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 Your email address will not be published. 5 users are following.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