Originally Posted by dawgcatching
I know that several skiers have been through this injury, as the surgeon told me that he sees it all the time. If this has happened to you or someone you know, what exercises have been beneficial, or a waste of time? My background fitness is pretty high, as I was riding around 12 hours a week before the injury, and would like to hit the ground running when I can get back on my bike in August.
I had heard that some opportunities would be underwater running and riding a bicycle trainer. Any others that I should be thinking of?
I assume you had an IM nail?
A significant percentage of patients develop both an ankle and subtalar capsulitis - stiff joints. This is an associated condition, not a direct result of the fracture; likely due to immobility, disuse, and local inflammation.
For skiers, subtalar joint mobility is critical, so I usually suggest seeing a physio early in the healing process to do some traction/mobilizing work on these lower joints.
Also, ART (active release) is a useful way to maintain good gliding of all the muscle groups (specifically posterior and lateral compartments).
Both these soft tissue issues are relatively under-recognized and undertreated because the focus is - of course - on bone healing.
Get a good sense from your surgeon re. his/her protocol on progress to partial weight bearing. With a nail, you can do this quite early, and the bone will respond to weight bearing stimulation by healing more quickly.
The pool & bike are good ideas
Best of luck with your progress.