Ankle Arthroscopy
Time frames mentioned in this protocol should be considered approximate with actual progression based upon clinical presentation. Physician appointments as well as continued assessment by the treating practitioner should dictate progress. “As tolerated” should be understood to be with safety; pain, limp, swelling, or other undesirable factors are indicators that you are doing too much too soon. If any of these should occur, decrease activity level, ice and elevate the leg. Avoid forceful active and passive range of motion and mobilizations of the ankle joint for the first 2 weeks. Carefully monitor the incisions for mobility and signs of scar tissue formation. Regular soft tissue treatments (i.e. scar mobilization and friction massage) may be used to decrease fibrosis. All exercises should be carefully observed for any signs of compensation or guarding. Ice should be applied to the knee for 15 to 20 minutes following each exercise, therapy, or training session. No running, jumping, or ballistic activities for two to four weeks. Aerobic and general conditioning may be maintained throughout the rehabilitation process. M.D. appointments at day seven post-op, month one, month two, month four and month six. Return to sport based on provider team (physician, physician assistant, athletic trainer, therapist) input and appropriate testing.