Physical Therapy
Mindful Moves
Recovering from an ankle fracture and/or surgery-- takes patience, dedication, and the right kind of support. One of the most important aspects of that recovery is physical therapy (PT). Whether you’re an athlete eager to return to your sport or someone who simply wants to walk comfortably again, the right therapist and exercises can make all the difference.
Medical Disclaimer: This article is for informational purposes only and should not be considered medical advice. Always consult with your surgeon or licensed healthcare provider before beginning or changing any physical therapy program.
Why Physical Therapy Matters After an Ankle Fracture or Surgery
Ankle surgery often involves repairing fractures, ligaments, or tendons—and even if you don’t need surgery, after weeks of limited mobility or immobilization in a cast or boot, your muscles weaken, joints stiffen, and balance suffers. Physical therapy helps restore strength, flexibility, balance, and confidence, lowering the risk of future injuries.
Without structured PT, recovery can take longer and may lead to lingering pain, stiffness, or instability.
Finding a Sports Physical Therapist if You’re an Athlete
If you’re an athlete, your needs may be different from those of the average patient. A sports physical therapist specializes in restoring performance, not just mobility. Here’s what to look for:
Sports background: Choose a PT who understands the demands of your sport—whether it’s running, basketball, or soccer.
Evidence-based techniques: Look for someone who uses proven methods, such as neuromuscular training, proprioceptive drills, and progressive loading.
Performance goals: A sports PT will tailor your rehab not just for daily activities, but also for agility, speed, and endurance.
Communication with your surgeon/coach: Collaboration ensures your recovery plan supports both healing and performance goals.
PT Exercises for Ankle Surgery Recovery
Your therapist will design a program that progresses step by step. While everyone’s journey is unique, here are some common exercises you may encounter:
1. Early Stage (mobility and activation)
Ankle alphabet: Gently “draw” the alphabet with your toes to improve flexibility.
Towel stretches: Use a towel around your foot to gently stretch your calf.
2. Intermediate Stage (strengthening and balance)
TheraBand resistance work: Push and pull your ankle against a resistance band.
Heel raises: Start on both legs, then progress to single-leg raises.
Balance drills: Stand on the surgical leg for short periods, working toward stability.
3. Advanced Stage (return to activity)
Hopping drills: Small hops to build strength and re-train landing mechanics.
Agility ladders or cone drills: Mimic sports-specific movements.
Plyometrics: Explosive movements to prepare for running, jumping, or cutting.
Always follow your PT’s timeline—pushing too fast can lead to setbacks.
Hydrotherapy
How it helps:
Hydrotherapy can be an effective part of ankle fracture recovery, complementing traditional physical therapy exercises. Also known as aquatic therapy, it uses the buoyancy and resistance of water to support movement and reduce stress on healing joints. Working in water can make exercises easier and less painful while still strengthening muscles and improving flexibility.
Benefits:
• Low-impact environment that reduces pressure on the ankle.
• Water resistance helps rebuild strength safely.
• Buoyancy promotes balance and mobility without strain.
• May improve circulation and decrease swelling.
Cautions:
• Not recommended until surgical wounds are fully healed to avoid infection.
• Must be guided by a trained physical therapist for proper technique.
• Some facilities may not have access to specialized hydrotherapy pools.
Tips for Getting the Most Out of PT
Be consistent with your appointments and home exercises.
Communicate honestly with your therapist about pain or limitations.
Set short-term goals to stay motivated.
Remember that recovery is rarely linear—expect some ups and downs.
Share Your Story
Every recovery journey is different, and your experience may help others who are just beginning theirs.
Have you worked with a sports physical therapist? Which exercises helped you the most? How did PT support your return to activity?
Share your story in the comments below. Your insight might inspire someone else to stay the course through recovery.