What to Expect After Foot Fracture Surgery

Breaking a bone in your foot is never convenient. One minute you’re going about your day, and the next, you’re scheduling surgery and figuring out how to rearrange your life. It’s a lot to handle at once.

At Cascade Foot & Ankle Center in Provo and Nephi, Utah, we understand that you’re not just worried about the procedure but also about what happens afterward. When can you drive again? How much help will you need? Will you be able to work?

Board-certified podiatric surgeon and wound care specialist Jared Clegg, DPM, FACFAS, and our team have guided hundreds of patients through foot fracture recovery. We’ve put together this guide to help you understand what’s ahead after your surgery so you can prepare.

The first 48 hours can be challenging

With your foot bandaged, in a splint or cast, and elevated, the first couple of days after foot fracture surgery can be uncomfortable. Pain management is critical during this phase, and you’ll likely need prescribed medication to stay comfortable.

Many patients describe a throbbing sensation during these first two days. This is completely normal but can make sleep difficult. Applying ice can help reduce swelling and discomfort during this time. Fortunately, you should start to feel better after a few days.

Keeping weight off your foot is essential

Following weight-bearing restrictions is non-negotiable for proper healing. Depending on your specific fracture and surgical procedure, Dr. Clegg will determine whether you need:

Non-weight bearing status (no pressure on the foot)
Partial weight-bearing (limited pressure using assistive devices)
Protected weight-bearing (special boot or shoe)

Using crutches, knee scooters, or walkers feels awkward at first. Most patients need several days to feel comfortable and confident using mobility devices.

Swelling sticks around longer than you expect, but it’s normal

While pain typically decreases within the first week, swelling can persist for months. This surprises many patients who assume that once the pain subsides, everything is healed.

When you start putting your foot down again, you’ll likely notice increased swelling by the day’s end. This can continue for 6-12 months after surgery, gradually improving over time. Compression socks may become your new best friend during this phase.

Physical therapy can be the difference between good and great outcomes

Physical therapy is crucial after the initial healing period. Many patients underestimate its importance until they experience how dramatically it improves function and comfort.

Dr. Clegg and our team will guide you through:

Range-of-motion exercises to restore flexibility
Strength training for weakened muscles
Balance exercises to prevent falls
Gait training to correct altered walking patterns

Patients consistently following their physical therapy protocols are more likely to return to normal activities and experience fewer long-term issues.

Your shoes might not fit the same way again

Foot fracture surgery sometimes alters the shape or alignment of your foot, meaning your pre-surgery shoes may no longer fit properly. Most patients must invest in new, properly fitted footwear with adequate support and cushioning.

Custom orthotics frequently benefit post-surgery feet, providing targeted support to prevent future problems. Consider them an investment in your long-term comfort.

Recovery timelines vary dramatically from person to person

While the general recovery pattern is predictable, individual healing times differ based on:

The specific bones fractured
Your age and overall health
Compliance with post-operative instructions
Pre-existing conditions like diabetes
Whether hardware (screws/plates) was used

Most patients return to desk jobs within 2-6 weeks and to more physical work within 8-12 weeks. Returning to high-impact activities like running typically takes 4-6 months.

At Cascade Foot & Ankle Center, we know that proactive follow-up care prevents complications and ensures optimal healing. Dr. Clegg will monitor your progress, adjust treatments as needed, and help you address any challenges during recovery.

Call our Provo or Nephi office today or book your consultation online to discuss any concerns about your upcoming foot surgery.