How long is the recovery period after an ankle fracture? When to remove plaster? Rehabilitation measures after an ankle fracture.

The ankles are the bones that, together with the heel, make up the ankle joint. The ankle experiences stress during the day when a person walks, more often when he is overweight. Ankle fracture occurs when the leg is twisted, hit on it, falling, and many other cases. This is a complex injury, so rehabilitation is required after an ankle fracture, after the cast has been removed.

A bone fracture is a violation of the integrity of the bone tissue. When an ankle fracture occurs and the fragments are displaced, the doctor needs to set the bone, compare the fragments, and only then apply a plaster cast.

Important! In many cases, surgical treatment of the injury is required.

Most often, an ankle fracture occurs as a result of forced rotation and twisting (sprained the leg) of the foot. Twisting of the foot can be to the outside or inside, including as a result of rotational movement. There may also be a combined fracture with dislocation or involvement of other bones. Very rarely there is a direct fracture of the ankle with a directed impact.

According to statistics, an ankle fracture accounts for about 60% of all ankle injuries.
You can break your ankle when you fall, for example, during ice, as well as when falling down stairs or because of high heels.

Ankle fracture can also be obtained while playing sports, and sports such as skiing, motorcycling, and cycling often lead to such injuries. It is also common to break your ankle while rollerblading, skating, or in an accident.

Types of injury

Fracture of the lateral malleolus. This type of leg fracture is localized in the lower part of the fibula. The doctor prescribes treatment to the patient, based on which of the areas affected.
Fracture of the inner ankle. The medial malleolus is the lower portion of the tibia. As in previous cases, damage occurs in different parts of the lower segment. Such injuries often appear in one place, but can be combined with violations of the integrity of the fibula, rupture or sprain of the ligaments of the back of the tibia.
Damage to the back of the tibia. This disorder is formed in the area of the ankle joint. This process can be combined with a violation of the integrity of the latent ankle.
Bimalleolar fracture. This type of injury combines the injury of the outer and medial bones of the lower limb. In this case, the ankle joint also suffers. Often, a fracture of the outer bone is combined with a sprain, and at this time the inner bone does not suffer.
Trimalleolar fracture. In violation of this nature, the inner and outer bones, as well as the back of the tibia, suffer. Ligamentary disorders are possible. Such damage involves the displacement of tissue fragments, and instability of the ankle joint.

Symptoms

Ankle fracture has very obvious signs.

As with any bone fracture, pain, swelling, hematoma, and impaired joint mobility develop. With an ankle fracture without displacement, as a rule, there is no deformation of the ankle, with the formation of a displacement, deformation of the contours is almost always visible.

The symptoms of an ankle fracture are:

pain;
crunch;
hematoma;
puffiness;
impaired function of the lower limb.

Pain is felt immediately after bone damage, but in a state of passion, it is felt later. This is a sharp pain that prevents the patient from standing on his leg. It is aggravated by touching the damaged area. A dangerous condition for the life of the victim is a pain shock. A state of shock develops with massive damage.

Important! If a crunch was clearly heard during the injury, then this indicates that the bone has broken.

Puffiness occurs quickly, while the tissues become harder due to damage to small capillaries. When large vessels are damaged, the entire leg swells. Hematoma is manifested by dark spots. It indicates hemorrhage into soft tissues.

The foot is limited in movement, and the patient cannot walk and move the limb normally.

Treatment and surgery for trauma

An ankle fracture requires a cast.

It is urgent to see a traumatologist if pain occurs at the site of injury, the joint has changed its shape or has increased in size too much. An x-ray is taken to diagnose the type of fracture.

The doctor puts an anesthetic injection at the site of the injury, then sets the displacement, if any.

After the measures taken, a plaster is applied to the injured leg. After plastering, an X-ray examination is repeated to make sure that the limb is in the correct position.

In severe cases, plastering is done after surgery, when the bone is collected using plates. When the integrity of the bone cannot be restored, it is transplanted.

The treatment method depends on the type of fracture. In general, treatment can be divided into surgical and conservative. A fracture of the outer ankle, if it is still without displacement, is easily treated conservatively - by applying a plaster boot (from the fingertips to the third part of the lower leg) for a period of three weeks. In general, any isolated ankle fractures are treated in this way.

In case of a fracture, an x-ray of the ankle is taken. The doctor also checks whether the arteries are injured, evaluates the sensitivity and mobility of the leg.

Based on this, treatment is prescribed. First of all, the displacement of the ankle joint (reduction of the fracture) must be eliminated. This procedure is performed under local anesthesia. Next, fixation is carried out with a plaster bandage. Most often, a plaster cast is used up to the upper third of the lower leg (“boot”). The fixation period is from 4 to 6 weeks. This is the most common treatment.

In case of a fracture of both ankles at once and / or in combination with a fracture of the epiphysis of the tibia or tibia, a cast is applied until the middle of the third part of the thigh for a period of a month, after which it is removed and a plaster boot is applied for another six weeks.

If there is a displacement of bone fragments, they first try using special methods under local anesthesia to compare the parts of the bones. If this fails or fails to normalize the expansion in the area of the fork of the ankle joint, surgery is performed, in which parts of the bone are fixed with screws and / or plates and a cast is applied to the leg up to the middle part of the third of the thigh for six weeks. When comparing a week later, a control x-ray must be taken.

Rehabilitation

The length of the rehabilitation period after damage to the bones of the ankle depends on the nature of the injury. If there were no complications, then recovery will occur within one or two months.

With the displaced nature of the injury, the bone will heal longer and rehabilitation will be delayed for six months. At this time, it is important to follow the rules of proper nutrition, diversify the menu with iron, calcium and phosphorus.

During the rehabilitation period, you can not lean on the injured leg, you can only move around using crutches.

For proper bone splicing, temporary gypsum is used, after which a closed gypsum is applied for a long time.

During the period of immobilization, general strengthening exercises and breathing exercises, exercises for the toes, knee and hip joint should be performed.

After an ankle fracture, swelling of the leg is observed. To improve blood circulation and reduce swelling, it is recommended to periodically lower the leg, and then create an elevated position for it. After a few days, you can move around the ward on crutches.

Important! After removing the cast, the patient undergoes a rehabilitation course, since during this period the limb does not move well. For this, massage, therapeutic exercises and physiotherapy are prescribed.

Massage

Rehabilitation after a fracture necessarily includes massage.

It is important to attend massage courses after removing the plaster or to make it yourself. In the event that the limb is swollen, massage helps to remove swelling and restore tissue sensitivity.

To do this, use stroking, rubbing movements, kneading. During the massage, various oils are used with an action that improves the flow of lymph.

At first, massaging the legs brings discomfort, so its surface is lubricated with anesthetic ointments.

Massage is performed exclusively by a specialist, especially in case of an injury with displacement.

Physiotherapy

Throughout the recovery period, it is necessary to do physiotherapy procedures. Such activities improve blood circulation, relieve swelling and pain.

Physiotherapy can speed up the healing process. This effect is achieved due to improved blood circulation in the area of injury.

For a speedy recovery and removal of puffiness, the following procedures are prescribed:

ultraviolet radiation;
therapeutic mud applications;
warming up;
electrophoresis;
harmless currents.

Exercises

After performing physiotherapy procedures and foot massage, the restoration of its function occurs with the help of physiotherapy exercises. Exercises develop a joint that has been motionless for a long time. Muscles regain mobility and elasticity.

The first exercises are carried out under the supervision of a specialist, and in the future the patient independently conducts them at home. The duration of exercise therapy does not exceed 10 minutes per approach. The load increases gradually as you recover.

If the exercise is accompanied by pain, then the patient needs to stop it immediately and rest.

Special exercises will allow you to develop a leg after a fracture.

The exercises are quite simple:

walk with full support on the affected leg;
make rotational movements with the foot;
swing your foot forward and to the side;
perform cross swings with legs lying on the floor;
alternately rise on your toes and fall on your heels. You can also do this on one leg.

Every day, patients practice for 10-15 minutes, doing 3 or 4 sessions every other day. Daily exercises are performed after the pain during exercise has passed.

Important! Do not try to develop a joint in a short time. Intensive load in the first periods after recovery will harm the limbs.

After removing the plaster, rehabilitation measures should begin. First, electromagnetic therapy is prescribed, this is done in order to restore blood and lymph circulation and relieve swelling. Then the patient is prescribed a complex of exercise therapy for an ankle fracture.

At first, the patient will not be able to do without support, so he needs to purchase an elbow crutch, thanks to such a balanced support, the arm does not overstrain and significant assistance is provided when walking.

However, after two weeks, you should gradually give up the crutch so that walking with a crutch does not become a habit. True, there is still lameness, but with the help of therapeutic exercises and physiotherapy exercises, you can get rid of it.

So, exercise therapy exercises for a fracture of the foot (the leg is in a cast):

I.P. - standing on a healthy leg. Stand near a chair or wall and lean on your hands so as not to lose your balance. Crossovers are performed. First, you need to start moving the sore leg - take it to the side (on inspiration), then perform the adducting movement, cross in front of the healthy leg (exhale). Run within 30 seconds.
I.P. - the same. Perform leg swings to the side. At the same time, take the sore leg as high as possible, linger for a few seconds, then lower the leg. Run 10-15 times.
I.P. - the same. Perform a knee lift. Raise your knee until your thigh is parallel to the floor. Hold this position for a few seconds and then lower your leg. Perform on two counts, within 30 seconds.
I.P. - the same. Perform back leg raises. Raise the injured leg back as high as possible, then hold for a few seconds and return to the starting position. Attention! You can't bend at the waist.

A few more simple exercises for rehabilitation after an ankle fracture are presented in this video:

Lying position exercises

A set of special exercises for ankle fractures in the prone position:

Tighten the quadriceps femoris. Repeat 20-30 times. The pace is slow. Breathing is free.
Bend and straighten your feet. Repeat 10-20 times. The pace is slow. Breathing is free.
Bend and straighten your toes. Repeat 10-20 times. The pace is slow. Breathing is free.
Rest 1-2 min.
Repeat exercise 3.
Circular movements in the ankle joints in both directions. Repeat 10 times on each side. The pace is average. Breathing is free.
Bend the feet forward - backward with maximum amplitude. Repeat 10-20 times. The pace is average. Breathing is free.
Alternately bend your legs to your stomach (socks on yourself). Repeat 10 times with each leg. The pace is average. Breathing is free.
Spread the toes of the legs to the sides, turning the entire leg from the hip as much as possible. Repeat 10 times. The pace is average. Breathing is free.
Alternately, without bending, raise your legs to a right angle in the hip joints (socks on yourself). Repeat 10 times with each leg. The pace is average. Breathing is free.
Repeat exercise 1.
Raise, without bending, the injured leg to a right angle in the hip joint, while bending and straightening the fingers and foot on weight. Repeat 10 times. The pace is average. Breathing is free.
Rest in a prone position with legs raised - 5-10 minutes.

An ankle fracture is a serious disorder that has characteristic symptoms. In mild cases, healing takes place quickly, and in severe cases, it takes about 6 months. It is necessary to immediately contact a traumatologist for treatment in case of a fracture of the ankle. If you ignore this recommendation, then the bone will grow together incorrectly and in the future will cause difficulties in moving.

To preserve the function of the ankle joint after an ankle fracture, not only timely treatment, but also proper rehabilitation is of great importance. After the fusion of the damaged areas of the bones and the removal of the plaster cast, complications arise due to prolonged immobilization of the limb.

Ankle stiffness and soft tissue edema in the area of injury, lameness and low exercise tolerance are common negative consequences of injury. To prevent complications and restore normal motor activity of the foot, rehabilitation after an ankle fracture is important, which is prescribed and developed by a traumatologist or a rehabilitation specialist.

What is an ankle fracture?

Ankle fracture is considered one of the most common lower extremity injuries. Ankle called a tubercle in the lower third of the bones of the leg. The medial malleolus is located on the inside of the ankle joint and is a bony protrusion of the tibia. The lateral malleolus is located on the outside of the ankle and, accordingly, is a bony protrusion of the fibula. The junction between the bones of the lower leg and foot has a weak ligamentous apparatus, while bearing a heavy load. The risk of fractures in the ankle area is especially high when playing sports, wearing uncomfortable high-heeled shoes, and being overweight.

Schematic location of an ankle fracture

Ankle fractures can be open or closed. Diagnosis of a fracture and determination of its variety is carried out using radiography. An open fracture is the most severe type of injury, in which the bones injure the soft tissues and come out through the wound surface. Closed with a feather does not form an open wound, it can be with or without bone displacement. A fracture without displacement less often gives complications and grows together in 2-3 weeks. Displaced trauma requires more time for callus formation. Sometimes, to give an anatomically correct localization of bone fragments, surgery is performed. These circumstances lengthen the recovery period.

Activities of the rehabilitation period

After applying a cast to the limb, the patient is recommended to rest and limit motor activity for 1-2 weeks after the injury. Rehabilitation measures are carried out after the end of the period of immobilization of the damaged ankle joint. The gypsum is removed, having previously carried out a control radiography to make sure that the bone fragments have completely healed and a full-fledged callus is formed.

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 exercises of physiotherapy exercises before removing the plaster cast with positive dynamics of fracture union. This approach helps to reduce the rehabilitation period and increase the effectiveness of recovery measures after the removal of the cast.

Physiotherapy procedures

Physiotherapy is prescribed immediately after the end of the period of immobilization of the ankle joint. The impact of physical factors on the fracture area improves blood flow, activates metabolic processes, reduces swelling of soft tissues, and has an analgesic effect. After removal of the cast, the ankle, foot, and lower third of the leg usually have an edematous appearance with areas of bruising and hyperpigmentation. Movements in the ankle joint are difficult and painful, the lower limb cannot perform a full-fledged support function, while walking, lameness can be traced on the affected leg.

The timely appointment of physiotherapy relieves swelling of tissues, helps the resorption of congestion and hematomas, normalizes the movement of lymph and venous outflow. Periodic pain in the area of the affected limb, which is aggravated by walking, is effectively eliminated by the introduction of anesthetics directly into the ankle area by physical methods. The restoration of the full function of the joint occurs in a short time without the development of complications, so you should not refuse to use physiotherapy during the rehabilitation period. Assign electrophoresis with novocaine or lidase, phonophoresis with hydrocartisone, magnetotherapy, amplipulse, ozokerite, UHF 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 improves, and metabolism in 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 impact force must be strictly dosed, and the technique is agreed with the rehabilitation doctor.

Massage relieves swelling of the ankle joint

Remedial gymnastics exercises are considered the main method of restoring lost functions after an ankle fracture. Classes begin even during the period of immobilization under the supervision of the attending physician and continue after the removal of the plaster cast in exercise therapy groups at medical institutions. You can do it at home after mastering the methods of training, the correct execution of exercises, with a gradual increase in the amplitude of movements and the duration of the workout. Thanks to physical therapy, the damaged ankle joint is developed after a long period of immobilization, the muscular-ligamentous apparatus is strengthened, and full-fledged motor activity is restored. The return of lost functions in case of an ankle fracture without displacement occurs after 1-1.5 months. In case of injuries with displacement of bone fragments, the 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-fledged motor activity and prevent undesirable consequences of an ankle fracture, exercise therapy is prescribed both during the period of immobilization and after removing the plaster cast. The basic principle of physical therapy at each stage of rehabilitation is a gradual increase in load, regularity of classes, painlessness of movements during training.

Ankle fracture 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 the lower leg and thigh with rest intervals of 20-30 times until you feel tired and warm in the leg.
Move your toes every hour for 10 minutes.
Sitting on the bed, alternately raise the sore and healthy leg to the maximum possible height 5-7 times.
Standing on a healthy leg, lean with your hand on a crutch, wall, back of a chair. Do swings with a sore 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 the lower limb to the side.

You need to do it three times a day, gradually increasing the number of exercises and the time spent on training.

Exercise therapy after removing the plaster cast

The gypsum is removed in case of complete fusion of the bone processes 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 the exercises of therapeutic exercises become more diverse. For each patient, an individual training program is compiled. Classes are held in exercise therapy groups at polyclinics, hospitals and rehabilitation centers.

Exercise therapy is an important stage of the rehabilitation process

Here is an example of rehabilitation exercises after an ankle fracture:

Alternately walk on your heels and toes for 5-10 minutes.
Squat as deep as possible 3-7 times, first with your heels off the floor, and then try not to take your heels off a hard surface.
Jump left and right and back and forth 8-15 times.
Run side steps and in place for 5-10 minutes.
Stand on the inside, then on the outside of the foot 10-15 times.
Roll a gymnastic stick, a glass bottle, a tennis ball with the foot of a sore leg.
Grab a pencil or pen with the fingers of the affected foot.
Pull the socks towards you, then in the opposite direction 10-15 times.
Jump onto the step platform or step 3-10 times.
Walk up the stairs.

At the beginning of the rehabilitation process, physiotherapy exercises are prescribed every other day, then training is carried out daily.

Restoring the function of the ankle joint after removing the plaster bandage is of the same importance as the timely immobilization of the limb in the event of a fracture. Properly carried out rehabilitation allows you to fully restore the range of motion in the joint, eliminate swelling and pain in the area of injury, and prevent the appearance of lameness.

The ankle, in conjunction with the heel, forms the basis of the ankle. The lower part of the legs experiences the greatest load during the day, especially in the presence of excess weight. A fracture of this section of the leg is considered a complex injury, the treatment of which includes professional rehabilitation and recovery.

If you ignore the agreed period of treatment, serious complications will develop, the resulting fracture will remind of itself for a long period, sometimes for life. It is possible to do leg rehabilitation on your own at home, but it is better to undergo rehabilitation under the constant supervision of a professional. The doctor will assess the risks and possible complications. Thanks to special knowledge, the process will take the minimum possible time. Do 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 to wear a cast. The length of the period depends on:

The complexity of the fracture;
Complications that have arisen during surgery or the imposition of gypsum;
The nature of the ankle injury.

If no complications were observed, the plaster is removed after 5-10 weeks. If the fracture is displaced, the period may be delayed for six months.

After a fracture, it is important to follow the recommendations of the doctor, to be constantly under his supervision. In practice, a plaster bandage of a temporary nature is often initially applied, worn until the bone tissue is fused. Then the temporary measure is replaced by a closed cast, which is removed after the fracture has completely healed.

In order for the fusion process to occur correctly and quickly, you cannot lean on the injured leg until the permission of the doctor. 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, which was in a cast. More often, the patient is prescribed procedures used in a complex:

Physiotherapy;
Massage;
Physical therapy exercises.

Physiotherapy

During the recovery period, the patient is assigned physiotherapy procedures. Thanks to their use, clear and specific goals are achieved in restoring ankle mobility:

Strengthening of bone tissue;
Acceleration of bone fusion processes;
Normalization of circulatory processes;
Removal of puffiness.

Efficiency in recovery from ankle fractures are:

electrophoresis;
UV exposure;
warming up;
mud applications;
Exposure to currents of a harmless nature.

At the beginning of the recovery, the procedures are carried out under the strict supervision of health workers, in the future it is permissible to develop the leg on your own. Physiotherapy courses are often supplemented by therapeutic massage courses.

Features of massage during recovery

It is important to visit a professional massage therapist during the rehabilitation period for the correct perception of the treatment procedure. With swelling of the ankle fracture site, massage will help to cope with the violation. Regular manipulation contributes to the return of tissue sensitivity.

During the 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 outflow.

At the first procedures, there is a noticeable discomfort, gradually decreasing.

It is desirable that the massage be carried out by a master, but sometimes this is not possible. Then the massage should be carried out independently at home, preferably in the morning and evening. When carrying out, they are standing. Techniques during the procedures are similar to professional massage. Each technique is performed at least ten times.

Remember, when carrying out the massage procedure, it is important not to overdo it, not to cause pain.

The power of exercise therapy

After attending physiotherapy and massage procedures, they are engaged in further restoration of the injured ankle, it will be necessary to perform exercises of therapeutic restorative physical education. Thanks to the performance of each exercise, the damaged joint in the ankle area will gradually return mobility, muscles and tissues will return elasticity and firmness.

It is worth starting the exercises under the guidance and supervision of a master who helps in compiling the complex, you will need to monitor the correct execution. In the future, you can do 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 the ankle after a fracture, the complex of physiotherapy exercises consists of simple exercises that can be performed 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;
Leg swings in different directions, back and forth. It is worth while raising the leg to hold it for a moment;
Forward rotation of the foot;
Lying on the floor, perform cross swings with your legs;
Gradual rises from heel to toe. Exercise can be done on one leg;
Performing neat swings in different directions with a slight delay of the injured leg in the upper position for a moment;
Raising the leg back without bending the back;
Raising the knee with a slight delay of the leg.

When recovering, it is important to keep walking. It is permissible to simply walk on flat terrain or use simulators. For the simplest exercise machine, choose a simple staircase in the house. Going down the stairs is much more difficult after a fracture than going up.

The main task of therapeutic physical education is the gradual return of the mobility of the affected leg area. Allocate other goals achieved during the exercise:

Thanks to the exercises, the swelling of the injured ankle is reduced;
Exercises become preventive measures for the development of flat feet and curvature of the toe;
Improves blood circulation.

Additionally, a set of exercises, with the help of which recovery is carried out, is filled with flexion exercises, performed with fingers and other joints. It is permissible to take small objects with your fingers, roll a tennis ball on the floor. Slow walking alternately has a good restorative effect: on the heels, then on the toes. It is important to wear shoes with an orthopedic special insole during the recovery period.

Remember throughout the recovery period that the duration of the course directly depends on the severity and nature of the resulting ankle fracture. If you ignore gymnastics, the consequences of a fracture are expected to be serious. The damaged area of the ankle can cause inconvenience for a long time, causing pain in the damaged area.

Features of recovery for a fracture with displacement

With such a displaced injury, the recovery period is much longer, the damaged lower limb after a fracture is located in a fixed position for a long time, and it needs to be developed more carefully.

Recovery procedures begin already during the period when a plaster cast is placed on the leg. The beginning of the procedures is appointed from the second week after the fracture, the exercises at the first stage of recovery are as sparing as possible. An x-ray image becomes a signal about the possibility of conducting the first classes, when the doctor observes the beginning of the regenerative processes of fusion and damaged tissues on the film. Exercises begin to be introduced gradually.

Anterior ankles with displacement are often among the injuries with the greatest complexity and danger, recovery at certain intervals is controlled by taking x-rays. Thanks to this examination, the slightest changes in healing are monitored.

If the ankle bone does not grow together over a long period, surgical intervention by the surgeon is required, additional development. A complication will require an increase in the rehabilitation period.

Rehabilitation after an ankle fracture implies the return of the former functionality of tissues destroyed or weakened by trauma and its consequences. In a cast state, the load on the muscles almost completely stops, which leads to their atrophy and, as a result, a deterioration in the supply of nutrition and oxygen to all adjacent tissues of the bones and joints.

The ankle joint has a complex structure. Any of the three bones can be injured, whether fibula, tibia or talus, but in any case, this will lead to ruptures of muscle tissues and ligaments.

Symptoms of ankle injuries are minimal, so it is almost impossible to detect serious changes in the joint without images.

The main tasks of the recovery period:

reverse the processes of muscle atrophy and destructive changes in the vessels;
restore joint mobility;
prevent the stagnation of fluids in the restored limb;
increase joint mobility.

How can a person get an ankle injury?

As a rule, ankle injury occurs after a strong blow to the leg in the ankle area. Sometimes the injury occurs as a result of twisting of the foot. This can happen during an unsuccessful jump or landing.

Gradually, self-landing in bed with legs lowered to the floor is mastered. If this is already easily possible, you can proceed to a set of exercises to activate the muscles and tendons for both legs. Necessary:

collect and carry objects scattered on the floor (pencils, small stones, beads) with your toes;
roll the ball (stick, bottle) with your feet;
lean forward and backward, bending and unbending the ankle at the same time;
rotate your legs (depict the rotation of the pedals of a bicycle);
with a reasonable amplitude do scissor swings with your legs, lying on your back;
bend the foot and unbend, stretching the toe, as far as possible;
rotate the feet in different directions (this exercise can be done while standing, rotating the feet alternately, or sitting, doing it with both legs).

Also, if possible, you need to engage in therapeutic walking on toes and heels, sideways, in a semi-squat, back forward (carefully!).

In the presence of pain, you can use an anesthetic ointment, however, with severe and even unbearable discomfort, you should not overcome it, but consult a doctor, as this may be a sign of a complication.

Often, an ankle fracture occurs due to deterioration of the bone tissue. Read about what arthrosis of the joints is and how to prevent it. You can find out how to detect a broken rib.

A set of exercises for developing muscles after a leg fracture

Exercises should be performed regularly to help the muscles quickly gain tone and restore normal balance when walking. It is recommended that you first take the help of a doctor or exercise therapy instructor, who will check the correct execution and explain in detail how to develop an ankle after a fracture.

With a ball

The patient presses his back against the wall special ball - physiobol. The feet and torso are pushed forward. You should crouch smoothly so that the ball does not fall. At the same time, the knees should be bent until a right angle is formed (by 90 °).

On the platform

Standing on an unstable surface, a healthy leg should be slightly bent at the knee. First you just need to learn how to balance and keep balance. After mastering, you can take the ball and, without losing a stable position, throw it against the wall and catch it. This exercise activates the stabilizing muscles and restores balance.

jumping

You need to jump on each leg alternately along the line drawn on the floor. With each jump, you need to land on different sides of it. The thigh muscles are strengthened, balance and coordination of movements are trained. By how easily this is possible, one can assess the degree of development of the joint after an ankle fracture.

On the roller

Alternately stand with your foot on the roller, with the second leg you need to perform moderate swings back and sideways. For stability, the leg standing on the roller must be slightly bent, while keeping it in a straightened state. You can use a loop of elastic tape, fixed at the bottom of the wall. It is put on the leg that makes swings.

You can simply stand on your foot, keeping your balance with the elastic loop on the second leg. Legs must be alternated.

If you follow the doctor's advice and your own desire and perseverance, the mobility of the joint is restored completely in a fairly short time.

Rehabilitation after an ankle fracture is very important, since the further ability of a person to walk depends on its correct appointment. All the details of this period can be found in the article.

Symptoms of an ankle injury

Doctors note that this injury is characterized by the following typical symptoms:

Severe pain, the appearance of a crunch and hematoma in the area of damage;
The formation of edema and loss of general working capacity of the limb.

Usually, pain appears in a person at the moment of impact, but most often a person is in a state of passion and may not feel it at all. Later, he develops severe pain and is unable to step on his injured leg. If you do not see a doctor in time, then a person may develop a painful shock.

If a strong crunch was heard during the impact, then this indicates that the bone is broken. If this is the case, the person will later develop swelling in the injured area. If large vessels are damaged, edema may appear on the entire surface of the damaged limb.

The appearance of dark spots on the surface of the skin indicates the formation of a hematoma at the site of injury. It is formed if there is internal bleeding in the soft tissues. This phenomenon leads to a decrease in the performance of the injured leg.

Types of ankle injuries

Physicians distinguish the following types of damage:

Supination and pronation.
Isolated. They are divided into lateral and medial. Lateral appear on the outside, and medial - on the inside of the ankle.
Multiple. They are classified into two-malleolar and three-malleolar. The latter are characterized by a detachment of the posterior part of the tibia.
Ligament injury.
Closed and open fractures.
Ankle fracture with or without displacement.
Injuries with abnormalities in the ankle ring. They form between the ankle fork and the ligaments. These fractures are also divided into stable and unstable. In a stable fracture, only one ankle is affected. Unstable fractures are characterized by a double or triple ankle fracture, as well as the presence of torn ligaments. Such injuries are also characterized by the presence of external subluxation in the foot.

Thus, if unpleasant signs appear in the limb, the person should be immediately taken to the hospital. Only an experienced doctor, based on an examination, additional diagnostic procedures, can make an accurate diagnosis and prescribe competent treatment.

Rehabilitation after an injury

Most people are often interested in the question of how long rehabilitation lasts. Doctors note that if after breaking the ankle and removing the cast, a person has no complications, then the recovery period will take from 1 to 2 months.

Complications that may occur in a patient may include:

The presence of edema in soft tissues;
Reduced joint activity and lameness.

In the event that the injury was accompanied by a displacement of the bones and an operation was performed with a plate, then the rehabilitation period will be extended to six months.

After removing the bandage, the patient is recommended to bandage the leg. An elastic bandage after a fracture is necessary in order to give the limb an optimal position. At first, the patient is forbidden to step on the injured leg while walking. He usually walks on crutches. Only after 2 weeks is a person allowed to use a cane instead of crutches. If the patient does not know how to walk with a cane, then this should be discussed with the attending physician in advance.

Remember that how the recovery after an ankle fracture will go, and how long it will last, is affected by the severity of the injury.

In general, during the rehabilitation period, the following tasks are solved:

Increase muscle tone and elasticity;
We get rid of congestion and swelling in the leg and normalize blood supply and lymph outflow;
We restore the mobility of the injured limb.

Only the attending physician can prescribe additional procedures necessary during the rehabilitation period.

Thus, the rehabilitation process after a displaced ankle fracture generally consists of the following important steps:

The passage of the patient physical therapy. He is also prescribed physiotherapy, massage;
Eating only healthy foods;
Giving him medication and wearing orthopedic devices.

Fundamentals of Physiotherapy

Initially, the patient is prescribed electromagnetic therapy. Next, mud baths are used, as well as exerting an effect on the damaged limb using ultrasound, electrophoresis and heating.

If the patient has a fracture with a displacement, then he is prescribed oxygen and pearl baths, as well as the use of underwater massage, thermal baths, applications with ozocerite, paraffin and mud.

In the presence of severe pain in the ankle area, physiotherapy includes the use of UHF, electrophoresis, and the use of an Almag device.

With slow bone fusion, extracorporeal shock wave therapy is used.

Exercise therapy for an ankle fracture is not carried out for the following categories of citizens:

With the presence of severe chronic diseases;
With the appearance of diseases in the circulatory system;
With the development of neoplasms of both malignant and benign nature;
With a tendency to heavy bleeding.

Massage technique

Usually, massage after an ankle fracture is prescribed to the patient after they have completed several courses of physiotherapy procedures. Massage makes the muscles elastic, improves blood flow to the damaged area and lymph outflow, and it also helps to work out the joint better and returns the mobility of the limb.

In general, massage for an ankle fracture is based on performing light circular and flexion-extensor movements. It is done either by an experienced doctor or by the patient himself if he has knowledge of the massage technique.

Warmed hands are stroking the lower leg. Movements are made from below and go up. You can't click on a limb.
Next, the ankle is worked out with the knuckles or fingertips. Circles are drawn on it, rubbed and slightly pinched.

Also during recovery, the patient is given baths with an aqueous solution of sea salt. To improve the healing process of the limb during the massage, various ointments and compresses are used.

Ointments and their recipes for making:

Mix: 50 ml of olive oil, 15 mg of copper sulfate, 20 mg of spruce resin and 1 finely chopped onion. The resulting slurry is applied to the damaged area after a massage or bath.
Mix rose oil and mummy. The composition should be applied 3 times a day.
To get rid of hematomas, fistulas and wounds in the first days after removing the bandage, many people recommend using badger fat.
In order to get rid of severe pain, a compress with potato gruel should be applied to the problem area.
Alcohol compresses are used to improve blood flow and get rid of edema.

The patient undergoes about 5-10 sessions of therapeutic massage using various ointments.

Stages of fixing fixing bandages

Fixing devices are:

Soft and elastic;
Semi-rigid and rigid;
Pressing and protective;
treating and corrective;
Immobilizing.

Additionally, you can purchase orthopedic shoes and orthopedic insoles for your shoes. They help relieve swelling and prevent the development of flat feet.

Stages of physiotherapy exercises

One of the important components of the entire rehabilitation period is physiotherapy exercises. This is a set of special exercises that develop the limb and restore mobility in it. Therapeutic gymnastics after an ankle fracture relieves swelling, reduces the risk of such a phenomenon as post-traumatic flat feet, bone deformities, and heel spurs.

Usually, physical education is prescribed by doctors in the first days after osteosynthesis with a minimum load, but then it gradually increases. The first few days, the development of the leg is carried out with a physician who selects the exercises and controls the correctness of their implementation. When the patient learns the whole complex, therapeutic exercises for an ankle fracture are performed at home.

The patient's exercise of flexion and extension of the toes and the capture of any small objects by them.
Carrying out rolling between the feet of a shady ball or a small bottle.
Rotation of the ankle joint: first counterclockwise, then clockwise.
Rolling feet from heel to toe.
Performing adduction and deviation of the foot from the lower leg.
The implementation of the passage through the room in a semi-squat.
Performing the exercise "bike".

A person at home should bend and unbend the ankle joint as often as possible.

If during exercise therapy after a fracture, the patient has unpleasant symptoms, then you should seek the advice of a specialist.

The list of actions that the patient should not perform during rehabilitation:

Jump, run and lean heavily on the limb and walk for a long time on the outside and inside of the foot;
Raise a limb, overcoming obstacles;
Ride a bike;
Practice active sports

Often, doctors, when answering the question of how to develop a leg after a fracture, recommend that patients sign up for a pool.

How to eat during recovery

Therapeutic exercise after an ankle fracture is not the only way to quickly heal the foot. Also, the patient needs to know how his nutrition should be built in case of a fracture. Every day in his diet should be elements such as calcium, phosphorus, iron, as well as vitamins and mineral complexes. Also, a specialist may prescribe medications that increase the amount of calcium in the bones.

Failure to follow the recommendations of a specialist can lead to complications that are dangerous for his health, which can appear both during rehabilitation and after a certain period of time after it. Proper rehabilitation is the key to a quick recovery and resumption of motor activity.

Rehabilitation after an ankle fracture

The most common foot injury is an ankle fracture. To preserve the functionality of the ankle joint, you will need a competent diagnosis, correct treatment and rehabilitation after an ankle fracture.

Features of the rehabilitation period

After removing the cast, due to the long stay of the limb in an immobilized state, serious complications occur. In particular:

swelling of soft tissues at the site of injury;
lack of joint mobility;
lameness.

Rehabilitation after an ankle fracture, after the removal of the cast, solves the following tasks:

increased elasticity and tone of the muscle tissue of the lower leg and foot;
elimination of 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 difficult, then recovery after removal of the cast 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 prolonged treatment and recovery.

During a long stay in a cast, the damaged limb becomes weak and inactive. The patient begins to walk with crutches, which facilitates the load on the injured leg. After two weeks, the crutches are replaced with a cane, and only after a while (depending on the type of fracture and the patient's health status) can the legs be given a full load, standing on them with all their weight.

In order for the injured limb to return to its previous functionality, it is prescribed: physiotherapy, massage, therapeutic exercises.

Physiotherapy

Recovery after an ankle fracture begins with a course of electromagnetic therapy. Subsequently, mud baths, exposure to ultrasound, electrophoresis, and heating of the damaged joint are prescribed.

If the patient has an ankle fracture with internal osteosynthesis, then oxygen and pearl foot baths with underwater massage are prescribed. Additionally, thermal procedures are provided: applications of ozocerite, paraffin and mud. For pain in the ankle, UHF and electrophoresis are performed. If bone fusion is slow, extracorporeal shock wave therapy is prescribed.

All the above procedures are painless, they are used to restore blood circulation in the leg and eliminate swelling.

Contraindications to physiotherapy:

chronic diseases in the acute stage;
pathology of the hematopoietic organs;
the presence of malignant and benign tumors;
tendency to bleed.

Massage

Massage for an ankle fracture is prescribed after the completion of a course of physiotherapy. With the help of massage, it is possible to restore endurance to loads, elasticity and mobility of muscles, improve blood and lymph circulation, and develop a joint.

Ankle massage after a fracture is carried out in the area of \u200b\u200bdamage - with light circular movements, alternate flexion and extension of the leg is performed. The procedure is carried out by a specialist, or by the patient himself at home, if there are necessary skills or after training.

with preheated palms, the lower leg is stroked from the bottom up, and then rubbed;
with the knuckles or fingertips, you should walk along the ankle in circular, rubbing and pinching movements.

During the rehabilitation period, twice a day, the patient is prescribed foot baths using an aqueous solution of sea salt (20 g of salt is taken per 1 liter of warm water).

For massage, you can use ointments and compresses, consisting of ingredients that promote the speedy healing of the fracture:

15 g of copper sulfate is taken for 50 ml of olive oil, 20 g of spruce resin, one onion chopped with a knife - everything is mixed and the mass is applied to the damaged area after the massage session;
mummy 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, a compress is applied from peeled grated raw potatoes;
alcohol lotions increase blood flow and eliminate puffiness.

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 fixator 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:

The latter is used during rehabilitation after a displaced ankle fracture - the retainer 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 fully restoring ankle mobility. Therapeutic exercises after an ankle fracture are prescribed first every other day with a minimum load, which gradually increases, and then daily.

Therapeutic exercise for a broken ankle, after removing the plaster, eliminates edema, prevents the appearance of post-traumatic flat feet, eliminates bone deformation and the formation of heel spurs.

The first few sessions are conducted with the help of an instructor who selects a special set of procedures individually for each patient. The exercise therapy doctor shows how to develop a leg after an ankle fracture, corrects the patient's movements. After fully mastering the rules of gymnastic physical education, the patient can perform them at home.

Ankle fracture exercises:

flexion and extension of the toes, their grasping of small objects;
rolling a tennis ball or a glass bottle with your feet;
circular rotation of the ankle - counterclockwise and clockwise;
walking, rolling from heel to toe;
adduction and deviation of the foot from the lower leg;
moving around the room in a half-squat;
"bicycle" - circular movements of the legs, lying on your back.

In addition to basic exercises, therapeutic exercises for ankle fractures 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 the leg swells or hurts, then it is necessary to consult a specialist in order to prevent further complications.

During the rehabilitation period it is prohibited:

run and jump;
lean on the injured limb;
walk on the outer and inner parts of the foot:
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 the right nutrition. The menu of a sick person should be rich in foods high in calcium, phosphorus, iron, essential vitamins and minerals. It is possible to additionally use calcium preparations - which are prescribed by a specialist.

The largest medical portal dedicated to damage to the human body

Rehabilitation after removal of a cast for a fracture of the ankle (malleolus) takes an average of about 60 days. However, this period may be delayed if the fracture was of a complex type, there are concomitant or previously transferred pathologies of the bone tissue, other diseases that impede the process of bone consolidation, the patient does not perform all the procedures that the doctor individually prescribed, taking into account all the nuances of the state of health, gender and age limit .

Duration of immobilization

Treatment of uncomplicated ankle fractures begins with the comparison of bone fragments and their fixation with traditional natural or modern polymer gypsum mixtures.

The period of plaster removal directly depends on the severity of the injury.

If at the end of the allotted standard time allotted for the healing of a particular type of fracture, the control X-ray shows a shift, then it is necessary to perform a second reposition and start the countdown again until the plaster is removed. If the doctor deems it necessary, re-matching can be done with the help of osteosynthesis, after which a rigid kind of immobilization is not needed, and postoperative sutures, until they are removed after 7-10 days, are covered with an antiseptic bandage.

If a plastic gypsum with a zipper or an orthosis was used to fix the fracture, then they can and should be removed periodically to ventilate the skin, perform physiotherapy, a list of which will be presented below.

Attention! You can start on a plastered leg only after the permission of the doctor.

Medications and activities for the rehabilitation period

Post-traumatic rehabilitation is aimed at the complete functional restoration of the damaged joint.

It includes the following forms and methods of treatment:

Exercise therapy - morning exercises, a set of exercises for a broken leg, exercises on simulators, dosed walking and swimming;
therapeutic massage, acupuncture;
physiotherapy procedures - interference therapy with low frequency currents, electrophoresis, infrared and UV irradiation;
adherence to the principles of healthy eating and the rejection of bad habits.

If the victim's leg was immobilized with an ordinary plaster mixture, then the massage, the first of 10 sessions, is prescribed on the same or the next day.

Advice. Do not be shy and ask the massage therapist to teach you how to perform self-massage of the lower leg and ankle according to all the rules of this necessary medical procedure.

Rehabilitation will be more effective if you wear comfortable shoes, silicone insoles, and then orthopedic silicone arches, which will become an additional barrier to the development of ankle defects. It will not be superfluous to wear special slimming products, but at the time of performing therapeutic exercises to develop the joint, the “elastic helpers” must be removed.

Medical support

In order for the treatment to take place more intensively, and the increasing physical stress on the joint does not bring discomfort, it is possible and necessary to use pharmaceutical agents.

What and when to apply ointments should be advised by the doctor, because they are, both narrowly targeted and combined action:

to relieve swelling - indovazin, heparin, lioton, lysonil;
anti-inflammatory - diclofenac, voltaren, ibuprofen, fastum-gel;
painkillers - nurofen, ketorolac, nise, diklak.

All these drugs are good in the I and II periods of treatment, and according to sports orthopedists, the best ointment after an ankle fracture, especially in the later stages of rehabilitation, is troxevasin. They advise limiting yourself only to this remedy, along with taking the tablets of the same name.

If necessary, drink analgesic tablets, not forgetting to alternate them, and to prevent edema, patients are advised to rest while lying down, raising their legs.

Important! Do not use ointments and gels with a warming effect, such as finalgon or capsicam, without a doctor's prescription. They can cause the development of the inflammatory process. There is still fierce debate about this. So don't risk it. To improve blood circulation, it is better to give physical stress to the joint.

Many doctors recommend taking chondroprotectors for intra-articular fractures. However, these drugs are not only expensive and require a minimum intake for six months, but are drugs with unproven efficacy.

Dosed walking

The load should gradually increase in time and footage, and gradually join the usual walking:

climbing and descending stairs, downhill and downhill, work on a step platform;
walking backwards;
movement on the heels, low and high toes;
side steps and jumps;
cross steps;
walking lunges and on bent knees;
running with alternating speed;
jumping on two, and then on the affected leg, in place and with movement;
walking and running barefoot on sand, grass, asphalt and stones of various sizes;
walking with support on hands and goose.

Attention! Walking alternately on the outside and on the inside of the foot is prohibited. The type that needs to be done for you should be prescribed by a doctor.

Usually, the limiter of motor load is the occurrence of discomfort or mild pain in the joint. However, the doctor, according to individual indications, may prescribe walking, correctly stepping on the foot or doing exercises, through pain.

Swimming

During swimming, the main attention should be directed to the movements in the ankle joints. Brass and crawl are well suited for this, both on the stomach and on the back. At the same time, you can forget about the movement of your hands, and swim with the board.

After 4-5 workouts, it is recommended to gradually increase the load on the ankles by wearing special shortened, and then regular fins. You won't get bored in the pool. The swim coach on duty will suggest many different moves for the broken leg.

On a note. The inability to swim well and / or the ban on prolonged aerobic exercise should not become an obstacle to visiting the pool. In the first case, the coach will come to the rescue, and in the second, he will show a place on the track where to swim in place, holding on to the side.

Ankle Exercises

Gymnastics has a huge arsenal of physical exercises performed, including with shells or devices. We do not present the original video in this article.

Here are a few photos of those exercises that, after removing the plaster, you can do everything.

How to start walking after a broken ankle without crutches and with a cane

Why is rehabilitation so important?

Plaster cast on leg

A displaced ankle fracture is a serious injury that, if complicated, can leave a person with a limp for life. Even operating on her is very difficult. Patients who ignore the recommendations of the attending physician, just come to this outcome.

A displaced fracture of two ankles requires intensive rehabilitation after surgery, as it is the most serious type of injury. It requires special care. Among other possible complications, if we exclude a double fracture, when a plate or screw is often inserted, the following are likely:

constant pain when walking;
increased weather sensitivity;
partial cessation of motor function;
decreased sensitivity of the skin at the site of injury;
muscle rupture;
damaged ligament;
deformed ankle.

Anesthesia briefly reduces sensitivity, but then disappears and leaves the patient alone with pain. It can also be considered a complication that will not go away immediately.

A structure formed during the regeneration of bone tissue after a bone fracture during the normal course of the fracture healing process; it is a connective tissue that forms at the site of a fracture.

Types of recovery complexes

There are several varieties:

Depending on the degree of complexity of the fracture, the rehabilitation period can last from 7 to 21 days, medicine offers the following rehabilitation conditions for the speedy recovery of the patient after an ankle fracture:

massages;
electromagnetic therapy (heating, electrophoresis, ultraviolet exposure);
hydrotherapy;
physiotherapy.

signs

You can understand that this injury has occurred by the following signs:

severe pain;
a crunch is heard;
hematoma formation;
the presence of swelling;
incapacity of the lower limb.

Taking medication

Calcium supplements for ankle recovery

Recovery after an ankle fracture is largely determined by the ability of the bones to regenerate. To normalize the fusion and improve overall well-being, the doctor prescribes calcium supplements, immunomodulators and chondroitins.

The first group of funds include:

Osteogenon - the pharmacological property of tablets is characterized by the fusion and strengthening of bone tissues, the restoration of metabolic reactions in the bones of the lower leg. The drug contains calcium, which is almost completely absorbed by the body. The method of use is 4 tablets per day. The duration of the course is determined by the traumatologist.
Calcemin is a complex drug that contains vitamin D3 and calcium. These components are involved in the formation of bones and joints, connective tissue. The drug is used after meals, the duration is set by the doctor, depending on the severity of the injury.

Immunomodulators are aimed at strengthening the protective functions, they help in the fight against various diseases, including giving strength to the full and accelerated fusion of bone tissue. Effective drugs are:

Timalin is an effective immunostimulating drug, which includes thymus, obtained from the thymus gland of cattle. Available in powders, injections. It has a pronounced pharmacological property and is used strictly under medical supervision. The drug is contraindicated during the period of bearing a child, with hypersensitivity and bronchial asthma.
Rumanol - is a solution of animal origin for deep intramuscular injections. The drug is also taken with a dislocation of the leg at the ankle. It has a pronounced stimulating and chondroprotective effect, which has a positive effect on the condition of bones and joints, contributing to their rapid healing.

It is prescribed by a traumatologist, has contraindications and side effects. It is administered 2 times during the year or 4 times for severe bone damage. In the case of fractures, the duration is determined by 6 weeks, the exact period is determined by the doctor.

Medications with chondroitin have a pronounced regenerative effect and help to treat after an ankle fracture after removing a plaster splint.

Popular and effective means:

Teraflex is an effective drug that contains the main component - chondroitin sulfate. This substance stimulates the synthesis of bone and cartilage, restores connective tissue and prevents the formation of inflammatory processes. Take the drug 3 times a day, 1 capsule for 3 weeks with a glass of water. Contraindicated in pregnant women, in the presence of intolerance, liver disease and a child under 15 years of age.
Chondroitin is an effective remedy, available in various dosage forms - tablets, powder, gel and injections. It has a pronounced therapeutic effect, promotes the regeneration of bones, cartilage and joints.

Tablets are used for 6 months, gel for 3 months, powder for 1 month. Injections are measured in courses, until complete recovery it is necessary to pierce the patient 35 times.

Rehabilitation predictions with and without special procedures

Massage after a broken leg

How long does a displaced ankle fracture heal after a complex operation? 1.5 to 4 months depending on the type and severity of the injury. A fracture of the talus will take longer to heal than a fibula, and a dislocated bone will finally fall into place faster than both types.

With additional therapy, the period (postoperative) is reduced to 2.5 months. Such positive feedback is left by people who have undergone therapy.

Without it, given the possibility of complications, therapy can be extended for 6 or even 12 months.

Ankle recovery massage

In addition to physiotherapy exercises, after removing the immobilizing bandage, massage courses are prescribed for patients. Thanks to the massage, blood and lymphatic flow in the area of injury improves, metabolic processes are accelerated, which helps to reduce pain, swelling and normalize the regeneration of the limb.

Restoration of a leg after an ankle fracture with the help of massage is allowed to be performed at home. But the first sessions should be carried out by a qualified doctor using painkillers, anti-inflammatory ointments and gels. In the future, the procedure is carried out without them.

The duration of the massage is up to 10 - 20 sessions 2 times a day - in the morning and in the evening. After several procedures, it is allowed to switch to home rehabilitation, after consulting with a traumatologist, resuscitator and massage therapist.

Special ointments with a regenerating property help to accelerate the fusion of the bone material of the ankle. They can be independently rubbed into the affected area with light massaging movements. You can not put much pressure on the bone, after each massage, the limb is fixed with an elastic bandage.

Ankle recovery at home

Ankle tear

For a full restoration of the ankle after a violation of the integrity of the bone, it is necessary to perform rehabilitation not only in the hospital, but also at home. Most often they resort to the use of physiotherapy exercises, massage, nutrition correction.

Previously, how to conduct self-therapy, it is necessary to consult a doctor.

Gymnastics

Physical education will help to develop joints, muscles and return motor activity to them. Thanks to it, the consequences of gypsum are eliminated - edema, impaired blood and lymph circulation, and the limb is also strengthened, after which it will be easier for the patient to learn to walk.

Correctly start on the leg after a fracture of the ankle should be immediately after the cast. At this time, it is also recommended to start doing exercises.

The duration of gymnastics on the first day should be 5-10 minutes, the load is minimal. With increasing time, you should gradually increase the movements, and try to stand on your foot with almost full weight.

You can do the following exercises at home:

Standing on a healthy leg and holding on to a chair or other support, you need to swing forward, backward, right, left. Movements should be carried out carefully, without haste.
Lying on a bed or sofa, we pull our socks towards ourselves, away from ourselves and move our fingers.
It is necessary to walk longer - on heels, socks, walking barefoot on stones is useful.
Sitting or standing with a bare foot, you need to roll the ball - to the side, forward, left, right, pressing it with your foot.
It is recommended to walk more in the fresh air. To begin with, training the step at home, under the supervision of relatives and friends.
Starting position standing, back straight. Holding on to a chair, you need to slowly raise the affected leg up. After doing 5-10 repetitions, you can relax.
Lying on a hard surface, we raise our legs, stretch our socks and begin to pull them towards ourselves - away from ourselves. At the time of the exercise, we observe our own well-being, if it becomes painful, we stop.

Examination of the leg after a fracture

About food

It is possible to additionally use calcium preparations - which are prescribed by a specialist.

Neglecting the advice of a doctor, there is a risk of complications that may appear both immediately and after a few years. If the rehabilitation of the patient after an ankle fracture is carried out in full, and proper care is provided, then recovery will not be long in coming.

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I am a vegetarian, so at the time of the fracture, I did not eat the recommended “jelly” “fish” “meat”. Instead, I took calcium D3 and Omega 6.

I don't know if this affected the fusion of the bone, but nonetheless. At the same time, I ate quite a lot of dairy products: cottage cheese, yogurt, cheese.

My diet hasn't changed much.