
Foot & Ankle Fractures

A foot or ankle fracture is a break in one or more of the bones that make up the foot and ankle complex. These injuries can occur from falls, sports accidents, car crashes, or repetitive stress. Because the foot has 26 bones and the ankle supports the body’s weight, fractures can range from small stress cracks to severe breaks that require surgery. Recovery often depends on proper rehabilitation to restore mobility, strength, and balance.
Diagnosis of Foot & Ankle Fractures
Diagnosis usually includes:
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Medical history review (mechanism of injury, symptoms, previous fractures).
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Physical exam to check swelling, bruising, and deformity.
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Imaging tests:
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X-rays to confirm the fracture location and severity.
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CT scan or MRI for complex fractures or suspected ligament/tendon damage.
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Treatment for Foot & Ankle Fractures
Treatment depends on the type and severity of the fracture. Many require immobilization or surgical fixation, followed by structured physical therapy. Therapy may include:
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Early recovery: reducing swelling, restoring gentle mobility, and using assistive devices (boot, crutches).
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Manual therapy to improve joint mobility and circulation once cleared.
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Strengthening exercises for the foot, ankle, and lower leg muscles.
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Balance and proprioception training to restore stability and prevent falls.
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Gait training to normalize walking after immobilization or surgery.
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Education on safe progression back to work, sports, or daily activity.
Symptoms of Foot & Ankle Fractures
Symptoms of a foot or ankle fracture may include:
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Sudden, sharp pain at the time of injury
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Swelling, bruising, or tenderness around the affected area
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Difficulty or inability to bear weight
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Visible deformity or misalignment in severe cases
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Pain that worsens with movement or pressure
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Instability in the ankle or foot
Prevention of Foot & Ankle Fractures
To lower the risk of fractures and improve long-term bone health:
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Maintain strong bones with adequate calcium, vitamin D, and weight-bearing exercise
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Strengthen ankle and leg muscles to support the joint
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Wear supportive, well-fitting shoes
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Avoid uneven terrain when fatigued or at risk of falling
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Use protective equipment during high-risk sports
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Address foot and ankle pain early to prevent stress fractures from worsening
