Foot and ankle injuries after a crash start with clear walking rules
An orthopedic specialist and a physical therapist on getting back on your feet safely
In a crash, your foot may get hurt as you brace against a pedal or the floor. Your ankle may also twist or hit part of the car. Pain and swelling alone can’t show whether you have a sprain, a break or another injury. An orthopedic specialist decides what needs protecting. A physical therapist then helps you walk safely within those limits. [1, 2]
Get your weight rules on paper
Ask which bone or ligament is hurt and whether imaging found a fracture. Next, ask exactly how much weight the injured side can bear: none, some or as much as you can tolerate. Ask if that rule still applies when you’re wearing a boot. These instructions differ a lot from one injury to the next. Walking too soon on a broken ankle may harm healing. With a milder sprain, you may be guided back to walking sooner. [1, 2]
Have someone show you how to use crutches, a walker or a boot on stairs and around your home. Speak up before you leave if the device doesn’t fit. Do the same if you can’t follow the weight rule without falling. Hopping through a crowded house won’t work as a long term plan. [1, 2]
When to call about changes
Call your care team if a cast or splint feels too tight or too loose. Call for severe pain, new numbness or tingling, a foot that turns cold or dark, or toes you can’t move. Shortness of breath or new chest pain is an emergency. Get prompt advice for new calf swelling or pain. Moving less can raise the risk of a blood clot. [2, 3]
Rebuild balance and strength, too
When you’re cleared to do more, ask about balance, strength and ankle motion. A sprain can leave the ankle weak or likely to give way. A fracture can leave it stiff after time in a cast or boot. Therapy and home exercises should match your diagnosis and your stage of healing. If your walking isn’t getting better as expected, ask to be examined again. [1, 2]
Think through everyday trips before you try them. Consider the steps at your entrance, getting to the bathroom, carrying food and rides to your next appointments. Ask about an accessible route or short term help. Written limits are useful at work and for the people helping you at home. [2]
- How much weight can I put on this foot, exactly?
- Which device should I use, and who will show me how?
- When will my walking and my injury be checked again?
Look up your weight bearing rule
Sources and further reading
- 1MedlinePlus ankle sprain aftercare
- 2MedlinePlus ankle fracture aftercare
- 3CDC blood clot warning signs
The advice here is general and comes from orthopedic care and physical therapy. Follow the weight bearing rule for your own injury. Get prompt care if your foot turns cold, numb or discolored.
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