Effects of Weight-Bearing During Foot Fracture Healing

A foot fracture or a fractured ankle is a crack in a bone or cartilage in the foot or ankle, that occurs due to trauma, repetitive stress, or underlying medical conditions that weaken the bones.Different types of foot fractures include compound fractures (where the bone breaks through the skin), simple fractures (where the bone remains within the skin such as stress fracture), displaced fractures (where the bone fragments are not aligned), and non-displaced fractures (where the bone fragments remain in their original position). The fracture is diagnosed through physical examination, X-rays, and other imaging tests.

A foot fracture healing is a process by which a fracture repairs itself. It involves the inflammatory phase that occurs immediately after the injury. In this stage, the immune system sends specialized cells to the site to remove damaged tissue and debris. Next, the soft callus formation stabilizes the fractured bone, and a hard callus formation as the soft callus begins to mineralize, it gradually transforms into a hard callus made of bone tissue.In the final stage of foot fracture healing, the body reshapes the new bone tissue to restore its original shape and strength.

Weight-bearing during foot fracture healing should be done under the guidance of a podiatrist. The amount and timing of weight bearing are determined by the type and severity of the fracture, overall health, and activity level.Weight-bearing has both positive and negative effects.

Positive effects:

• Increased blood flow to the affected area, promoting healing by bringing oxygen and nutrients to the site of the fracture.
• Improved bone density helps the fractured bone heal quickly and reduces the risk of future fractures.
• Improved muscle strength for stability to prevent falls and further injury.

Negative effects of weight bearing:

• Delayed healing or cause the foot fracture to heal incorrectly, especially if the individual puts too much weight on the affected limb too soon.
• Pain and discomfort if one is not able to tolerate the weight or if the foot fracture is not stabilized properly.
• Increased risk of further injury especially if the patient loses their balance or falls.

In conclusion, weight-bearing during foot fracture healing requires patience, adherence to medical instructions, and pain management.

1. Use assistive devices to help distribute weight and reduce pressure on the affected limb. A foot doctor can advise on the appropriate device and how to use it properly.
2. Gradual weight bearing should be practiced to allow the body to adjust and heal properly. It can involve starting with partial weight bearing, then gradually increasing to full weight bearing.
3. Follow the prescribed treatment plan: A podiatrist will prescribe specific exercises, physical therapy, or other treatments to help support healing and rehabilitation and not to push hard too soon.
4. Manage pain and swelling with ice, elevation, and pain medication as prescribed. Proper pain management improves mobility and reduces the risk of further injury.
5. Monitor any complications on the affected limb. Look out for signs of infection, increased pain, or other concerns and seek medical attention.

If you are dealing with afoot fracture,feel free to contact our office to make an appointment at DeNiel Foot & Ankle Center with our podiatrist Houston. Our foot and ankle specialist, Dr. Ejodamen Shobowale will provide you with the care you need to keep you pain-free and on your feet.