No NSAIDS such as Advil, Motrin, ibuprofen, Naprosyn, and Aleve x 2 weeks
Pain: Tylenol for mild pain and if needed use mild narcotic provided
Driving restrictions: No driving until out of boot and can safely move from gas to brake. If left foot/ankle, must be able to safely use clutch.
Work restrictions: Depends on duration of weight bearing restrictions
Exercise restrictions: 2 weeks relative rest followed by 4 weeks progressive PT. No running, cutting, jumping, lunges or deep squats until 8 weeks.
Use crutches for __________ days, non-weight bearing for _______ days
May begin partial weight bearing WITH crutches from days ____________
Use boot, with / without heel lift for ____________ weeks
Use stirrup ankle brace for 3-4 days continuously then 4-6 weeks when on feet
Come out of the boot for simple non-weight bearing range of motion 1-2 times daily after the first 2 days of continuous boot wear
f/u for PT in 5-7 days
Activities: In general, with strength and activities, keep pain level below 4/10
First 2 Weeks:
Use crutches as directed above.
Strengthening/Motion: Isometrics are always good. Non-weight bearing and passive range of motion is good too. Try to get full range of motion by 2 weeks.
Walking: No hiking. Once allowed to bear weight, may walk on flat ground initially for 10-15 minutes. If this goes well, may walk 5 minutes longer the next day.
Cycling: May do gentle riding on a stationary bike for 10-15 minutes after week 1. Exertion level 1-3/10.
Swimming: May use pull buoy after week 1 alternating with GENTLE kicking.
Weeks 2-4:
Strengthening/Motion: Start low load closed chain concentric/eccentrics with PT.
Walking: May begin gentle hiking on even surfaces (no more than 30 minutes).
Cycling: May ride up to 30 minutes. No getting out of the saddle til after week 4. Exertion level 4-6/10.
Swimming: Increase kicking intensity alternating with pull buoy. Swim ½-1 mile.
Weeks 4-6:
Strengthening/Motion: Progress to moderate load, progressive strengthening.
Walking: May progress to longer hikes up to 60 minutes, still no jumping. Can add mildly uneven surfaces now.
Cycling: May ride up to 60 minutes. May get out of saddle. Exertion level 7-9/10 during intervals.
Swimming: May swim up to 1-2 miles now. Still encourage breaks with buoy.
