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Physiotherapy. Exercises to strengthen leg muscles may improve walking problems associated with foot drop. Stretching exercises can prevent the development of stiffness in the heel. Learning to use a high stepping gait or swinging gait is an alternative approach that some people prefer. The majority of patients require 2-3 follow-ups but each operation has an individual post-operative course and every patient heals differently. Your follow-up will be tailored individually as necessary.
Achilles tendon reconstruction– NWB for two weeks followed by weight bearing as tolerate (WBAT) in removable boot (with 4 wedges) for 5-6 weeksMost metatarsal fractures occur in younger people, as they are more likely to be involved in the kinds of sports and marching activities that make them more likely. However, as we become older the 'springiness' and padding of our feet tend to reduce. This means that our feet absorb impact less well and it is easier to fracture bones. Supportive footwear will make this much less likely. About 5-10 in 100 ankle fusions do not heal properly and need a further operation for the bones to fuse basically another ankle fusion. Minor infections in the wounds are slightly more common and normally settle after a short course of antibiotics.
Your doctor is likely to suggest an X-ray of your foot if they suspect a metatarsal fracture. Acute metatarsal fracturesTypically the stress fracture causes a tender area along the line of the second or third metatarsal bone. The following is a rough guide of weight bearing status post surgery for some common procedures (note this may change depending on individual considerations).
People sometimes say that it isn't possible to walk on a broken foot but this is not correct. Whether you can walk on a broken foot depends on which bone is broken (and whereabouts along its length), whether the fracture is displaced, how supportive your shoes are, and your personal tolerance to pain. It is, therefore, possible to walk on a broken foot, although it is likely to be very uncomfortable to do so and it may well make matters worse if you do. Stress fractures
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After a while, the pain may become continuous, so that it is not relieved by resting. The sore area tends to become more localised to the area of the fracture, and the pain gradually increases. Sometimes the screws become loose as the bone heals and cause pain or irritate your skin. If this happens, they can be removed usually a simple operation which it is often possible under local anaesthetic. We find that about 1 in 10 of our patients needs the screw taken out. Some fractures just need support to help healing. For example, a supportive elastic tubular bandage with a supportive, rigid shoe or boot. If needed, special shoes are available to help to immobilise the fracture and support the foot so that you are able to walk.
Painkillers such as paracetamol and non-steroidal anti-inflammatory painkillers such as ibuprofen which may help to relieve pain. IceYou may walk, taking most of the weight through the non-operated foot and crutches and only touching the ground with the affected foot for balance. Non-weight bearing (NWB) Movement of your foot may also be limited. Surprisingly, however, pain can settle within a few hours. Metatarsal fractures (of both types) occur more easily if the metatarsal bones are weakened due to 'thinning' of the bones (osteoporosis). As with many broken bones, pain is a key identifier of a broken foot. If the top of the foot is extremely sore and tender to the touch, possibly even so much that it’s very difficult or impossible to place enough weight on the foot to walk, there could be a break to the top of the foot. Broken foot symptoms are similar to those of a strain, which may actually be even more painful in the short term. One way of differentiating between a sprain and broken foot symptoms is to apply ice to the top of the foot; in the event of a sprain, the pain and swelling will subside. What Broken Foot Treatment is Available on the NHS? Displaced or not displaced: a displaced fracture is one where, following the break, the bones have slipped out of line. A displaced fracture needs specialist care, as the bones will need to be properly lined up and stabilised. This may involve an anaesthetic and some kind of metal pinning or plating to the bones.
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