Post Ankle Surgery Physiotherapy Protocol
Phase 1: Immediate Post-operative Phase (Week 0-2)
- Goals:
- Control pain and swelling
- Protect surgical repair
- Maintain range of motion in non-affected joints
- Interventions:
- Elevation and cryotherapy
- Non-weight-bearing with crutches or walker
- Gentle active range of motion (AROM) for toes and knee
- Isometric exercises (quad sets, glute sets)
- Ankle pumps
Phase 2: Early Recovery Phase (Week 2-6)
- Goals:
- Gradually restore ankle range of motion
- Begin weight-bearing as tolerated (WBAT)
- Initiate strengthening exercises
- Interventions:
- Partial to full weight-bearing in boot or brace
- Gentle AROM for ankle dorsiflexion, plantarflexion, inversion, and eversion
- Resistance band exercises (light resistance)
- Proprioceptive training (balance board, single leg stance)
Phase 3: Intermediate Phase (Week 6-12)
- Goals:
- Improve ankle strength and endurance
- Enhance proprioception and balance
- Progress functional mobility
- Interventions:
- Full weight-bearing without assistive device
- Progressive resistance exercises
- Gait training and stair climbing
- Low-impact cardiovascular exercises (stationary bike, swimming)
- Continued proprioceptive and balance training
Phase 4: Advanced Strengthening and Return to Activity (Week 12+)
- Goals:
- Restore full strength and function
- Return to work/sports activities
- Interventions:
- Sport-specific drills and functional training
- Plyometrics (if appropriate)
- Agility and coordination training
- Maintenance strengthening and flexibility exercises
Note: Protocol may vary based on surgical procedure and surgeon's recommendation. Always follow
individual medical advice.