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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Removed Cast After Ankle Fracture. Unable To Walk, Unbearable Pain. Is It Common?

hai sir, i have under gone ankle fracture 1 month ago and just got removed my cast 2days ago ,my ankle fracture was with pop up but had active toe movement ,my problem is that i am unable to walk now if i keep my foot on the floor and try to start getting up i am experiencing unbearable pain ,but my doctor asked me to start walking slowly but i am unable to walk ,is this common issue when will i be able to walk please answer my question
Mon, 30 Sep 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

It is normal to have certain amount of stiffness in the soft tissues around the ankle after a cast removal.

When these tight and stiff structures are subjected to stretch as in walking, one may experience pain, which is considered to be normal. This will settle down normally within a week. Prior to walking, do light stretching movements of the ankle and warm up the tissues. Applying hot fomentation will be helpful in making the soft tissues a bit supple.

You will feel comfortable within a week or two. Keep going.

Hope this information is helpful. Good day
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General & Family Physician Dr. Fakhar-i-Rifaq's  Response
hi,yes it is common issue.as theligaments and muscles ofthat ankle were immobilised for one month.so due to disuse muscies under go temporary atrofy called disuse atrophy.which is common in all such cases. it will be cured with masage of any oil and light exercis------ flexion and extension at ankle joint ( slowly )it will take the same time as it was pop time----
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Removed Cast After Ankle Fracture. Unable To Walk, Unbearable Pain. Is It Common?

Hi, thanks for writing to HCM. It is normal to have certain amount of stiffness in the soft tissues around the ankle after a cast removal. When these tight and stiff structures are subjected to stretch as in walking, one may experience pain, which is considered to be normal. This will settle down normally within a week. Prior to walking, do light stretching movements of the ankle and warm up the tissues. Applying hot fomentation will be helpful in making the soft tissues a bit supple. You will feel comfortable within a week or two. Keep going. Hope this information is helpful. Good day