How to Wean Out of a Walking Boot? | How do Walking Boots Work? | Thomas Clanton, MD
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- เผยแพร่เมื่อ 28 พ.ค. 2018
- sportsfootankle.com/
In this video, foot and ankle specialist Dr. Thomas Clanton discusses how walking boots work after surgery and how patients are weaned out of the boot. When patients are in a walking boot they are non-weight bearing. As the injury improves, patients can begin to apply more weight to the injured foot and/or ankle.
How to wean out of a walking boot? Patients will gradually add stress by walking in the boot for one hour in the morning and one hour in the evening. That hour should not be a high impact part of the day. By protocol, the patient will progress to two hours, three hours and finally four hours in the morning and four hours in the afternoon. At the four hour mark, patients are close to being completely out of the boot.
When patients are out of the boot, it is important to wear a good supportive shoe, and patients can gradually begin to increase activities and adding stress to the affected extremity.
To learn more about how to wean out of a walking boot, please visit: sportsfootankle.com/boot-wean-....
What athlete shoe do you recommend. Should I use compression sock and a brace for stability.?
The hours out of the boot are weight bearing...?
Sir I had fractured my tibia and doctors have implanted a plate through surgery and after 4 weeks they removed my cast and given an ankle
immobilizer
Age 19
so sir I want to confirm that is it ok to remove the cast after 4 weeks
This is nuts. Broke my ankle Jan 22... I was completely NWB for 8 weeks, and then at my Pre-surgery appointment, the day before surgery, after my xrays, My OS explained that "the fracture is healing (NOT HEALED) as it should on its own and surgery will be out on hold until I do one more xray standing up. So now he beautiful gins to examine my foot. Then while his palm was on the bottom of my foot, asked me to flex my foot upwards, basically move my toes towards my body. I couldn't do it. RIGHT AFTER, he said take the boot off, get rid of the crutches and start walking. 😮 I looked at him like he was crazy. I asked "right now? Because I'm not confident in doing that!" he said ok when you get home, since I see you don't hav an extra shoe to wear.... WHAAAAATTTTT! Why was I given a walking boot if I was never going to walk in it? I thought at some point the boot would be ease me into weight bearing to walk in👀 Can someone answer that? Was it just to charge my insurance? My calf muscle is completely gone! So here at 4wks since then (week 12 since fracture), I've been walkin in the boot. I'm down to one crutch in my home. Without the boot, my mind doesn't allow my left foot to move. Also the weight of the boot is necessary since muscle atrophy in my left calf. I get pins and needles when trying to walk on the bare floor. I can only take small steps and then bang on my good right leg which is now bad due to supporting all my weight for the past 3 months. Does the orthopedic surgeon have to sign off on me getting physiotherapy?
Oh your scaring me I’ve been 6 weeks NWB 6weeks PWB. I’m having a check up soon and if they say straight to walking no boot I’ll cry!
Are you fully recovered now?
@@ItsChel how did it go? Are you back running around?
@@jmpinmoonlite nope! I still use a crutch to get around. Found out a few weeks ago my pain that I thought was possibly nerve damage is actually a fracture on the inside of my foot. My initial fracture was on the outside of my foot which has healed. My OS put in a preauthorization for me to get an MRI and my insurance denied it. They sent me the paperwork and now I'm appealing their decision. I just want to be able to run and stand on my tippy toes again. Play soccer and basketball and I can't do none of it. It's made my major depression worse as well as the right side of my body hurts all the time (my knee and back) from supporting my weight while walking. I hate this 😢... 1 year and 3 months later and still dealing with this pain is something I'd never wish on anyone. Not even my nemesis
I’ve basically had the same sort of issue. I broke my ankle 8 nearly 9 weeks ago. Non weight bearing for 6 weeks. I go to see the consultant and he looks at my ankle without a boot and says right in 4 weeks time we want you walking without a boot! Here’s a piece of paper with 3 exercises in rotating and moving the ankle. See you in 6 weeks! It’s been 2 weeks and I can’t see me walking without the boot in 2 more weeks! My sick note for work ends in 2 weeks too and I’m a cleaner 😂 madness! I’m in the UK
After ankle surgery I was non-weight bearing for ten weeks (due to some unforseen circumstances) When I went to him, he took me out of the boot, and said in essence "pick up your bed and walk." The pain when I try walking is severe, but when I went back four weeks later I got a lecture on no longer using my crutches. Is there a "cut off" period for using crutches? I am 63 and have osteoperosis as well, and I cannot walk well enough to go shopping.
Bearing weight will actually reduce pain over time because tour pushing the bones back in place trust me it hurts a lot at first but after a couple of days it feels so much better I almost lost all my regular pain and only had pain related to walking too much
It still hurts to put weight down on the back of my foot is this normal ?
yes... it is
Thank you so much! I didn't know how to take the boot away from me :)
I named mine Wilson.
@@SissyShamrock I've named mine Annoying Bastard. I can't wait to bury it in the garden!
@@dannyneville1310 HA! Good one!
@@SissyShamrock How's Wilson, young pea?
@@dannyneville1310 I have named mine pain.
This is what I have done but it just seems like my ankle keeps getting swollen even in the boot
Whatever I do seems to cause swelling.
@Unknown YES 👍
At 5 weeks I just took it off. The pain the boot caused me wasn't worth it, gonna do it my own way
How'd it go? Are you athletic? I want to get back to running
@@davidlibera3488 I carefully rehabbed my ankle myself and never used the boot , now I'm back to running again
@@ztalman nice bro , what did you break? Before not wearing the boot?
@@hdd1497 the tibia and fibula with a slight dislocation
Hey I’m 6 weeks in non weight bearing fracture ankle fibula , self healed after ER with splint for 7 days using a knee scooter, then I ordered the Air Orthopedic Boot, it was to painful to wear, so I took the air insert out, wrapped my foot/leg and keep the pressure on it as a splint like device. Now I just put on an Ace Stabilizer ankle lace brace and put on a pair of my old wide easy spirit leather lace up boots to try and get the courage to walk again. Yet I cant get my mind to tell my brain to make the required walking motion with that let. I assume Im afraid to make a step, can you give me any suggestions to take my first step without fear, Im trying but something wont tell my leg/ foot to take a step.