How long is bed rest after ankle surgery?
Emma Payne
Published Jan 11, 2026
Brief Summary: After a patient has fractured an ankle that then requires surgery, the recommendation is to remain in bed, with the operated leg elevated on pillows for 48 hours.
How long does it take to walk again after ankle surgery?
It takes around six to 10 weeks to recover from a broken ankle. During this time, you will probably need to wear a cast or boot. Most people are able to walk normally again and resume their daily activities by around three months.
What happens if you walk too soon after ankle surgery?
Putting any weight on an operated foot or ankle can damage the repair that's been done. Bones need time to heal. Plates or screws that may have been added during surgery need the bones to heal around them. Adding weight too soon can interrupt this important internal healing process.
What can I do 3 weeks after ankle surgery?
Swelling can be controlled using compression stockings, ice and elevation, and you can expect physical therapy to begin 2–3 weeks post-op. Use those first weeks for rest and recovery, during which time you'll be in a non-weight-bearing boot, moving to a protected weight-bearing boot after one month for another 4 weeks.
How should I sleep after ankle surgery?
Sleep on your back with a pillow between your knees. Avoid crossing your surgical leg across the middle of your body. Sleep on your non-operative side with pillows between your legs. Avoid bending your knees.
31 related questions foundCan you walk 6 weeks after ankle surgery?
2-6 weeks: Gentle ankle ROM exercises. 6-12 weeks: walking as tolerated, stationery bike, swimming, non impact cardio.
What is the fastest way to recover from ankle surgery?
The RICE method is very effective:
- Rest. As difficult as it may be with a busy schedule, it is vital to give your body the resting time it needs to recover.
- Ice. Ice is a fantastic way to reduce swelling by reducing blood flow to the affected area. ...
- Compression. ...
- Elevation.
Should I wiggle my toes after ankle surgery?
Unless you have had toe surgery we suggest that you wiggle your toes for 15 seconds and rest for 15 seconds. Do this for four minutes. This should be done approximately 4 times per day, separated by at least four-hour intervals.
Can you elevate your leg too much after surgery?
Minimize sitting time as much as possible to limit swelling. When sitting, elevate your leg as tolerated. Do not allow your leg to dangle downwards for too long.
How long after ankle surgery will it stop hurting?
For most foot and ankle operations, tenderness and swelling can take 3-4 months to resolve, while for more complicated procedures, the recovery may take a full year (or more).
What happens at 6 weeks after ankle surgery?
Six Weeks: X-rays are completed and the joint is evaluated to determine weight-bearing status. If everything looks good, a progressive weight-bearing program is started, which includes transitioning into a normal shoe. Three Months: X-rays are completed.
Will my ankle ever be the same after a break?
If it's a low-to-medium grade ligament injury or a stable bone fracture, then it's highly likely that the ankle will be similar to before. With more severe ligaments and unstable fractures, there is always some difference in flexibility and appearance.
Is it OK to sleep with your legs elevated?
Elevating your legs while you sleep can help your circulation and prevent swelling. It's best to elevate your legs above the level of your heart. Wedge-shaped pillows make this easier to do. You can also use pillows or folded blankets you have on hand to elevate your legs in bed to help circulation.
How long do I need to keep my leg elevated after ankle surgery?
After application of a splint or cast, it is very important to elevate your leg for 24 to 72 hours. The injured area should be elevated well above the heart. Remember “Toes above your Nose”. Also, rest and elevation greatly reduce pain and speed the healing process by minimizing early swelling.
Should I sleep with my leg elevated after ankle surgery?
The more you keep your foot elevated the less pain and swelling you will have. If not elevated, you may feel throbbing pain and the bandages may feel tight. Elevation above the heart is key.
Why does the top of my foot hurt after ankle surgery?
It is normal to experience swelling and pain after foot surgery especially if tissue has been cut or removed and bones were moved back into place. You may even experience tingling or burning as your foot heals. Once healing takes place, the pain should continue to decrease until it subsides.
Can you wear normal shoes after ankle fusion?
12 weeks - you will have an X-ray, and can start to wear normal shoes. Six months - final appointment and X-ray.
Are Compression Socks good after ankle surgery?
When compression stockings are recommended after surgery, they should usually be worn as much as possible, day and night, until you're able to move around freely. Compression stockings are used after surgery to prevent blood clots developing in the leg, which is known as deep vein thrombosis (DVT).
How long does it take for ankle surgery to heal?
Ankle surgery recovery takes time—typically at least six weeks, depending on the type of surgery and the severity of the injury. Recovery downtime is inevitable, but there are steps you can take to help move along the healing process.
Do I need physical therapy after ankle surgery?
Following your surgery, physical therapy will be needed to complete the healing process. That is because there are complications that can arrive post-surgery, which are more likely to be eliminated through this treatment. Examples of the types of issues physical therapy can help with include: Preventing blood clots.
How long does it take to go from non weight bearing to full weight bearing?
According to a survey of the members of the American Orthopedic Foot and Ankle Surgeons, the average time period for non-weight bearing is five to eight weeks depending on the patient and the injury.
Is it good to sleep with socks on?
Other than helping your body stay warm, wearing socks at night also has extra benefits: Prevent hot flashes: Some women find wearing socks helpful for cooling their core body temperature. Improve cracked heels: Wearing cotton socks after you moisturize can help keep your heels from drying out.
Should you sleep with your head higher than your feet?
Using an Adjustable Bed to Control Blood Pressure
To get the best benefits of sleeping with the head elevated, experts suggest you should aim to sleep with your head raised about six to nine inches above your heart.
Can you elevate your legs too much?
Don't elevate your legs on a table or desk without a cushion to prevent the edges and corners from digging into your skin. This can cause leg pain, bruising, spider veins, and nerve damage to the area. It's also counterproductive, as it hurts circulation to the area due to excessive pressure.
Can you run with plates and screws in ankle?
In general, you can attempt to start running about three to four months after your injury. By this time, the bones in your ankle should be well healed and your ROM and strength should be close to normal. You can progress your running mileage as long as your pain is minimal and your ROM and strength remain excellent.