RehabFAQs

when is ankle rehab needed

by Amanda Turcotte Published 2 years ago Updated 1 year ago
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Rehabilitation (rehab) exercises are critical to ensure that the ankle heals completely and reinjury does not occur. You can begin healing by walking or bearing some weight, while using crutches if needed, if you can do so without too much pain. Start rehab with range-of-motion exercises in the first 72 hours after your injury.

There is extreme pain, loss of movement and the inability to bear weight on the foot. Whether or not a person will need surgery after the event depends on the severity, but either way, they will most likely need physiotherapy to rehabilitate the ankle.Sep 22, 2016

Full Answer

How do I recover from a broken ankle?

Start rehab with range-of-motion exercises in the first 72 hours after your injury. Continue with further rehab, including stretching, strength training, and balance exercises, over the next several weeks to months. You can do rehab exercises at home or …

What are the reasons for good ankle rehab?

Ankle Arthroscopy Rehabilitation Protocol. 1. Arthroscopy/Sports Medicine. Joint Replacement Surgery. Ankle Arthroscopy Rehabilitation Protocol. The following is a protocol for post-operative patients following ankle arthroscopy. The primary goal of this protocol is to steadily progress towards and ultimately achieving pre-injury level of activity.

Is an ankle sprain rehab program right for You?

FOR PATIENTS. Recovery at a glance. Expected time for non-weight bearing and protected weight bearing: Ankle joint: non-weight bearing 6 to 10 weeks in a cast, followed by 6 weeks protected weight bearing in a boot. Lisfranc joint: non-weight bearing 6 weeks in a boot, followed by 6 weeks protected weight bearing in a boot.

How often should you exercise with a sprained ankle?

Aug 29, 2021 · Based on the clinical guidelines for the surgical management of chronic lateral ankle instability by Song et al in 2019, “surgery is suggested when patients continue to have symptoms of CLAI after 3 to 6 months of nonsurgical treatment and have indications of CLAI on physical and imaging examinations.”

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When should I start rehabbing my ankle?

Start rehab with range-of-motion exercises in the first 72 hours after your injury. Continue with further rehab, including stretching, strength training, and balance exercises, over the next several weeks to months. You can do rehab exercises at home or even at the office to strengthen your ankle.

Do you need to rehab a sprained ankle?

Treating a sprained ankle can help prevent ongoing ankle problems. Rehabilitation (rehab) exercises are critical to ensure that the ankle heals completely and reinjury does not occur. You can begin healing by walking or bearing some weight, while using crutches if needed, if you can do so without too much pain.

Is it too late to rehab my ankle?

Remember it's never too late to start rehab on your ankle even if it's been months or even years since your ankle sprain happened.Oct 31, 2016

Do I need physical therapy for my ankle?

The answer is yes! Our muscles have a harder time doing their job for walking and turning because of the stiffness and pain. We also have receptors in our ankles that help keep us balanced.

Can a sprained ankle heal in 2 days?

After 2 to 3 days protocol, a mild sprain will be mostly healed and ready for you to resume normal activity. A moderate or severe sprain may require you to keep up these treatment steps for longer—up to several weeks.

Should a sprained ankle still be swollen after a week?

This level of sprain shouldn't result in any instability or muscle weakness but can cause minor swelling. Grade 1 sprained ankle recovery time is anywhere from 2 weeks to a month, normally closer to the two-week mark with proper treatment.Apr 16, 2018

Did I just sprained my ankle?

If your ankle hurts or is tender to the touch directly over your ankle bone, you probably have a fracture. If the pain is in the soft part of your ankle, it's more likely a sprain.Mar 6, 2021

What happens if you don't rehab an injury?

What Happens If I Don't Seek Treatment? Now let's say you chose not to seek treatment. The injury, whether it's a fracture or sprain will eventually heal over time. The risk is that the injury heals improperly – that the body adapts to function around the pain instead of healing and returning to normal functioning.Oct 29, 2019

Do grade 3 ankle sprains need surgery?

A Grade 3 sprain can be associated with permanent instability. Surgery is rarely needed. A short leg cast or a cast-brace may be used for two weeks to three weeks. Rehabilitation is used to help to decrease pain and swelling and to prevent chronic ankle problems.

Will I walk normally after broken ankle?

It takes around six to 10 weeks to recover from a broken ankle. During this time, you will probably need to wear a cast or boot. Most people are able to walk normally again and resume their daily activities by around three months.

How long is rehab after broken ankle?

In general, physical therapy for a broken ankle lasts about 6 to 8 weeks. Your personal experience with PT may be shorter or longer depending on your specific injury. Continuing your home exercise program is a component of your rehabilitation.Feb 4, 2022

Do I need physio after a broken ankle?

Even if your ankle fracture has healed, you still need physical therapy to ensure your ankle and lower leg are in pristine condition. When a fracture occurs, the area is generally immobilized, so the body can heal the fracture.Oct 4, 2019

How long should you smoke after a fracture?

For that reason, Dr. Oyston recommends an even longer postoperative smoke-free period, between 6 to 8 weeks to allow “most of the initial healing of a fracture or repair of a surgical incision through bone.”.

What is the best vitamin for bone health?

It helps the immune system work properly to protect the body from disease. Then there’s calcium and vitamin D . Calcium is crucial for bone health, among other things, so you’ll want to include calcium-rich foods in your diet. The mineral is found in nuts, fruits and dark leafy greens.

Why is vitamin C important for men?

There are several reasons you want to get all of your daily recommended vitamin C, which is 90 mg for adult men and 75 mg for adult women: It acts as an antioxidant, helping to protect cells from the damage caused by free radicals. The body needs it to make collagen, a protein required to help wounds heal.

How did Chris start rehab?

Chris says he started his own rehab as soon as he woke up from the knee surgery simply by massaging his legs from a supine position. The next day, he says he was able to work a modified version of Tai Chi Circling Hands, which incorporates relaxed, circular, whole body movements, with repeated weight shifts and hip turns.

How long to move to a weight bearing boot?

Use those first weeks for rest and recovery, during which time you’ll be in a non-weight-bearing boot, moving to a protected weight-bearing boot after one month for another 4 weeks. To get around, you’ll need to use an assistive device such as a knee walker, crutches or scooter at all times for safety.

What happens if you smoke after anesthesia?

John Oyston, an anesthesiologist in Toronto. “Smoking increases the risk of breathing complications and wound infections after surgery.

How to recover from podiatric surgery?

Preparation extends beyond getting your house ready and setting up a support system; a pre-surgery diet and exercise program will aid in your recovery, making it less difficult and perhaps quicker than rehabilitation ...

What can a physical therapist do for ankle fractures?

Your physical therapist can prescribe the right exercises for you to do at the right stage of healing to ensure that you can return to optimal mobility quickly and safely. Your PT will likely prescribe a specific exercise program during your ankle fracture rehabilitation. The goals of the program are to help improve ankle mobility, strength, ...

How to improve ankle ROM after a fracture?

Another fun exercise to do to improve ankle ROM after a fracture is to do ankle alphabet. Simply pretend that your toes are a pencil, and draw letters with your foot by moving your ankle. Draw each letter slowly and deliberately in both upper and lower case. This can be performed several times per day.

What happens after a fractured ankle?

After a period of immobilization in a cast or brace, you may notice that the muscles around your ankle have become significantly weakened. This is common after an ankle fracture, and your PT will likely prescribe exercises to improve your ankle strength. 1 

What to do if you have a broken ankle?

If you have suffered a broken ankle, you may benefit from the skilled services of a physical therapist to help you return to optimal function once your fracture has healed. Your physical therapist (PT) may use various treatments and modalities to help control your pain or swelling or to improve the way your ankle moves.

How to improve flexibility after ankle fracture?

Flexibility Exercises. To improve muscular flexibility around your ankle after a fracture, you can perform a few different exercises. 1 . Towel calf stretching can improve the flexibility of the muscles on the back of your lower leg. Simply wrap a towel around your toes and give a slow, gentle pull to stretch your calf.

What to do after ankle fracture?

Plyometric Exercise. If you participate in high-intensity sports, you may want to perform plyometric exercises like jumping and hopping to prepare for a return to the sport after an ankle fracture.

How to stretch the front of your ankle?

To stretch the muscle on the front of your ankle, perform the kneeling anterior tibialis stretch. Kneel down with your ankle and toes pointed, and gently press upon your foot to stretch the front of your lower leg. Hold each stretch for 15 to 30 seconds. Then move on to the next exercise group—ankle strengthening. 3.

What is lateral ankle sprain?

A lateral ankle sprain refers to a ligament injury of either the anterior talofibular (ATFL) and/or posterior talofibular ligament (PTFL) and/or the calcaneofibular ligament ( CFL). These ligaments are described based on what bones they connect to. These ligaments collectively provide stability to the lateral aspect of the ankle.

Why does moving my ankle hurt?

Because most ankle sprains involve the ligaments on the outside of the ankle, moving the ankle inwards will typically cause discomfort. This is because you are putting a little stretch on the injured ligament, so be cautious with the inward direction in the first week or so!

Why is it so hard to sprain your ankle?

Lateral ankle sprains can be challenging and frustrating due to having the highest injury AND reinjury rate amongst any lower-body injury. The high reinjury rates are likely because most ankle sprains aren’t properly managed in the first place.

How to protect ankle after sprain?

Protection of the injured area immediately after an ankle sprain means that we should strive to not do any activities or movements that cause an increase in baseline pain levels. This means that the general rule of thumb for these exercises is only to move within your tolerable pain-free ranges! Because most ankle sprains involve the ligaments on the outside of the ankle, moving the ankle inwards will typically cause discomfort. This is because you are putting a little stretch on the injured ligament, so be cautious with the inward direction in the first week or so! You will be able to slowly reintroduce this movement after the initial acute phase of the injury once your symptoms begin to subside.

What is a sprained ankle?

An ankle sprain is an injury to the ligaments of the ankle. Ligaments are a type of connective tissue that connects bones to other bones to provide stability to joints and prevent excessive movement. While the ankle has an abundant supply of ligaments, the most commonly sprained ligaments in the ankle are all on the lateral or outside portion ...

What to do after ankle sprain?

The old adage of Rest, Ice, Compression, and Elevation (RICE) for ankle sprain rehab is far outdated. Complete rest is one of the worst things you can do following an ankle sprain, and instead, a new acronym called P.O.L.I.C.E is now the recommendation. Rest is replaced by P rotection, and O ptimal L oading. This means that early on, we need to protect the injured areas by not over-stressing the tissues, but still apply healthy sub-maximal loads to the tissues that actually stimulate the healing process. More on these exact exercises in a bit, but make sure you watched the video at the beginning of this article to learn how to safely progress exercises!

Is lateral ankle sprain more common than high ankle sprains?

As previously mentioned, lateral ankle sprains are much more common than high ankle sprains. In the chart below, we have detailed the major differences between these two types of ankle sprains. You can read more on high ankle sprains HERE!

Can a sprained ankle cause long term pain?

Ankle sprains are common injuries that can result in lifelong problems. Some people with repeatedor severe sprains can develop long-term joint pain and weakness. Treating a sprained ankle canhelp prevent ongoing ankle problems.

How to get rid of a swollen thigh?

Start by sitting with your foot flat on the floor and pushing it outward againstan immovable object such as the wall or heavy furniture. Hold for about 6seconds, then relax.

Chronic Ankle Instability

According to Hertel and Corbett in 2019, “chronic ankle instability (CAI) is a condition characterized by repetitive episodes or perceptions of the ankle giving way; ongoing symptoms such as pain, weakness, or reduced ankle range of motion (ROM); diminished self-reported function; and recurrent ankle sprains that persist for more than 1 year after the initial injury.”.

Exercises

Before diving into the exercises, I want to share my rationale for their selection. The following changes have been associated with chronic ankle instability:

Plyometrics

For progression A, begin by hopping in place on both legs for 3 sets of 30 seconds while keeping your hands on your hips.

Lower Extremity Strength

I’m going to keep this category pretty simple. Option A is a single leg RDL and option B is a lateral step down.

Dynamic Balance

Option A (Modified Y Balance) involves reaching with your feet and option B (3 Way RDL) involves reaching with your hands.

Static Balance

The single limb stance activities stem from the work of McKeon et al in 2008. Option A is done with your eyes open and option B is done with your eyes closed.

Ankle-Specific Strength

You are going to target your ankle evertors and dorsiflexors by using a resistance band, and your ankle plantar flexors and invertors by doing heel raises.

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