Can You Walk on a Broken Ankle? What You Need to Know

Walking on a broken ankle, while sometimes physically possible, is strongly ill-advised and can lead to severe complications. An ankle fracture requires immediate medical attention to ensure proper healing and prevent further damage. Ignoring such an injury or attempting to bear weight on it can worsen the condition significantly.

The Reality of Walking with a Broken Ankle

Some individuals might find they can put limited weight on a fractured ankle, especially if the break is minor. This can occur with hairline fractures, also known as stress fractures. In these cases, the bone is cracked but often not displaced, meaning the bone fragments are still aligned, which may allow for some weight-bearing, albeit with pain.

Similarly, a less severe or non-displaced fracture, where the bone is broken but remains in its correct anatomical position, might allow for some limping or shuffling. This differs from a severe sprain, where ligaments are stretched or torn but the bones are intact; however, distinguishing between a sprain and a fracture based solely on the ability to walk is unreliable. Just because the ankle can bear some weight does not mean it should, as continued stress can turn a minor injury into a much more serious one.

Risks and Complications of Walking on a Broken Ankle

Attempting to walk on a fractured ankle carries substantial risks and can lead to serious complications. Continuing to bear weight can exacerbate the injury, potentially turning a stable fracture into an unstable one where bone fragments shift out of alignment. This displacement can increase pain and swelling, and significantly delay the healing process, or even result in non-union, where the bone fails to heal properly.

Long-term consequences of walking on an untreated or improperly healed ankle fracture include chronic pain, the development of arthritis, and permanent deformity. Damage to surrounding soft tissues like ligaments, tendons, and nerves can also occur. Such complications often necessitate more invasive treatments, including surgical intervention with plates or screws, which might have been avoidable with prompt initial care.

Immediate Steps After a Suspected Ankle Fracture

If an ankle fracture is suspected, immediate and appropriate action can significantly influence the outcome. The injured ankle should not bear any weight; using crutches or other supportive devices is recommended to keep pressure off the foot. Elevating the foot above heart level can help reduce swelling. Applying ice to the injured area can help manage pain and inflammation.

Seeking immediate medical attention is paramount. A medical professional will perform a physical examination and likely order imaging tests, such as X-rays, to confirm the diagnosis and assess the fracture’s severity. Initial management often includes immobilizing the ankle with a splint or boot to facilitate proper healing.

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