Post Operative Information

ankle stabilization

Dressings only for one more week, then only need dressings when in Moonboot
Shower normally – allow the wound to air dry if not in the boot
Ice for one week more for swelling if required
Come out of MB for rests
Only need MB for walking
Still no weight
Start moving your ankle & toes
Only up & down motion of the ankle
15 repetitions 3x a day
Pull your ankle back until you can feel a gentle stretch at the back of your Achilles. Hold for 2 seconds, then release and repeat.
Wiggle toes
See you in 2 weeks
Plan to allow you to do some partial weight bearing then (50% weight still using crutches)
At the four-week mark
You can start partial weight bearing in your Moonboot
Keep doing the same ankle exercises
If you have access to a pool
Begin hydrotherapy
Walking with chest height water for 10 mins
Treading water for 10 mins
NO SWIMMING/PADDLING
Double calf raises 15 repetitions 3x sets
Single calf raises 15 repetitions 3x sets
Inline walking 5 mins – one foot in front of the other

See in 4 weeks with a new x-ray, hopefully to start weight bearing then. Start Physio now
Hydrotherapy
10 mins walking
10mins treading water
10mins
Double calf raises
Single calf raises (if double is too easy)
In-line walking (1 foot in front of the other)
If all is too easy, progress to squats & lunges
15 repetitions 3x sets

Dressings only on one more week, then only need dressings when in Moonboot (so it doesn’t rub)
Shower normally – allows the wound to air dry if not in the boot
Ice for one week more for swelling
Come out of MB for rests
Only need MB for mobility, so you don’t injure yourself
Weight bear only on your heel
Start moving your ankle & toes
Only up & down
Clockwise & counterclockwise
Draw the alphabet with your foot
Wiggle toes
15 -20 repetitions 3x a day
Hydrotherapy
10 mins walking
10mins treading water
10mins
Double calf raises
Single calf raises (if double is too easy)
In-line walking (1 foot in front of the other)
If all is too easy, progress to squats & lunges
15 repetitions 3x sets

Dressings only on one more week, then only need dressings when in Moonboot (so it doesn’t rub)
Shower normally – allow the wound to air dry if not in the boot
Ice for one week more for swelling
Come out of MB for rests
Only need MB for mobility, so you don’t injure yourself
Still no weight
Start moving your ankle & toes
Only up & down
Clockwise & counterclockwise
Draw the alphabet with your foot
Wiggle toes
15 -20 repetitions 3x a day
See you in 4 weeks with a new X-ray
Start Physio now
Hydrotherapy
10 mins walking
10mins treading water
10mins
Double calf raises
Single calf raises (if double is too easy)
In-line walking (1 foot in front of the other)
If all is too easy, progress to squats & lunges
15 repetitions 3x sets

Dressings only on one more week, then only need dressings when in Moonboot (so it doesn’t rub)
Shower normally – allow the wound to air dry if not in the boot
Ice for one week more – remember swelling can continue for up to 6 months!
Come out of MB for rests
Only need MB for walking
Continue to sleep in MB
Can slowly begin putting some weight through with crutches
Start moving your ankle & toes
Only up & down
No inversion/eversion yet
15 repetitions 3x a day
See in 4 weeks to remove Moonboot
Start Physio now
Hydrotherapy
10 mins walking
10mins treading water
10mins
Double calf raises
Single calf raises (if double is too easy)
In-line walking (1 foot in front of the other)
15 repetitions 3x sets