Broken ankle/broken foot


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Treatments and drugs

By Mayo Clinic staff

Treatments for a broken ankle or broken foot will vary, depending on which bone has been broken and the severity of the injury.

Medications
Your doctor may recommend an over-the-counter pain reliever, such as acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin, others). If you're experiencing a lot of pain, your doctor may prescribe a medication containing a narcotic, such as oxycodone (Percocet, Roxicet) or hydrocodone (Vicodin, Lortab).

Therapy
After your bone has healed, you'll probably need to loosen up stiff muscles and ligaments in your ankles and feet. A physical therapist can teach you exercises to improve your flexibility and strength.

Surgical and other procedures

  • Reduction. If you have a displaced fracture, your doctor may need to manipulate the pieces back into their proper positions — a process called reduction. Depending on the amount of pain and swelling you have, you may need a muscle relaxant, a sedative or even a general anesthetic before this procedure.
  • Immobilization. To heal, a broken bone must be immobilized so that its ends can knit back together. In most cases, this requires a cast. Minor foot fractures may only need a removable brace or shoe with a stiff sole. A fractured toe is usually taped to a neighboring toe, with a piece of gauze between them.
  • Surgery. In some cases, a surgeon may need to use pins, plates or screws to maintain proper position of your bones during healing. These materials may be removed after the fracture has healed if they are prominent or painful.
References
  1. Abu-Laban RB, et al. Ankle and foot: Foot. In: Marx JA, et al. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa.: Mosby Elsevier; 2010. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-323-05472-0..X0001-1--TOP&isbn=978-0-323-05472-0&uniqId=230100505-57. Accessed Feb. 1, 2011.
  2. Abu-Laban RB, et al. Ankle and foot: Ankle. In: Marx JA, et al. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa.: Mosby Elsevier; 2010. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-323-05472-0..X0001-1--TOP&isbn=978-0-323-05472-0&uniqId=230100505-57. Accessed Feb. 1, 2011.
  3. Ankle fractures. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00391. Accessed Feb. 1, 2011.
  4. Toe and forefoot fractures. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic=A00165. Accessed Feb. 1, 2011.
  5. Stress fractures of the foot and ankle. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00379. Accessed Feb. 1, 2011.
  6. DeWeber K. Overview of stress fractures. http://www.uptodate.com/home/index.html. Accessed Feb. 1, 2011.
DS00951 April 21, 2011

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