Fractured Malleus

[summer72]

Hi,

I fractured the Malleus in my left ankle 7 weeks ago, and came out of plaster 2 weeks ago. I didn't need pins or re-alignment, just a cast. I saw a physio that day who gave me simple ankle rotation and foot extension exercise, but there's now a three week wait for more physio. My ankle's still very swollen and stiff and I'm limping quite badly. Is there anything else I can do in the meantime, as I'd like to get back to work soon ( 9-12 hour day standing )

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[alophysio]

Lots can be done...but need more info please!

If you can at least type out what the report says about your fracture (XRay report) that would help.

Do your exercises and wait for the physio or pay some money and go see someone privately...spending a little now can get you back to work sooner and earning more than sitting on your butt waiting but i am not privvy to your financial circumstances...sorry

Cheers

[Canuck Physio]

"9-12 hours a day standing"

Depending on how long you have been inactive, and the causal factors resulting in injury, as well as the subsequent structural damage and muscle inhibition, this is probably not a good idea straight away.

You will, and I mean this sincerely will Absolutely need to consider other duties, or the possibility of sitting.

[summer72]

Hi,

The consultant told me at discharge two weeks ago that the fracture had healed. He then referred me to physio, who I saw at the same clinic and she gave me those exercises.

I'm now walking without crutches, but with a limp. I have still quite a bit of swelling on my foot and ankle, reaching up to mid calf. I have quite a bit of restriction in bending my foot towards my knee but to point my toe and circle my ankle is ok.

I've asked around for a private physio, but can't find one.

I'm a community pharmacist, so standing and moving around all day is the only way to get the job done I'm afraid. I've been off for 8 weeks now and need to get back.

Any and all help greatly appreciated

[Canuck Physio]

It seems like you are on the path to recovery, for the swelling an ice bath or warm water bath may be useful: (there is a thread about this recently)

In regards to the range of motion and weight bearing, the soft tissue would need to be worked on manually, while gait re-education will need facilitation to enhance normal walking patterns and to reduce residual problems or other muscle pattern issues.

In order to acclimate towards standing, you may need to progress how long you are capable of standing, and afterward (are you in a cast), elevate and follow swelling recovery strategies.