as being in breach of those terms. This may cause pain when you stand or walk, especially when you are doing activities that require high-impact activities. Its symptoms vary from person to person, but its important to seek medical attention if youre experiencing pain on your feet. After ankle surgery, it is important to take it easy and not overexert yourself. Pain going from non weight bearing to weight bearing? If you have surgery on your ankle, please see our doctor for more information. Save my name, email, and website in this browser for the next time I comment. This condition may be the result of old injuries, bone spurs, or normal wear and tear. Use of the forums is subject to our Terms of Use I worked with a physical therapist and have just started to walk with no "aids" in the past two weeks. You may need some other physio treatment to help you regain that ROM which will make walking much easier. On Sept. 27th, the two large screws were removed (ugly procedure) and tomorrow, Wed. Upgrade to Patient Pro Medical Professional? A physical exam is also recommended so that the doctor can rule out other injuries. That seems so extreme to me after only 10 weeks! Once you completed the right amount of time with no weight on your injury, your doctor might recommend that you increase your activities and start to put a little pressure on your leg. All types of exercise work . Inflammation of the plantar fascia (a band of tissue that runs from heel to toe) can cause this painful condition. Heart disease is the leading cause of death in the U.S., but it can also affect other parts of the body. Most patients are able to resume activities about a week after surgeryalthough some may need more time depending on the severity of their injury/surgery. Egton Medical Information Systems Limited. Rehabilitation is essential after ankle surgery as it helps speed up the healing process and ensure proper function of your foot/ankle once healed. So far, the boot pain has been my incision (I can feel the skin pulling when I move my foot but no really deeper pain), and walking in the boot feeling like there's a rock under my heel. not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in Some people choose to use them, while others find that they dont work well with the appliance. This is usually the result of a leg, ankle, or foot illness or injury, such as a fracture, ruptured tendon or damaged ligament. I am lucky that it was my left ankle as who knows how long it would be before I could drive again.thursday is 12 weeks for me. Nevertheless, you should visit a doctor if you are experiencing pain or swelling. So I walk with 2 crutches out of the doctor office, putting as much weight as I could on my foot. Once youve reached the point where youre able to bear some weight on your leg without assistance, be sure to keep up with therapy sessions so that your progress remains steady. I had ORIF first, then a fusion. It is painful to start bearing weight bearing after being NWB for a long time. and Privacy Policy and steps will be taken to remove posts identified If left untreated, the fracture may worsen and become a chronic problem affecting daily life. https://patient.info/forums/discuss/pain-after-weight-bearing--627886. Begin by using a scale to see how much pressure is on your affected leg when half of your weight is placed on it. For the first few months, simple walking produced minor but nagging pain in that tendon (it runs in its connective tissue sheath from calf down around ankle bone and connects on foot bottom near arch). Personally, her approach has worked well for me. Available for in-home personal training, fitness and wellness public speaking and online-training. All rights reserved. A PT would help you develop your muscles at a pace suited to your needs. A new hip joint can decrease your pain and give you your life back. After the cast is removed, you will progress to partial or weight bearing as tolerated, and then you will start to work on regaining strength and mobility. Your healthcare provider will perform a complete examination and check for any signs of inflammation, bruising, or injury. 4.4 Spinal Pathology. Your doctor will begin by assessing your symptoms. If it weren't for that pain, I think I could walk in the boot unaided. Registered in England and Wales. These symptoms will be more noticeable in the morning, but may come and go throughout the day. 05-01-2009, 05:49 PM. Physical activity can also help reduce inflammation which is beneficial for the healing process. FBW means no restriction to weightbearing, meaning that a patient can bear all of their own weight through the designated limb without any restrictions or limitations. When do you start physical therapy after ankle surgery? Swelling and soreness will decrease over time as the healing process progresses, but may persist for a few weeks post-surgery. Today was two weeks to the day and I had my splint cast taken off and a hard cast to my knee on for one week. But since I am not a Dr, this is the big picture. Remember that anything done too soon after ankle surgery can aggravate symptoms instead of helping them heal quickly. But it hasn't been easy. I told him, "this is pretty painful in my Achilles area, is that normal?" How to treat ankle stiffness after ankle fracture? Low-intensity weight bearing exercise has shown to be beneficial in bone healing over non-weight bearing exercises. The doctor gave me a choice a couple weeks into weight bearing. Posted it has been 7 weeks after fracture and doctor has now advised full weight bearing. Read our editorial policy. These tests involve placing small metal wires on your skin and releasing tiny shocks. Then 50% for two weeks before being 100% WB. I started using one crutches sometimes and now after 3 weeks of transitioning I am not using crutches at all! Read our editorial policy. Another more serious type of arthritis is rheumatoid arthritis, which is an inflammatory disorder in the body. My experience in the fitness field is focused on healthy lifestyle techniques that include healthy eating without dieting and body weight based exercise programs. You may need to use one crutch for a bit.". A study published in the September 2016 issue of the Journal of Foot and Ankle Surgery is changing the way the Jones fracture is treated, as it shows that earlier weight bearing in a walking . Weight-bearing pain in the vulnerable areas of the body is caused by overloading a joint, tendon or muscle with too much force. Walking better I hope soon! In some cases, the pain can also be the result of pressure on the toes. I've relied heavily on elastic bands for inversion/eversion exercises to tone that tendon, and a lot of work on wobble board as well. This is especially common in weight-bearing joints. Regardless of the cause, treatment for the underlying cause is often the same. Our team periodically reviews articles in order to ensure content quality. Or did I just Powe through it, knowing it'll get better? For many patients, FBW offers relief from debilitating pain and provides an increased level of function and mobility in the affected extremity(s). My heel hurts quite a bit when I walk, is this normal ? Patient is a UK registered trade mark. Im 7 weeks out from ankle surgery, I badly broke and dislocated it. Swimming and rowing are effective ways to save your joints and strengthen the muscles in your back at the same time. 4.3 Insufficiency fractures. You may also want to consider a brace to protect your foot while it heals. Now, I walk and use the stairs with confidence and little or no pain (since about 8 months or so). As you walk, run, bend, twist, stand up and lay down, these parts of your body can receive lots of pressure that can easily lead to pain and injury. Patient does not provide medical advice, diagnosis or treatment. If all goes well, you will want to wear it if you go on a long walk. However, pain will usually ease after rest and activity. Then to a brace for 3 weeks to a boot! Soreness and swelling can last up to 7 days post-op. I was in a CAM boot NWB for about 6 weeks, then about 2 weeks PWB (50%). Shout out to Duke Orthopedics! Swelling may also occur anywhere on the foot, but the most common site is the top of the metatarsal bone. Losing weight can improve joint health, but running might be a stride in the wrong direction. The symptoms of a strain are weakness in joint contraction, pain while exerting pressure, and swelling. You should use crutches only as directed by your healthcare provider, and always keep weight off the injured area while it heals. In such cases, it is important to get a diagnosis from a podiatrist. Weight bearing as tolerated (WBAT) allows patients to self-limit their weightbearing up to 100% of their bodyweight while maintaining function and movement in the designated limb. There is no general consensus on whether or not crutches should be used with a walking boot. Also I still cant flex or point downward with my foot as it hurts, should I push myself through the pain or slowly let it heal and not push it ? Weight-bearing pain is a distressing malady that commonly affects the ankles, knees, hips, lower back and vertebral column. I'm asking my PT about it when I go. Arthritis in your feet is usually diagnosed by an X-ray, which helps to confirm the diagnosis and determine the extent of the condition. as being problematic, and not always healing completely. The most commonly affected foot joint is the first metatarsophalangeal joint, which connects the big toe with the foot. What does a foot stress fracture feel like? I had a similar feeling when I was told to weight bearing. The Definition of Non-weight bearing simply means that you can't put any weight on your injured lower limb for a period of time, which can be anything from weeks to months (1). Weight-bearing pain can be a sign of joint inflammation, strained muscles or even stress fractures. Patient is a UK registered trade mark. The pain may also be tender to the touch. My surgical site is a little sore, but the heel pain is horrible. Most patients are back to their regular activities within a week of ankle surgeryalbeit with some stiffness or pain here and there depending on the severity of your injury.. If the pain is primarily in your back, wearing a back brace during strenuous exercise may help avoid pain and injury. Moving during this stage can help speed up the process and reduce discomfort for your loved one. Required fields are marked *. Always speak to your doctor before acting and in cases of emergency seek Instead try non-weight-bearing cardio exercises like recumbent cycling. The current standard of 6 weeks non-weight-bearing in a cast Weight-bearing as tolerated and formal ankle range of motion therapy starting at 2 weeks The primary outcome in this study was time to return to work, and secondary outcomes included ankle range of motion, functional and health outcome scores and complication rates. Posted Walking down stairs was too painful (tendon has to stretch like a pulley to do that). 4.2 Trochanteric Pain Syndrome. Aerobic activities burn calories and promote weight control. These symptoms may be vague at first but will gradually become worse. They were all non-weight-bearing for the first two weeks. Everybody's pain tolerance is different, but here are some good guidelines. If left untreated, a foot stress fracture can develop into a full bone break. Platelet rich plasma therapy. In order to do so, you might have used crutches. Patients who engage in weight bearing activities have a higher chance of successful recovery than those who dont do physical activity at all or only engage in low intensity activities such as walking or stationary cycling. We want the forums to be a useful resource for our users but it is important to remember that the forums are Upgrade to Patient Pro Medical Professional? The sources cited below consist of evidence from peer-reviewed journals, prominent medical organizations, academic associations, and government data. Weight-bearing typically happens over a period of 2, 4 or 6 weeks in most cases; however, this can vary based on your specific situation and injury. Then start again at the beginning of the muscle group. Follow all prescribed instructions carefully and make progress each day so that you can resume normal activities as soon as possible after ankle surgery. Once you've reached the point where you're able to bear some weight on your leg without assistance, be sure to keep up with therapy sessions so that your progress remains steady. Two patients with delayed union achieved weight bearing of 40% of normal and a fracture stiffness of less than 5 Nm/deg at 20 . as being in breach of those terms. Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. While stress fractures can occur in any part of the foot, they are most common in the foot or ankle. I start PT tomorrow and intend to work my butt off to get back my mobility. Do not try to walk on your toesthis can cause further damage and delay healing time. Which wasn't much. I would give it some time and hopefully with some time it will lessen for you. 4.5 Persistent Post-Surgical Pain. You may have a lump or pain in your foot that hurts when you put weight on it. I'm guessing it's because my foot was frozen in place and unused for 4 weeks. Does the pain cause you to have an excessive limp causing you to compensate in other others? Early symptoms of arthritis in your feet may include joint pain and stiffness. Use of the forums is subject to our Terms of Use If the swelling persists, rest the foot or apply ice. I was told at the very beginning- the recovery time is extensive. The pain usually increases during weight-bearing activity and diminishes during rest. Usually patient's are non-weight bearing for 4-6 weeks after meniscus repair surgery. All rights reserved. If you had surgery then you can start bending the knee to 90 degrees 1 week after surgery. After time and healing slowly got thru it all. Osteoarthritis is a common type of arthritis that occurs as a result of wear and tear on the joints. For example, if you weight 200 pounds, using a scale put 50 pounds of weight down on the injured leg in order to get a feel for the appropriate amount of weight o If you are able to tolerate 25% well, progress to 50% of your body weight o If you are able to tolerate 50% well, progress to 75% of your body weight If you are experiencing foot pain, you may want to consult a medical professional as soon as possible. He or she will examine the muscles and bones in your foot and arch to identify deformity and inflammation. Another sign of foot pain is inflammation of the metatarsal bones. The term is somewhat interchangeable with weight borne as tolerated (WFBT), which refers to a patients ability to limit themselves within a certain range around full body weight by using adaptive equipment or devices such as splints or braces. Arthritis may also cause foot pain. Notes on First day of weight bearing pain, https://patient.info/forums/discuss/first-day-of-weight-bearing-pain-623538. How to Get Rid of Sore Muscles After Running, How to Use a Treadmill With Bad Knees & Hips. When you first start using a knee scooter, your physician will likely have you use crutches for the first few weeks as you transition from partial weight bearing to full weight bearing. Bearing weight on your foot while you are recovering speeds up the healing process significantly. You should follow closely to the instructions provided in order to avoid creating further issues by using the wrong protocol. 5 years ago, If not, give him or her a call about it and bring up any other concerns you may have. I had surgery on July 13th, my ortho installed three screws to hold my big toe and second toe in place after I dislocated them both and tore the ligaments. So, on the one hand it seems like he expected I could walk out of the office unassisted in my boot. Osteoarthritis may also be the result of obesity, which can contribute to cartilage degeneration and lead to bone spurs. During the recovery phase, a patient may move from non-weight bearing to partial weight bearing and eventually to full weight bearing. Switching to non-weight-bearing exercise for a few weeks, especially after joint injuries, has been shown to decrease the inflammation that causes most weight-bearing pain. appropriate medical assistance immediately. I had a trimalleolar fracture of my ankle in September and was NWB for 8 weeks. For the first 6 weeks you will do all exercises in non-weight bearing (no weight on your leg). The Journal of Bone and Joint Surgery: Effect of Early Full Weight-Bearing After Joint Injury on Inflammation and Cartilage Degradation, American Academy of Orthopaedic Surgeons: OrthoInfo: Stress Fractures. I opted for the former, with the understanding I will never walk barefoot and will always wear orthotics. It can be caused by overuse, intense physical activity, or improper shoe gear. Always consult with your doctor about what type of activity you may attempt following surgery; some patients find that they need more time than others before resuming their normal routine following an operation on their feet or ankles. In addition to heart problems, foot pain can be caused by strained muscles. If it doesn't heal properly it could spell chronic ankle problems down the road. There are several ways to determine whether or not you have a problem. Registered in England and Wales. Your range of motion will be decreased as well. Doc gave me the choice of surgery just to fix the tendon ( debride including sheath, stitch tendon splits back together and wrap tendon in suture to help it heal back together), or more invasive surgery to correct my flat foot. not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in . Weight-bearing pain in the vulnerable areas of the body is caused by overloading a joint, tendon or muscle with too much force. Applying a soft bandage over the area may help reduce the pain and swelling. Today I was told I can put almost 50% of weight down and try to walk on the foot. Foot pain is an uncomfortable feeling that can be caused by a variety of issues. I always needed pain meds to help me thru therapy and regain motion in my ankle. It is important to understand the common causes of this pain and what can be done about it. and you will have it for months. Make sure you stay ahead of the pain with your meds they gave you. Did the PEMF really work, do you think? Postoperative Instructions For Knee Arthroscopy, Torn Meniscus Dr. Jeffrey J. Mair, DO PAIN: You will be sent home from the surgery center with prescriptions for pain medication. Remember: No pain, no gain. The most common area for this type of fracture is in the middle of the foot. I never would do any exercises if the pain the pain is too much. Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. Although we strive to deliver accurate and up-to-date information, no guarantee to that effect is made. For me that was a positive shift to more weight bearing. It is important that you follow all instructions from your doctor so as not to aggravate any injuries or worsen the condition at hand Patients progress is monitored closely and changes are made accordingly based on results. Certain conditions require a complete NWB status for a period of time in order for the tissue to begin healing properly. Rest, ice, compression, and elevation are all important for a speedy recovery. He lives and works in Orlando, Fla.. and is pursuing certification as a personal trainer. The pain may be dull and tender and the area of the foot may feel weak. Thanks again to everyone for their thoughts, stories and information. Always speak to your doctor before acting and in cases of emergency seek Also single heel lifts (toe raises) on that foot was impossible at first (tendon too dysfunctional to aid in that mechanical action-- that's typical). I experienced an injured post tibial tendon subsequent to an ankle fracture/sprain. Try our Symptom Checker Got any other symptoms? By gradually increasing weight your body is able to accommodate to see the new forces. 4 years ago, I am now in a can boot since Thursday and weight bearing. We are similar in injuries so I will try to keep you posted as I move along! The foot may also swell. Pain is the most common symptom of a foot stress fracture. If you are weight bearing, you should be doing ROM exercises. I wish you well. Foot pain can also be caused by an infectious disease. Pain is the most common symptom of a foot stress fracture. I am going to start PT this Friday. A stress fracture can occur in any foot bone. I had a trimalleolar fracture of my ankle in September and was NWB for 8 weeks. Is there anything I can do to make this transition smoother and less. This is determined by your physician based on your injury and healing status. Weight-bearing typically happens over a period of 2, 4 or 6 weeks in most cases; however, this can vary based on your specific situation and injury. Three weeks later I had an ORIF procedure, many ligament and tendon repairs, achilles tendon lengthening, and a tendon transfer (to fix a previously torn posterior tibialis tendon). Foot problems can make walking difficult and cause extreme pain. The first signs include pain when walking or standing. Your email address will not be published. Originally Answered: how much pain is too much when starting weight bearing as tolerated after ankle fracture? I'm trying gel heel cups in the boot next. Do this process once per muscle group. The first sign of a sprain is swelling. The speed at which your nerves respond to these shocks will be used to determine whether there is a problem. Whether your pain is caused by too much exercise or too little, there are alternatives that can help you get fit and feel better. Went to the doc today and he said "You'll be able to ditch the crutches and start walking in the boot. # 3. Sometimes a patient will be allowed to be touchdown weight-bearing (i.e. And be thankful that you know you will get better. Then 50% for two weeks before being 100% WB. I have been going to physical therapy and my therapist has worked with me to regain my mobility. Weight bearing typically happens over 2, 4 or 6 week period or sooner in some cases. This is done in order to prevent further or new injury. It seems to me that you just went from a crutches to walking??? I walk slow and have to put my foot up a lot but Im on my way! You definitely do not want any sharp pain when applying weight to your foot. X-rays can also show the presence of small bone spurs called osteophytes that may impair joint function. shelley. Stress fractures can be difficult to diagnose and treat because their symptoms are similar to other injuries. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. I chose no boot and used crutches. After the 6 week post op visit, patients may begin weight bearing as tolerated. It has a reputation among doctors that treat it (usually sports injuries in athletes and enthusiasts from too much running, sprains, etc.) Today, the worst pain I have is in my outer heel, but the only surgery I had was on my inner ankle (PTTD), not my heel at all! The pain may be dull and tender and the area of the foot may feel weak. respect of any healthcare matters. The physician will look at your foot at rest, when youre non-weight bearing, and when youre bearing weight. Place 1 hand on your stomach just below your navel. You should come out of the boot after 6 weeks and another x-ray to check how the bone is healing. It could be a single event that causes a knee or ankle injury, but more often the pain arises after long-term repetition, such as thousands of running strides. The information contained on this site is for informational purposes only, and should not be used as a substitute for the advice of a professional health care provider. appropriate medical assistance immediately. After ankle surgery, it is important to be patient and allow your body time to heal properly. It could be a single event that causes a knee or ankle injury, but more often the pain arises after long-term repetition, such as thousands of running strides. Can foot pain be related to heart problems. You can then try and wean yourself out of the boot and walk without crutches, around the house at first. This condition can lead to the tearing of muscle fibers and can affect the foots structure and function. I was in a splint 10 days, and in a boot after that. What kind of supplements did you take? 4.1 Lateral Femoral Cutaneous Nerve. It did feel strange to finally put weight on it, but did not feel any pain. When can I walk without a boot after ankle surgery? Patient does not provide medical advice, diagnosis or treatment. Your physical therapist can help you with progressive partial weight-bearing. I recommend it. After being non weightbearing for 11 weeks, I got the ok to begin walking in the boot on the 21st, this past Tuesday. I don't even know if anyone in my area practices that. Next Monday the cast comes off again and take the stitches out then a cast until Christmas. Take it easy after ankle surgery. Warts, athletes foot, and fungal nail infections can cause foot pain. I get the stitches removed. Re: Swelling after starting weight bearing. A stress fracture in the foot or ankle will initially cause a dull pain and may become more intense with weight bearing activity. The meniscus is the shock absorber in the knee. I would try to arrange an appointment with a PT as soon as you can so that you can get an appropriate exercise program and guidance that is specific to your injury. Partial weight-bearing allows you to place half of your weight on the operated extremity. Everything else (ligament, bone) bounced back on schedule. The doctor and PA wanted me walking with my boot and no crutches. Findings: In 10 patients who made good recoveries, prior to fixator removal, weight bearing though the injured leg was seen to approach 90% of that through the uninjured leg and the fracture stiffness exceeded 15 Nm/deg. Without physical therapy??? After starting therapy, gradually increase activity levels over several weeks until you reach full weight bearing with crutshes. Total hip arthroplasties are one of the most common and most successful surgeries of our time. And he said yes because of my foot being unused and at a 90 degree angle. After my meniscus surgery I had to be completely non-weight bearing on that leg for a month. Remember: It takes time and effort but with patience and perseverance anything is possible. This can go on for a very long time 7 weeks is a cup of water compared to an ocean! If you experience sharp or extreme pain during normal weight-bearing activities or if the pain does not go away, it may be a stress fracture or something more severe. Physicians typically prescribe FBW when other treatments, like surgery or radiation therapy, have failed or are not feasible due to the severity of symptoms. When starting weight bearing, it's okay if there is a slight increase in pain while weight bearing and a moderate increase in background pain for a couple of days afterwards. If your fracture is like mine, there is a background pain level with or without weight bearing. Overstretching and overuse can cause a strain on the foots muscles and fascia. Physical therapy typically starts two to four weeks after ankle surgery, with sessions two to three times per week. Make sure to keep track of any post-operative symptoms so that they can be monitored and treated appropriately during this time period; otherwise, they may persist and further impair your mobility or ability to bear weight comfortably. However, most patients report feeling much better after their surgery and are able to return to their normal activities relatively quickly. and a compression sock. If weight is applied too fast it may cause damage to the injured/surgical site in addition to the potential of creating new problems. Please check with the appropriate physician regarding health questions and concerns. After meniscus tear surgery, a knee brace can be worn to limit knee flexion and rotation, protecting the meniscus while allowing weight-bearing and movement [9]. Where you will hurt, be sore and swell on your ankle - will change every few days. After ankle surgery, you will have a rehabilitation plan that includes an orthopaedic follow up appointment and x-ray to check on the healing process. Specialties: Progressive Calisthenics, martial arts and sport conditioning, balanced eating, home gym planning and construction, Personal training. Breathing deeply during aerobic exercise can increase Oxygen levels which helps promote healthy cell growth and regeneration. We want the forums to be a useful resource for our users but it is important to remember that the forums are They can also be used to examine the joint space and determine whether theres any erosion of cartilage. Patients with tibial plateau fractures will be instructed to touch down (toe touch or foot flat) weight bear (approximately 10% of body weight) for at least 6 weeks. The foot may also swell. It may be indicative of a larger health issue, such as heart failure or a weakened heart. He said try walking with your boot and no crutches OR crutches and no boot! New shoes can also alleviate pain in your ankles, knees and hips because shoes that are old or dont have enough padding will not protect your body as well from the impacts of walking or running. If yes, than that's too much weight. Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. It is painful to start bearing weight bearing after being NWB for a long time. This condition can result from an injury, trauma, or a combination of these factors. I think doctors view the process in a very technical, clinical way, not necessarily as a drawn out process. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. In January 2015, I also broke in 3 places + dislocation. After ankle surgery and 100 weight bearing, you may experience some discomfort, swelling and bruising. Your email address will not be published. How do I know if my foot pain is serious? letting the foot gently rest on the ground - 10-15 lbs of weight). I worked with a physical therapist and have just started to walk with no "aids" in the past two weeks. I've done fairly aggressive rehab to forestall life-long chronic PTTD, with physiotherapy, PEMF therapy, and supplements to regenerate connective tissue. You should stop any high-impact activity if you have these symptoms. Resistance training builds muscle mass and tone. Swelling may also occur anywhere on the foot, but the most common site is the top of the metatarsal bone. respect of any healthcare matters. 6 users are following. No injury but I was born with flat feet, and after 50 years of walking alot for exercise and only sporadically wearing orthotics, my tendon finally wore out. Be sure to keep your feet elevated when you can and wear comfortable shoes while healing. Weight-bearing is essential for bone healing in patients with autoimmune disease, fractures, and following orthopedic surgery. If these bones are damaged, the nerves in the area may be damaged. The pain usually goes away with movement, but may return after standing for a period of time. So I've been standing and rocking on it like 25% weight. So, how much pain is "normal" when you first start weight bearing? My foot is super painful today in the cast but I am only 2 weeks out. Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. Thanks everyone for the info! There are a few operations where a patient can be expected to resume wearing standard footwear in as little as 2-3 weeks but the majority of foot and ankle operations take at least 8 weeks before standard footwear can be attempted. The amount of time that you will be non . Try our Symptom Checker Got any other symptoms? Have you consulted a PT? Weight-bearing exercises build bone density and strength. He or she will ask you to describe how your foot has been feeling and what activities make the pain worse. Ultimately, youll have to decide for yourself which of these options works best for you. You may resume walking as soon as you are able but it will likely take at least 8 weeks for full mobility to return. This is just a general answer, I know. your knee could be a part of it, at least the swelling above your boot. X-rays take pictures of the bones in the foot and ankle. Weight-bearing pain is common among the overweight because of the constant added stress on their joints and back. That tendon, when injured, can be vexing in recovery. If so, you may want to know if the pain is a sign of something more serious. Egton Medical Information Systems Limited. The injured post tibial tendon (it was stretched but not completely torn) developed into post tibial tendon dysfunction (PTTD), and it was the single biggest hindrance in my recovery since initial fracture/sprain. is it sharp pain? Another common reason for foot pain is a stress fracture or Jones fracture. A good orthotic shoe insert has been a great help in supporting tendon, as it has been for many PTTD patients. When can I start walking after foot surgery? Copyright 2022 Leaf Group Ltd. / Leaf Group Media, All Rights Reserved. Weight-bearing protocols should optimize fracture healing while avoiding fracture displacement or implant failure. Once the incision is fully healed (10-14 days) you can go past 90 degrees of knee bend. This inflammation causes a sharp, stabbing pain in the bottom portion of the foot, usually near the heel. 5 users are following. This is the bodys natural response to injury, but it can cause more harm. At SportsRec, we strive to deliver objective content that is accurate and up-to-date. She emphasizes a gradual approach rather than just working through the pain. 4 weeks ago I had surgery to repair a split posterior tibialis tendon. I had two ligaments repaired and some extensive damage done due to a fall last year and had the surgery this year Nov 13th. Dr. Craig Lum answered 26 years experience Ankle stiffness: Did you ask your doctor about the stiffness? This disease affects both feet and involves the destruction of the cartilage. Use your assistive device to stand with slight pressure on your leg. First, you had to keep all your weight off your injured leg. elevating is key. you will experience more swelling as you begin to do more. Walking with crutches isometrically (in a straight line) helps you maintain good range of motion and support your bodyweight evenly on both legs. Here are a few of them. If your pain is from inflammation after vigorous exercise or a long day on your feet, apply an ice pack to the joint or muscle for up to 15 minutes every hour, compress the joint lightly and rest. When I started walking with and without boot the only pain I had was from PTTD. Non-Weight-Bearing For many operations that require healing of major bones, tendons, or ligaments, your surgeon will instruct you to be non-weight bearing. The pain usually increases during weight-bearing activity and diminishes during rest. Following ankle injury or surgery weight must be introduced gradually. Hi Kpower, yes, PTTD was the bane of my existence for about 6 months as I tried PT, acupuncture, RICE to relieve the pain in my ankle. keep icing and elevating. He or she may ask you to stretch your toes or perform nerve conduction studies. The length of time it takes to go from partial weight bearing to full weight bearing is determined by a number of factors, including your injury and healing status. Can Walking Help with Meniscus Knee Problems? What are the signs of arthritis in your feet? If you are experiencing pain, it is recommended to visit a doctor as soon as possible to determine the cause and appropriate treatment. But it really hurt (I'm a wimp though). The same is true of those who perform high-impact cardio, like running on concrete or explosive resistance training with exercises like a clean and jerk. and Privacy Policy and steps will be taken to remove posts identified I was told that I would have a lot of pain for a while due to the ligament damage. You should be able to begin fully weight bearing in a boot after 6 weeks following your operation; however, you will still see the Physiotherapist for additional support. It hurts worse the more weight (in the boot of course) I put on it. Due to covid and my own fear the previous tendon tear had gone unrepaired for nearly 3 years. Stop performing activities that trigger the pain and seek the advice of a licensed medical professional. Crutches are a necessary tool for recovering from an injury and allowing the injured leg or foot to heal in a healthy way. painful? I wish and pray speedy and complete recoveries for you all ?? If you have questions about how you might benefit from non-weight-bearing exercises or whether it is safe for you to perform them, speak to a licensed personal trainer or other professional. Michael Shiva Best is a writer with Bachelor of Arts degrees from Eckerd College. This is especially true during exercise, when high-impact movements and added weight can take their toll. Biomechanical and animal studies indicate that early loading is beneficial, but high-quality clinical studies comparing weight-bearing protocols after lower extremity fractures are not universally available. 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