Foot and Ankle Fracture Treatment

What You Need To Know

Understanding foot and ankle fractures and when to seek treatment.

Fractures of the Foot and Ankle

A break in one or more of the bones of the foot is called a fracture. It could happen due to a trauma, like a fall, accident or an injury. There are 26 bones in each foot and ankle, all of which undergo a significant amount of strain and pressure as you move throughout the day. When bones receive more force than they can endure, they can break, or fracture.

Fractures fall into two main categories. In a compound or open fracture, the bone may break through the skin, it could break in more than one place, or more than one bone may be broken. In a simple or closed fracture, the bone does not come through the skin and there is a single break. The usual areas that suffer broken bones are the toes, the top of the foot, the underside of the foot and the ankle.

Fractures and sprains share similar signs and symptoms, including severe pain that starts immediately after the injury, swelling, redness or bruising, reduced range of motion, difficulty walking, a snapping sound when the injury happens, and tenderness around the area. A fracture may also cause a visible deformity or make the bones appear out of place.

Broken bones can result from trauma, sports injuries, sudden twists, arthritis, osteoporosis, or overuse. If you suspect a broken bone, get medical help right away rather than self-diagnosing. Our providers offer comprehensive diagnostic services, including on-site digital X-rays, to confirm the injury and start you on the right treatment plan.

Treatment, First Aid, and Recovery

Until you are able to see a foot and ankle surgeon, the RICE method of care should be performed. Rest and stay off the injured foot, as walking may cause further injury. Apply an ice pack with a thin towel between the ice and the skin, using ice for 20 minutes and then waiting at least 40 minutes before icing again. Use an elastic wrap to control swelling, and elevate the foot slightly above the level of your heart.

Before medical help arrives, there are certain do’s and don’ts. Do stop the bleeding if necessary, control swelling with ice, elevate the foot, and get medical help immediately. Do not touch the bone if it is pushing through the skin, and do not put a bandage or footwear on the injured area. If your fracture involves an open wound, go to an emergency room right away, as open fractures have a high risk of infection.

We create an individualized treatment plan based on the severity of your injury. Less severe fractures typically require immobilization with a cast, cast boot or stiff-soled shoe for about 6 to 8 weeks, and crutches may be needed to avoid placing weight on the foot. Bone stimulation, most commonly used for Jones fractures, may also be part of the treatment.

More complex or unstable fractures may need surgery. Our foot and ankle surgeons reposition the bones and may use screws or rods to hold them in place as they heal. After the bone heals, a physical therapy program helps restore strength and mobility so you can return to your normal activities.