Preparing for Foot and Ankle Surgery

Preparing for Non-Weight Bearing After Foot and Ankle Surgery

Your upcoming foot or ankle surgery will require you to be non-weightbearing (NWB) for a period of time to allow proper healing. Follow these guidelines to ensure a smooth recovery and avoid complications. 

• Living Space: Set up a recovery area on the main floor of your home to avoid stairs. Make sure your bed, bathroom, and kitchen are easily accessible.
• Remove Hazards: Clear any clutter, rugs, or cords that could cause you to trip. Consider installing handrails or grab bars in the bathroom and hallways.
• Shower Accessibility: Consider purchasing a shower chair or bench, and use a hand-held showerhead and non-slip bath mats to prevent falls.
• Elevated Resting Area: Prepare a chair or bed where you can comfortably keep your leg elevated above your heart to reduce swelling (see below for more details on elevation).

• Crutches: Practice using crutches before surgery. Make sure they are adjusted to your height and that you are comfortable using them.  Some of my favorites can be found here.  https://shop-recovery.net/productdetail/266/strasser/245
• Knee Scooter: If crutches are uncomfortable, a knee scooter is a good option to move around without putting weight on your foot.  I like the 4-wheel models seen here https://shop-recovery.net/productdetail/266/strasser/290
• iWalk: The iWalk hands-free crutch is another option that allows for more mobility. It straps to your leg, allowing you to walk hands-free. Make sure to try it out before surgery to get comfortable with its use. Link here https://shop-recovery.net/productdetail/266/strasser/270
• Walker or Wheelchair: In certain cases, a walker or wheelchair may be necessary. Discuss this with your doctor to see what’s appropriate for you. 

• Household Help: Arrange for a family member or friend to help with tasks like cooking, cleaning, and getting dressed.
• Driving: If the surgery is on your right foot, you will not be able to drive. Make sure you have someone to drive you to your follow-up appointments and errands.
• Meal Prep: Prepare meals ahead of time or stock up on easy-to-make food options, as standing for long periods will not be possible.

• Medications: Fill any prescriptions before surgery so you have them ready at home. Follow your doctor’s instructions for taking pain medication and anti-inflammatories.
• Ice and Elevation: Use ice packs as directed to manage pain and swelling. Keep your foot elevated (above your heart) for 23 out of 24 hours a day for the first two weeks following surgery. This will significantly help reduce swelling and improve healing.

• Loose Clothing: Wear loose-fitting clothes, especially around the surgical area. Shorts or wide-legged pants are ideal to accommodate any dressings or swelling.
• Surgical Boot: If you’ll be in a surgical boot or cast, you may want extra padding or special socks for added comfort.

• First Follow-Up Visit: Your first follow-up is usually scheduled 1-2 weeks after surgery. Arrange transportation ahead of time as you won’t be able to drive.
• Physical Therapy: Depending on your progress, physical therapy may be recommended. This will begin once weightbearing is reintroduced, following your surgeon’s guidance.

• Why It's Important: Keeping your leg elevated (above your heart) as much as possible during the first two weeks after surgery is critical to reducing swelling and preventing complications.
• How Often: Elevate your leg 23 out of 24 hours a day for the first two weeks post-surgery. The higher the elevation, the better (above heart level).
• Support: Use pillows or a wedge to keep your leg elevated while you are sitting or lying down.
• Pillow:  There are multiple options available for purchase.  I like the pillow at https://shop-recovery.net/productdetail/266/strasser/288 which gives you enough elevation and a "well" to keep your leg secure!

• Patience: Being non-weightbearing for an extended period can be frustrating, but it’s essential for your healing. Mentally prepare for the challenges ahead and stay positive.
• Stay Occupied: Plan activities that don’t require movement, such as reading, puzzles, or watching TV, to keep your mind engaged during recovery.

Call our office immediately if you experience:

• Severe pain not relieved by medication
• Excessive swelling or skin discoloration
• Fever, chills, or unusual drainage from the surgical site
• Difficulty breathing (a sign of possible blood clot)