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