The rehabilitation approach will be individualized depending on the patient’s prior level of function and goals. If a clinician requires assistance in the progression of a post-surgical patient the surgeon should be consulted. This is not intended to substitute clinical decision making regarding the patient’s proper progression based on evaluation findings, individual progress, and if/when post-operative complications arise. Some Achilles tendon injuries can be treated non-surgically, while complete ruptures can be repaired using minimally invasive surgery.The goal of this protocol is to provide a clinical guideline for the non-surgical and post-surgical course of physical therapy for a patient who has suffered an ankle fracture. The tendon that attaches your calf muscle to your heel bone (calcaneus) can get torn as a result of a forceful action – such as sprinting from standing, or jumping without warming up – or suffer microtears as a result of repeated stress. Serious tears, chronic ankle instability, or those associated with other conditions may need surgery to repair ligaments, the smooth damaged bone and stabilise your ankle. Torn Ankle Ligament InjuryĪ sprained ankle can usually be treated with physiotherapy to build up strength while the torn ligament heals. Arthroscopic surgery is often needed to fix the tendon back in place. Physiotherapy to build up the muscles and improve stability can solve the problem. This can lead to pain and swelling, along with instability. The tendon that runs under the bony lump on the outside of your ankle can get displaced – particularly after a sprain. In some cases, it can be treated conservatively bone spurs and thickened tissues may require surgery. It’s common in ballet dancers, footballers, gymnasts and fast bowlers, but can also be the result of a sprain or chronic ankle instability. Pain in the back of your ankle may be caused by soft tissue getting pinched between the bones as you point your toes. Osteoarthritis in your ankle leads to soft tissue damage, pain, swelling and instability as the muscles around it weaken. As your bones try to heal, they can also form lumps called bone spurs. The smooth cartilage coating can wear away or get torn – and the exposed bones begin to degenerate. Repetitive impact, injury or ageing can lead to damage to the surfaces of your bones. Displaced fractures: displaced bones may require pinning and ligament reconstruction to hold them in place as they heal.These almost always require surgery to repair. Bimalleolar ankle fracture: a break at both knobs in the ankle, which includes the fibula (lateral malleolus) and tibia (medial malleolus).
Like a bimalleolar fracture, this usually requires surgery. Trimalleolar fracture: all three parts of the ankle are fractured, which include the medial (inside), lateral (outside), and posterior (back) malleoli.Posterior malleolus fracture: a break at the back of the tibia (shin bone), which usually happens at the same time as a lateral malleolus fracture.These fractures almost always require surgery. Bimalleolar ankle fracture: a break at both knobs in the ankle – the fibula (lateral malleolus) and tibia (medial malleolus).This usually happens when you roll onto the inside of your ankle (eversion). Medial malleolus fracture: break at the end of the tibia, where it forms a bony lump on the inside of your ankle.Lateral malleolus fracture: break at the bottom of the fibula – these are the most common type of ankle fractures and happen when you roll onto the outside of your ankle (inversion).
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