Post operative information

ankle stabilization

E

Dressings only on 1 more week, then only need dressings when in Moonboot

E

Ice for 1 week more for swelling

E
Shower normally – allow wound to air dry if not in the boot
E
Come out of MB for rests

  • Only need MB for walking
  • Weight bear as tolerated
E
Start moving ankle & toes

  • Only up & down
  • NO eversion/inversion
  • Wiggle toes
  • 15 -20 repetitions 3x a day
E
See in 4 weeks, start Physio now
E
Hydrotherapy

  • 10mins walking
  • 10mins treading water
  • 10mins Double calf raises
  • Single calf raises (if double too easy)
  • In line walking (1 foot in front of the other)
  • If all too easy progress to squats & lunges
  • 15 repetitions 3x sets

Haglunds or Achilles

E
Dressings only for 1 more week, then only need dressings when in Moonboot
E
Shower normally – allow wound to air dry if not in the boot
E
Ice for 1 week more for swelling if required
E
Come out of MB for rests

  • Only need MB for walking
  • Still no weight
E
Start moving ankle & toes

  • Only up & down motion of the ankle
  • – 15 repetitions 3x a day
    – Pull ankle back till you can feel a gentle stretch at the back of your Achilles, hold for 2 seconds, then release & repeat

  • Wiggle toes
E
See in 2 weeks

  • Plan to allow you doing some partial weight bearing then (50% weight still using crutches)
E
At the 4 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 10mins
    • Treading water 10mins
    • NO SWIMMING/PADDLING
    • Double calf raises 15 repetitions 3x sets
    • Single calf raises 15 repetitions 3x sets
E
Inline walking 5 mins – one foot in front of the other

Lisfranc

E
Dressings only for 1 more week, then only need dressings when in Moonboot
E
Shower normally – allow wound to air dry if not in the boot
E
Ice for 1 week more for swelling
E
Come out of MB for rests

  • Only need MB for walking
  • Still no weight
E
Start moving ankle & toes

  • Only up & down
  • Clockwise & counterclockwise
  • Draw the alphabet with your foot
  • Wiggle toes
  • Scrunch your arch of foot
  • Try to pick up a pen/stress ball on the floor
  • 15 repetitions 3x a day
E
See in 4 weeks with new x-ray, hopefully to start weight bearing then. Start Physio now
E
Hydrotherapy

  • 10mins walking
  • 10mins treading water
  • 10mins
  • – Double calf raises
    – Single calf raises (if double too easy)
    – In line walking (1 foot in front of the other)
    – If all too easy progress to squats & lunges
    – 15 repetitions 3x sets

Contact Dr Gerald for details on Early Functional Rehab and Day Surgery

5th Metatarsal

E
Dressings only on 1 more week, then only need dressings when in Moonboot (so it doesn’t rub)
E
Shower normally – allow wound to air dry if not in the boot
E
Ice for 1 week more for swelling
E
Come out of MB for rests

  • Only need MB for mobility so you don’t injure yourself
  • Weight bear only on your heel
E
Start moving ankle & toes

  • Only up & down
  • Clockwise & counterclockwise
  • Draw the alphabet with your foot
  • Wiggle toes
  • 15 -20 repetitions 3x a day
E
Hydrotherapy

  • 10mins walking
  • 10mins treading water
  • 10mins
  • – Double calf raises
    – Single calf raises (if double too easy)
    – In line walking (1 foot in front of the other)
    – If all too easy progress to squats & lunges
    – 15 repetitions 3x sets

E
See in 4 weeks with new x-ray

  • Hopefully to start weight bearing then. Start Physio now
E
Hydrotherapy

  • 10mins walking
  • 10mins treading water
  • 10mins
  • – Double calf raises
    – Single calf raises (if double too easy)
    – In line walking (1 foot in front of the other)
    – If all too easy progress to squats & lunges
    – 15 repetitions 3x sets

Ankle ORIFs

E
Dressings only on 1 more week, then only need dressings when in Moonboot (so it doesn’t rub)
E
Shower normally – allow wound to air dry if not in the boot
E
Ice for 1 week more for swelling
E
Come out of MB for rests

  • Only need MB for mobility so you don’t injure yourself
  • Still no weight
E
Start moving ankle & toes

  • Only up & down
  • Clockwise & counterclockwise
  • Draw the alphabet with your foot
  • Wiggle toes
  • 15 -20 repetitions 3x a day
E
See in 4 weeks with new x-ray

  • Start Physio now
E
Hydrotherapy

  • 10mins walking
  • 10mins treading water
  • 10mins
  • – Double calf raises
    – Single calf raises (if double too easy)
    – In line walking (1 foot in front of the other)
    – If all too easy progress to squats & lunges
    – 15 repetitions 3x sets

peroneal tendons

E
Dressings only on 1 more week, then only need dressings when in Moonboot (so it doesn’t rub)
E
Shower normally – allow wound to air dry if not in the boot
E
Ice for 1 week more – remember swelling can continue for up to 6 months!
E
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
E
Start moving ankle & toes

  • Only up & down
  • No inversion / eversion yet
  • 15 repetitions 3x a day
E
See in 4 weeks’ time to remove Moonboot

  • Start Physio now
E
Hydrotherapy

  • 10mins walking
  • 10mins treading water
  • 10mins
  • – Double calf raises
    – Single calf raises (if double too easy)
    – In line walking (1 foot in front of the other)
    – 15 repetitions 3x sets