doctor at the clinic said: whichever is more convenient for you)? And at night there is pain below the bone, is this normal?
Thank you. I learned more on your website than from two traumatologists)Victoria, first of all.
– dangerous or not – in this moment It's too late to think about it.
– you can remove the plaster when you are not going ANYWHERE. For ANY movement in the next 3-4 weeks, wear it.
The same applies to the use of a bandage - whenever you move in the near future, it is better to bandage it.
Removing the bandage and plaster while lying down and sitting allows for recovery circulatory system,
and musculoskeletal system, which is fed by the bloodstream. That is, recovery is faster.
– yes, it can hurt and you have to go through it.Good afternoon, Anna! On November 25, I was put in a plaster, I had a broken ankle, on December 7, the traumatologist removed the plaster and sent it for an x-ray, after the x-ray, they put the same plaster on me again, only they secured it with a bandage, I am very worried about my leg, that it is not completely fixed.
Yulia, so as not to worry, you can additionally use an elastic bandage directly on top of the plaster. Only use a bandage if you intend to walk. Do not use in a lying or sitting position - what is enough.
Hello, I slipped on 10/31/16. The foot slipped under the fence. The result was that a piece of the ankle broke off. No offset. I still wear plaster to this day. The doctor says to wear it for 3 months. Then rehabilitation, physio, massage. How long does it take for such a fracture to heal? Help, maybe it would be better if the cast was removed and I could walk a little?
Yulia, with such a statement of the question there was no need to go to the doctor. How can a bone heal without plaster?
No, it can grow together, but it won’t work. Do you need this?
How long? This issue has already been discussed somewhere here. Let me remind you that complete fusion occurs within a year.
Remove the plaster? No problem. Tell your doctor that you don't care how it heals. Give the doctor a receipt that claims
You won’t have anything to do with him, that you’ve been warned about the consequences and that’s all.
It's not the doctor who needs this.Katerina
07/27/16 I broke the 2nd, 3rd, and 4th metatarsal bones, an open fracture, the 2nd one was displaced. They applied a splint, bandaged it every day, the displacement was less than 3 mm, so they did not reduce it. On 08/22/16 they removed the splint and walked with an elastic bandage, but the doctor did not allow me to step on it. What to do next? Our town is small and the doctor is ancient... the displacement may affect later life, I’m 30 and would still like to wear heels?
Katerina, the displacement still needed to be corrected. I won’t lie, it (the displacement) can make itself felt. Especially when wearing heels. Unfortunately.
Katerina
That is, you need to break it and set it? Is it still too early to develop, the swelling has not gone down?
In a good way, so that there are no consequences, yes, it needs to be corrected. Then we can hope that there will definitely be no consequences. At least the problem will be closed.
IN otherwise, leaving everything as it is, the situation is 50/50. That is, maybe you will be able to cope with new reality, or maybe you will live with constant pain. Nobody can give accurate forecast.
This is fair.
There will still be swelling until the body restores the problem area.Hello!
I've read everything here, but I haven't found anything similar to my case.
I broke my ankle. I've been in a cast for four weeks. And today I stumbled on crutches and stepped on my broken leg!..
I was scared...
Is it dangerous?
What to do?
I'm asking for advice.
Thank you.Nina, it's not dangerous. Slowly (not abruptly) proceed to the plastered leg. This will already be the process of restoring the functionality of the leg. Doesn't it hurt?
Natalia
Thanks for the answer. To be honest, I didn't expect it. When the cast was removed on 19, she told me that I couldn’t step on my leg for two weeks. Move with the help of crutches. That's what I did for seven days. Having come to her for appointment 27 and hearing that it was time to stop being lazy, it was time to stand on my leg with the help of a cane, yesterday I went to a course of therapy without crutches, with the help of a cane. But I repeat, I am in a semi-rigid orthosis.
And I make baths with grass and sea salt. Maybe I'm wrong, and I should do it with soda? And I wanted to ask another question. Is displacement possible after being in a cast for such a long time? But about the doctor there, on the periphery, you are right. I did everything I could under those conditions. And thank you for clearly explaining.Natalya, you should have attacked immediately, but gradually increasing the load.
A long stay in plaster simply stabilizes the relationship between the fragments and themselves at the time of fusion. Stabilization does not allow for displacement. Didn't you have a control x-ray? Everything will be visible there.
Make baths with soda. In this situation it is better.Natalia
Hello. I am 46 years old. On April 30, 2016, at the dacha, I fell down the stairs, resulting in a triple ankle fracture with displacement and subluxation. The district doctor did everything he could. He adjusted it, put on a plaster cast, and said that there was a slight displacement left, but it would not affect walking. Sent to Moscow. To doctors at your place of residence.
Our traumatologist, who I saw, said that surgery was not required and that they were afraid to remove my cast and touch my leg. They told me to endure it for 12 weeks.
On July 19, the plaster was removed and she was ordered to take baths with soda at night. Physiotherapy doesn't make sense, she said. Another traumatologist, while I was on vacation, gave me a referral for physical therapy. Two sessions left.
We are not talking about any gymnastics or massage. The ancient granny cannot explain to me why my joint is jerking like an abscess, she just says drink Nise.
I have no idea what to do next.
Today, 01.08. The first time I came to the physical therapy office with a cane. The pain seems to have broken me for the second time, I’m afraid to go to bed. During the day I wear a semi-rigid orthosis and take it off at night.
What should I do? I asked to see another doctor, but he didn’t take me. For some reason everyone is afraid of this fracture. Tell me, maybe I’m panicking in vain? But the leg is mine.Hello, Natalia.
From current experience district doctor has more practice than the traumatologist from your clinic. Although this may not be the case in your particular case.
You are panicking for good reason. In my opinion, you should get an appointment with an independent traumatologist who will carefully (!) work with you.
Staying in a cast for such a long time should not give the “twitching” effect that you write about. Pain is possible. But simple, “no frills.” The causes of pain are multiple - long-term inactivity and sudden stress, disruption of nerve endings, poor circulation at the fracture site. Soda baths combat all this.
You can do it differently. Wait a couple more weeks (now it doesn’t matter). Do gymnastics. Slowly. And, if after a couple of weeks everything remains unchanged, then you should definitely “butt” with a traumatologist (preferably a surgeon).Pauline
Hello! I had a non-displaced fracture of the foot bone! 3 weeks in a cast! Tomorrow I have to remove the plaster. Tell me, how long after removing the cast can I go back to work? 12-hour workday on your feet for the entire shift!?
Polina, it is very difficult to answer your question with a 12-hour working day ON YOUR FEET. Work in such a strict regime should be started gradually. You just can't stand it right away. The leg will swell and hurt.
That's why:
1. If possible, you should go to work for 3 – 5 – 7 hours consecutively until you get used to it.
2. in as a last resort– an hour of work – a 20-30 minute break with the need to lie down so that the leg is comfortable.
3. Be sure to do rehabilitation - massage, baths with soothing herbs (the pharmacy will tell you what can be used - what they have), ointments to restore blood circulation (again at the pharmacy).
You will gradually return to your previous rhythm.Catherine
Hello. I have a displaced fracture metatarsal(little finger where). 5 weeks with a splint. Removed. They told me not to step on my feet. How then to develop?
Kate!
Advance, attack and attack again. Only gradually.
Let me give you an example from surgical practice.
The gallstone was removed. Laparoscopy. General anesthesia. The duration of the operation is 2 hours (a large stone that had to be crushed inside using a special container - this is so as not to switch to abdominal surgery).
Wake up from anesthesia for about an hour and twenty in the intensive care unit.
Transfer to the ward.
2 hours after returning from intensive care, the patient slowly gets up and makes the first walk along the corridor - 20 meters there and 20 meters back. Slowly. Holding the seam.
For tomorrow, 3 trips along the corridor and so on.
A week later, discharge.
Same with your option.Anastasia
Hello. A 4-year-old child severely sprained her leg. A non-displaced fracture in the growth plate (ankle) was diagnosed. After two weeks, the splint was removed, and for another two weeks the splint was bandaged with an elastic bandage. Now he walks without a bandage. The lameness is very bothersome (he says it doesn’t hurt). After removal elastic bandage Two weeks have passed and the lameness does not go away.
Anastasia, you should see a doctor. It is advisable to take a photo (let him assign it). The situation is not normal for this age.
Samira
Thank you so much for your answer!!) I heard and read about Dikul. My dad fell off his bike when he was young and broke his spine. It was according to Dikul’s system that they restored him. Now he’s walking, alive and well!)
Thank you for giving me hope!
Samira
Good afternoon She broke her left ankle and landed unsuccessfully with a parachute. The cast was applied on June 12, 2017, and should be removed on July 3, 2017. I read the comments, but, unfortunately, I did not find the answer to this question.
I often do sports for myself: training in the gym, frequent jogging. I read from you that the bone heals completely within a year. Please tell me how long it will take for me to study physical activity? Do you really have to wait a whole year?! I love sports very much, I jogged regularly... And I have absolutely no idea how to live without it now. How soon will I be able to jog at least at low speed?
I am 24 years old.
Thank you!
To preserve the function of the ankle joint after an ankle fracture, not only timely treatment, but also proper rehabilitation. After the fusion of damaged areas of bones and removal of the plaster cast, complications arise due to prolonged immobilization of the limb.
Ankle stiffness and soft tissue swelling in the injured area, lameness and low exercise tolerance are common Negative consequences injuries. To prevent complications and restore normal motor activity foot rehabilitation after an ankle fracture is important, which is prescribed and developed by a traumatologist or rehabilitation specialist.
What is an ankle fracture?
Ankle fracture is considered one of the most common lower extremity injuries. The ankle is the tubercle in the lower third of the leg bones. The medial malleolus is located on the inside of the ankle joint and is the bony protrusion of the tibia. The lateral malleolus is located with outside ankle and, accordingly, is the bony protrusion of the fibula. The junction between the bones of the lower leg and foot has a weak ligamentous apparatus, and at the same time bears a large load. The risk of fractures in the ankle area is especially high when playing sports, wearing uncomfortable shoes high heels, overweight bodies.
Schematic location of an ankle fracture
An ankle fracture can be open or closed. Diagnosis of a fracture and determination of its type is carried out using radiography. An open fracture is the most severe type of injury, in which the bones injure soft tissues and through wound surface go outside. Closed with a pen does not form open wound, maybe with or without bone displacement. A fracture without displacement is less likely to cause complications and heals within 2-3 weeks. Injury with bone displacement takes longer to form callus. Sometimes, to give anatomically correct localization of bone fragments, surgery. These circumstances extend the recovery period.
Activities during the rehabilitation period
After applying a cast to the limb, the patient is recommended to rest and limit physical activity for 1-2 weeks after the injury. Rehabilitation activities carried out after the end of the period of immobilization of the damaged ankle joint. The plaster is removed after first taking a control x-ray to ensure complete fusion of bone fragments and the formation of a full callus.
To restore lost functions and develop the ankle, which has been in a stationary position for a long time, massage, physiotherapy and therapeutic exercises are prescribed. The doctor may prescribe some physical therapy exercises before removing the plaster cast if the fracture healing dynamics are positive. This approach helps reduce rehabilitation period and increase the effectiveness of restoration measures after plaster removal.
Physiotherapeutic procedures
Physiotherapy procedures are prescribed immediately after the end of the period of immobilization of the ankle joint. Impact physical factors on the fracture area improves blood flow, activates metabolic processes, reduces swelling of soft tissues, and has an analgesic effect. After the cast is removed, the ankle, foot, and lower third of the leg usually have a swollen appearance with areas of bruising and hyperpigmentation. Movements in the ankle joint are difficult and painful, the lower limb cannot perform a full support function, and while walking, lameness is evident in the affected leg.
Timely administration of physical therapy relieves tissue swelling and helps resorption stagnation and hematomas, normalizes lymph movement and venous outflow. Periodic pain in the area of the affected limb, which worsen when walking, are effectively eliminated by injecting anesthetics directly into the ankle area by physical methods. The restoration of full joint function occurs in a short time without the development of complications, so you should not refuse to use physical procedures during the rehabilitation period. Electrophoresis with novocaine or lidase, phonophoresis with hydrocartisone, magnetic therapy, amplipulse, ozokerite, UHF are prescribed for 10-15 procedures per course of treatment.
Massage
Massage of the affected limb is prescribed as soon as possible after removing the plaster cast. During the procedure, anesthetic ointments and gels are used to reduce discomfort - the ankle area is sensitive after the ankle fracture has healed. Thanks to massage techniques, swelling of the foot is reduced, blood circulation in the area of injury is improved, and metabolism in the muscles and joints is normalized. The course of treatment during the rehabilitation period is prescribed from 10 to 20 sessions, depending on the severity of the fracture. After the procedure, an elastic bandage is applied to the ankle joint. The foot and ankle area can be massaged independently, while the force of influence must be strictly dosed, and the technique must be agreed upon with a rehabilitation doctor.
Massage relieves swelling of the ankle joint
Therapeutic gymnastics exercises are considered the main method of restoring lost functions after an ankle fracture. Classes begin during the period of immobilization under the supervision of the attending physician and continue after removal of the plaster cast in exercise therapy groups with medical institutions. You can practice at home after mastering the training methods, correct execution exercises, with a gradual increase in the amplitude of movements and duration of training. Thanks to physical therapy, the damaged ankle joint is developed after long period immobilization, the muscular-ligamentous apparatus is strengthened, and full motor activity is restored. The return of lost functions in case of a non-displaced ankle fracture occurs after 1-1.5 months. For injuries with displacement of bone fragments, rehabilitation time can reach 3-6 months.
Features of exercise therapy at different stages of ankle fracture healing
To quickly return the patient to full motor activity and prevent undesirable consequences fracture of the ankle, exercise therapy is prescribed both during the period of immobilization and after removal of the plaster cast. The basic principle of physical therapy at each stage of rehabilitation is gradual increase loads, regularity of classes, painlessness of movements during training.
Fracture of the ankle joint with displacement of bone fragments on x-ray
Exercise therapy while wearing a cast
After 10-14 days, the attending physician prescribes simple exercises, which are first done in bed, and then while moving with the help of crutches.
- Tighten the muscles of your lower leg and thigh with rest intervals 20-30 times until you feel tired and warm in your leg.
- Move your toes every hour for 10 minutes.
- Sitting on the bed, alternately lift the sore and healthy leg to the maximum possible height 5-7 times.
- Standing on your healthy leg, lean your hand on a crutch, a wall, or the back of a chair. Swing your affected leg forward, backward and to the side 7-10 times.
- Without changing the starting position, lift the sore leg forward and hold it for 1-3 minutes. Do the same exercise when lifting your lower limb to the side.
You need to exercise three times a day, gradually increasing the number of exercises and time spent on training.
Exercise therapy after removing the plaster cast
The plaster is removed if the bone processes are completely fused in the correct position. This usually occurs 3-6 weeks after the injury, depending on the severity of the ankle fracture. During the rehabilitation period, the intensity of the load increases significantly, and therapeutic exercises become more varied. For each patient they make up individual program training. Classes are held in exercise therapy groups at clinics, hospitals and rehabilitation centers.
Exercise therapy – important stage rehabilitation process
Here is an example of exercises for rehabilitation after an ankle fracture:
- Alternately walk on your heels and toes for 5-10 minutes.
- Squat as deeply as possible 3-7 times, first with your heels off the floor, and then try not to lift your heels off the hard surface.
- Jump left and right and back and forth 8-15 times.
- Run at a side step and in place for 5-10 minutes.
- Stand now on the inside, then on outside feet 10-15 times.
- Roll a gymnastic stick, a glass bottle, or a tennis ball with the foot of your sore leg.
- Grasp a pencil or pen with the toes of your sore leg.
- Pull your socks towards you and then in the opposite direction 10-15 times.
- Jump onto a step platform or step 3-10 times.
- Take the stairs.
At the beginning of the rehabilitation process, physical therapy classes are prescribed every other day, then training is carried out daily.
Restoring the function of the ankle joint after removing the plaster cast is as important as timely immobilization of the limb when a fracture occurs. Correctly carried out rehabilitation allows you to fully restore the range of motion in the joint, eliminate swelling and painful sensations in the area of injury, prevent the appearance of lameness.
The most common leg injury is a broken ankle. To maintain the functionality of the ankle joint, you will need a proper diagnosis, correct treatment and rehabilitation after an ankle fracture.
After the cast is removed, serious complications occur due to the limb being immobilized for a long time. In particular:
- swelling of soft tissues at the site of injury;
- insufficient joint mobility;
- lameness.
Rehabilitation after an ankle fracture, after the cast is removed, solves the following problems:
- increasing elasticity and tone muscle tissue lower legs and feet;
- eliminating stagnation of blood and lymph, and, as a result, swelling;
- restoration of mobility of the ankle joint and the entire limb.
The purpose of treatment and the duration of rehabilitation vary depending on the complexity of the fracture. If it is not complicated, then recovery after removing the plaster lasts up to two weeks. However, with a three- or two-malleolar fracture, the bone is damaged in several places, tissues, muscles and tendons are injured, which leads to long-term treatment and recovery.
During a prolonged stay in a cast, the damaged limb becomes weak and inactive. The patient begins to walk with crutches, which eases the load on the injured leg. After two weeks, the crutches are replaced with a cane, and only after some time (depending on the type of fracture and the patient’s state of health) can the legs be given full load, standing on them with all the weight.
In order to restore the injured limb to its previous functionality, the following are prescribed: physiotherapy, massage, and therapeutic exercises.
Physiotherapy
Recovery after a broken ankle begins with a course electromagnetic therapy. Subsequently, mud baths, ultrasound, electrophoresis, and heating of the damaged joint are prescribed.
If a patient has an ankle fracture with internal osteosynthesis, oxygen and pearl foot baths with underwater massage. Additionally, thermal procedures are provided: applications of ozokerite, paraffin and mud. For pain in the ankle, UHF and electrophoresis are performed. If bone healing is slow, extracorporeal shock wave therapy is prescribed.
All of the above procedures are painless and are used to restore blood circulation in the leg and eliminate swelling.
Contraindications to physiotherapy:
- chronic diseases in the acute stage;
- pathologies of the hematopoietic organs;
- the presence of malignant and benign tumors;
- tendency to bleed.
Massage
Massage for an ankle fracture is prescribed after completing a course of physiotherapy. With the help of massage, it is possible to restore endurance to stress in the limbs, elasticity and mobility of muscles, improve blood and lymph circulation, and develop joints.
Massage of the ankle after a fracture is carried out in the area of the injury - alternate flexion and extension of the leg is performed with light circular movements. The procedure is carried out by a specialist, or by the patient himself at home, if he has the necessary skills or after completing training.
Massage option:
- With preheated palms, the shin is stroked from bottom to top, and then rubbed;
- Use your knuckles or fingertips to walk along the ankle using circular, rubbing and pinching movements.
During the rehabilitation period, twice a day, the patient is prescribed foot baths using aqueous solution sea salt (20 g of salt per 1 liter of warm water).
For massage, you can use ointments and compresses consisting of ingredients that promote speedy healing fracture:
- for 50 ml olive oil take 15 g copper sulfate, 20 – spruce resin, one onion chopped with a knife – everything is mixed and the mass is applied to the damaged area after the massage session;
- Shilajit is added to rose oil, and the resulting composition is rubbed into the skin of the ankle;
- badger fat is especially useful in the first few weeks after removing the plaster cast, as it eliminates hematomas, fistulas and wounds;
- to reduce pain, apply a compress of peeled, grated raw potatoes;
- alcohol lotions increase blood flow and eliminate swelling.
The duration of a massage course during rehabilitation after an ankle fracture is from 5 sessions, ideally 10–20 procedures.
Fixing bandages
During the development of the leg, during the rehabilitation period after an ankle fracture, the patient is recommended to use a special brace that supports the fragile ankle, eliminates the possibility of additional injury and correctly distributes the load when walking.
A retainer is purchased as prescribed by a doctor, since bandages are produced in a variety of ways:
- soft elastic;
- semi-rigid and hard;
- pressing;
- protective;
- treating;
- corrective;
- immobilizing.
The latter is used during rehabilitation after a displaced ankle fracture - the clamp holds the bones well in place.
Physiotherapy
Exercise therapy for an ankle fracture is an important component of the rehabilitation process, which is a set of simple exercises for developing and full recovery ankle mobility. Physiotherapy after an ankle fracture, it is prescribed first every other day with a minimal load, which gradually increases, and then daily.
Physical therapy for an ankle fracture, after removing the cast, eliminates swelling, prevents the appearance of post-traumatic flat feet, and eliminates bone deformation and the formation of heel spurs.
The first few classes are conducted with the help of an instructor, who selects a special set of procedures individually for each patient. A physical therapy doctor shows how to develop a leg after an ankle fracture and corrects the patient’s movements. After fully mastering the rules of gymnastic exercise, the patient can perform them at home.
Exercises for a broken ankle:
- flexion and extension of the toes, grasping small objects with them;
- rolling a tennis ball or glass bottle with your feet;
- circular rotations of the ankle - counterclockwise and clockwise;
- walking, rolling from heel to toe;
- adduction and deviation of the foot from the tibia;
- moving around the room in a half-squat;
- “bicycle” – circular movements of the legs while lying on your back.
In addition to basic exercises, therapeutic exercises for an ankle fracture include slow flexion and extension of the damaged joint, which is carried out at any convenient time, as often as possible.
If after any procedure your leg becomes swollen or painful, you should consult a specialist to prevent further complications.
During the rehabilitation period it is prohibited:
- run and jump;
- lean on the injured limb;
- walk on the outside and internal parts feet:
- overcome obstacles on the road;
- make long walks;
- ride a bike;
- active sports;
- dancing;
- strength exercises.
Diet
Rehabilitation of the ankle bones after a fracture is impossible without properly selected nutrition. The menu of a sick person should be rich in products with high content calcium, phosphorus, iron, essential vitamins and minerals. Maybe additional use calcium supplements – prescribed by a specialist.
By ignoring your doctor’s advice, there is a risk of complications that can appear either immediately or after several years. If the patient’s rehabilitation after an ankle fracture is complete and also ensures proper care, then recovery will not take long.
Loading...
