Understanding Foot & Ankle Fractures

What Are Fractures involving Foot & Ankle?

The foot is made up of 26 bones, while the ankle consists of three main bones—the tibia, fibula, and talus. These bones work together in a complex manner to support body weight and allow movement. Fractures happen usually due to trauma, such as falls, sports injuries, twisting injuries, fall from height or car accidents, and can cause significant pain, swelling, and difficulty in walking. Proper diagnosis and treatment are crucial for ensuring proper healing and preventing long-term complications.

result from direct rolling the ankle, and Certain conditions, such as osteoporosis, can weaken the bones and increase the risk of fractures even with minor trauma.

How Would I Know If I Have a Fracture?

A foot or ankle fracture usually causes immediate pain, swelling, and difficulty bearing weight. The affected area may appear deformed, bruised, or discolored. In severe cases, the bone may protrude through the skin. If you experience intense pain, inability to walk, or visible deformity, it is essential to seek medical attention immediately. Some stress fractures may develop gradually, presenting as persistent pain that worsens with activity and improves with rest.

Can I Treat It Myself?

While minor injuries such as sprains may sometimes be managed at home, the fractures require medical evaluation. Applying ice, elevating the foot, and keeping weight off the affected area can help reduce swelling and pain temporarily. Over-the-counter pain relievers like paracetamol or anti-inflammatory medications may offer relief. However, without proper medical assessment, it is impossible to determine the severity of the fracture, and improper management may lead to complications. Avoid Massage, heat application in acute injuries should be strictly AVOIDED.

When Should I Seek Professional Advice?

If you suspect a fracture due to severe pain, swelling, or inability to walk, you should seek immediate medical attention. A Foot and Ankle Orthopaedic Surgeon/ Trauma Surgeon will conduct a thorough physical examination and order imaging tests such as X-rays, CT scans, or MRIs to confirm the diagnosis. Delaying treatment can result in improper healing, leading to chronic pain, arthritis, or deformity.

What Can Be Done About It?

The treatment of foot and ankle fractures depends on the severity and location of the break. Some fractures may be treated with immobilization using a cast, splint, or walking boot to allow the bone to heal naturally. Surgery may be required for complex or displaced fractures that cannot heal properly with immobilization alone. The procedure often involves the use of metal plates, screws, or rods to stabilize the bones and ensure proper alignment. If the fracture extends into the joint, surgical intervention may be necessary to prevent long-term complications such as arthritis.

Most of the time physical therapy physiotherapy and rehabilitation is recommended to restore function, strength and mobility once healing progresses.

Recovery time varies depending on the severity of the fracture and the treatment method used.

Will I Be Able to Walk Normally Again?

Most individuals recover fully from foot and ankle fractures with appropriate treatment and rehabilitation. However, the recovery period may take several weeks to months, depending on the severity of the injury. Gradual return to weight-bearing activities is recommended under the guidance of a healthcare professional. Wearing supportive footwear and following prescribed rehabilitation exercises can help prevent future injuries and ensure a full return to normal activities.