Foot and Ankle Fracture Treatment

What You Need To Know

Understanding fractures of the foot and ankle and when to seek care.

Fractures of the Foot and Ankle

A fracture is a break in the bone, as opposed to a soft tissue injury such as a sprain or strain. A stress fracture is a tiny bone break caused by overuse, and often develops over time rather than suddenly.

A fractured foot or ankle will cause pain, bruising and swelling. It will be difficult to walk on the injured foot or ankle. Stress fractures may produce more subtle symptoms, with pain that worsens during activity and eases with rest.

Injuries are the most common causes of foot and ankle fractures, especially during sports like basketball and football. Trip and fall accidents may cause a fracture, as can a vehicle or bicycle accident. Repetitive impact from running or jumping can lead to stress fractures over time.

For a serious break, or if your pain and swelling persists after a day or two and you still have difficulty walking, get to your foot doctor or emergency room right away. Prompt evaluation helps prevent complications and supports proper healing.

Your podiatrist will assess your injury with imaging tests such as an X-ray. An ultrasound or MRI can help diagnose stress fractures as well as soft tissue injuries, giving your provider the information needed to build the right treatment plan for you.

Treatment and Recovery for Fractures

If you suspect that you have broken a bone, use RICE treatment at home before you can get to medical care. Rest the foot and leg to avoid putting weight on the injury. Ice the area as quickly as possible, and reapply every 3 or 4 hours for 15 to 20 minutes each time.

Use an elastic bandage to apply compression to minimize swelling, and elevate the leg on pillows, preferably higher than your heart. Ibuprofen can help relieve pain and swelling while you arrange to see a provider.

Professional treatment depends on your specific injury. A serious break may require metal plates and screws to line up the bone properly so it can heal in the correct position. Less severe fractures may be treated with immobilization and protected weight bearing.

Stress fractures need rest and immobilization with a special boot or a cast and crutches. Returning to activity too soon can turn a small stress fracture into a more significant break, so following your recovery plan closely is important.

With proper treatment and follow-up care, most patients recover well and are able to return to walking, working, and the activities they enjoy. Your podiatrist will guide you through each stage of healing.