A walking boot is a specialized medical device used to support the foot and ankle during the healing process after an injury. It provides stability and protection by limiting movement in the affected area, which helps tissues recover effectively.
Why a Walking Boot is Prescribed
Walking boots are prescribed to immobilize an injured area, reducing pain and preventing further damage. This immobilization is beneficial for stable fractures of the foot or ankle, severe sprains, tendon injuries, and post-surgical recovery. By restricting movement, the boot helps maintain the injured foot or ankle in a stable position, encouraging natural healing. The boot also aids in distributing body weight evenly across the foot, which alleviates pressure on injured areas. This controlled support allows individuals to bear some weight while minimizing discomfort, promoting a more balanced walking pattern.
Common Types of Walking Boots
Walking boots come in several variations, each designed for specific injury locations and support needs.
Short Walking Boot
A short walking boot extends to the mid-calf, used for forefoot or mid-foot injuries like toe or metatarsal fractures. This design allows for greater ankle mobility while stabilizing the injured foot.
Tall Walking Boot
A tall walking boot reaches just below the knee, providing comprehensive coverage and support for the lower leg and ankle. These are chosen for more severe injuries, including ankle fractures, severe ankle sprains, or certain lower leg injuries. Tall boots restrict movement more significantly to facilitate healing and prevent additional injury.
Air Cast Walking Boot
An air cast walking boot incorporates inflatable air bladders within its shell. These air cells can be customized to inflate, providing compression and a snug, comfortable fit around the injured area. Air cast boots are used for severe ankle sprains, foot fractures, and post-surgical recovery, helping to reduce swelling and promote bone formation. The pneumatic compression assists in circulation and prevents fluid buildup, which can be beneficial in the early stages of recovery.
Proper Use and Care
Properly wearing a walking boot is important for effective healing and comfort. Begin by ensuring your heel is positioned snugly at the back of the boot’s cup for optimal support and stability. Wear a thin, moisture-wicking sock that extends above the boot’s height to prevent friction, absorb sweat, and maintain skin integrity. Secure the straps, starting with those closest to the toes and working upwards. The straps should be tightened to provide a snug fit that limits movement without being overly tight or cutting off circulation.
Maintaining hygiene is also important for boot care. The inner liner or sock should be removed and hand-washed regularly with mild detergent and cool water, then air-dried completely. The outer plastic components of the boot can be wiped clean with a damp cloth and mild soap. Keep the boot dry, especially if there are wounds or surgical incisions, as moisture can lead to skin irritation or infection.
As swelling can fluctuate, adjust the straps to maintain a consistent fit and comfort. To prevent gait imbalances and potential pain in the hips or back, wear a shoe on the uninjured foot that closely matches the height of the walking boot.
Navigating Life with a Walking Boot
Navigating daily life with a walking boot involves changes in mobility and routine. When walking, take smaller steps to reduce strain on the uninjured leg and hips, keeping feet and knees straight to minimize twisting. Crutches or other assistive devices may be necessary if full weight-bearing is not permitted; keep them accessible.
To shower, keep the boot dry by covering it with a plastic bag secured with tape. If allowed by a doctor, removing the boot for showering requires careful attention to pat the skin dry before reapplying. When sleeping, medical advice suggests keeping the boot on to stabilize the injury and prevent accidental movements that could disrupt healing. Elevating the injured leg with pillows can help reduce swelling and improve comfort during rest.
The duration for wearing a walking boot varies depending on the injury’s nature and healing progress, typically ranging from a few weeks to several months. Follow your doctor’s specific instructions for wear time. Patients should monitor for signs such as increased pain, numbness, persistent skin irritation, or excessive swelling, and contact their doctor if these occur. The transition out of the boot is a gradual process, involving a phased reduction in wear time over one to two weeks, guided by a medical professional. This involves gradually increasing time in supportive footwear, such as running shoes, before fully returning to regular shoes.