One step at a time: diary of a broken ankle

By Dilys Morgan

When I broke my ankle I had no idea of the impact it would have on everyday life, but over the following months I kept a diary of my progress - as well as my setbacks
Bandaged ankleBandaged ankle

On October 24 I slipped on a small step in Leeds and crashed to the ground. On getting up, I couldn’t put any weight on my right foot without excruciating pain.

At home, I hopped from car to front door - leaning on my husband. Each hop made me nauseous as it exacerbated the pain, so progress was slow. For want of a better idea, I crawled up the front steps, up our internal staircase and into the apartment.

When three days brought no improvement, I visited our local minor injury clinic on two walking sticks. X-rays revealed a clean break in the fibula, (the thin outer bone) which would require six to seven weeks in plaster. Once in the cast, I was given a pair of crutches and sent home.


October 27

Back home, I’m slowly coming to terms with the implications. Having two ankles that work is what keeps you stable and allows independence. Being without one is suddenly so limiting that I see doors closing all around me as I tot up all the things I won’t be able to do. Elbow crutches that you grip with your hands mean you can’t carry a thing. Even a carrier bag or handbag makes me unstable.

I can’t have my grandson to stay; keep fit; drive; shop; do housework; kneel down; change a light-bulb; get things down from a high shelf; hang washing out; carry plates or food or drinks. I can’t do anything spontaneously; everything will involve forethought and a loss of independence...

My world centres on the sofa and the low table beside it. Here – with hubbie’s help – I gather together everything I need for everyday life.

Luckily, I work mostly online.

October 28

A bad night. Earlier, the weight of the duvet on my foot was excruciating but now with the cast, it’s uncomfortable in a different way. I suppose it’ll take time adjusting to this heavy weight that goes everywhere with me.

Getting up go to the loo, I chicken out of using crutches and revert to crawling. It feels safer.

But now that I have crutches I can at least reach the basin. (I couldn’t work out how to do my teeth or wash when crawling.) But my balance isn’t good - so find anything requiring two hands difficult.

Even the smallest tasks defeat me. I can’t get clothes into or out of the wardrobe or drawers. Getting dressed involves perching on the edge of a chair or bed and takes an age.

Our apartment staircase looms large - a huge barrier between me and the outside world. Going up and down on my backside is hard work; just hope it’s giving my arms a work-out!

October 29

When I move around with my foot dangling, it quickly goes blue. I can return it to near normal by elevating it again. So in a restaurant I ask for an extra chair.

Chairs become my saviour. I’ve positioned one in the bathroom where I can perch and wash all over with a flannel. It’s not ideal but it’ll be a long while before I have the confidence to stand on one leg in the shower or lower myself into a bath.

With a chair by the wardrobe, I can carefully place the knee of the injured leg on the chair, ditch the crutches and balance enough to get things off hangers. Not that I plan much ferreting around in the wardrobe: dressing for comfort’s essential. Balancing on one leg is still scary, so I lean against the bath or basin and try not to wobble.

October 30

I’m supposed to keep the foot elevated but also keep mobile...presumably so the rest of me doesn’t waste away. So today I attempt to walk 100 yards but give up three-quarters of the way. Feel pathetic and stupid but had no strength to go on.

October 31

A new high chair for the kitchen enables me to reach the sink, hob and kettle and fridge. Can now make tea or coffee, but still have to drink it on the spot!


November 2

I manage 100 yards today: very pleased. Finally accept that because I can’t dust or vacuum I must get help with cleaning.

At least I’m sleeping well now.

November 3

Burst of energy today. Tidied up a bit, using a canvas bag slung across my body. Pockets are useful for carrying things as you go.

November 4

Could hardly get out of bed today. I now have the protein powder recommended by the nurse to build muscle. She also advised boosting protein in my diet, so I’m terrified weight will pile on. Develop nasty callouses on both hands from the crutches.

November 5

Had the new lightweight cast fitted. It goes from just below the knee to just before the toes. A much tighter fit than the previous one, therefore initially less comfortable, even if lighter. It aggravates the back of my knee too, so crawling’s out. A bit of a blow.

November 8

A trip to the cinema; turns out the lift’s out of order. Resort to shuffling up and down the huge sweeping staircase on my bottom, feeling a right Charlie.

November 12

Rain makes leaving the house difficult. I’ve tried wearing my husband’s waterproof golf trousers for going up and down the outside steps, but they leak! So now I spread the trousers out over the steps, shuffle down on my bottom and crawl up.

This tight-fitting cast leads to swelling around my knee and toes if I do too much.

November 13

Off to a wedding in Suffolk, and we stop for some Christmas shopping on the way. I had to lose the crutches and lean against counters to put my glasses on. Then I had to stay leaning - precariously - to pick up items to read prices , and then repeat the whole process at the next display. Grrr!

November 14

My nephew’s wedding. No disabled access to the hotel and the disabled loo was down six steps! Observe that after a couple of drinks, people don’t watch where they’re going, so keep my leg well tucked away. Hate being unable to circulate.

November 15

Really tired today - even though we left the wedding party early and I slept for 12 solid hours! Apparently the body heals while you’re asleep, which may explain why I sleep so much.

Notice that the toes on my right foot have shrunk. Not only are they fatter from swelling, they’re squatter too. Lack of exercise, I imagine.

November 16

For the first time was unaware of my leg during the night. Up to now, I’ve had to turn over cautiously and keep the leg up on a pillow to avoid pain.

It’s now three weeks on crutches and I can balance on one crutch and pick things up from the floor. This means I can at last move a drink or plate from one room to another – in very small stages. Not a manoeuvre for novice crutch users!

November 17

A red-letter day. I suddenly find myself able and willing to go downstairs using one crutch and the banister. So much of this has to do with confidence and timing: previously, jarring the ankle as I swung my good leg from step to step caused too much pain.

Three weeks makes such a difference... I got myself around our grounds here today. And felt confident enough to have a bath. I bring a chair right up to the bath and sit on it as I manoeuvre myself in, keeping my injured leg resting on the side. Not that comfortable, but it’s a resumption of normal activities. Don’t know if I’ll bother again though: strip washing’s very efficient and a lot less hassle.

November 21

I’m becoming much more adept at crutches. Walk twice around the gardens today.

Neighbours ask if my toes don’t get cold? I reply that there’s so much effort in even the simplest tasks that I’ve been constantly hot since October.

November 22

Much more comfortable in bed now and I don’t dread getting up in the morning.

The weather still has a big impact. Obviously, I can’t hold an umbrella, the falling leaves create hazards and the sleeves of most of my coats and jackets don’t fit through the crutches.

November 23

I start putting a little weight on my foot... just resting it on the floor.

November 24

I think I’ve reached my low point. It’s now, when the novelty’s wearing off, that the daily grind of living with a huge weight on your leg becomes boring and a nuisance.

November 26

My foot feels as if it’s swelling up inside plaster... so although the actual pain lessens daily, the discomfort grows.

November 28

Another bath and in the interests of research thought I’d try the waterproof cast cover (think giant condom!) someone had lent me. But it was a hassle, so I gave up.

November 30

Like many people, I suffer from intermittent twinges of pain in joints and muscles. The bad news is when one of those suddenly happens in your good ankle...or in an elbow or wrist as you’re leaning on crutches. This can be you worry some other part of the body might suddenly let you down.


December 1

The first frost. Stay indoors to be safe.

Manage more cooking today. Up to now I’ve only used the hob, but today I’m tackling a shepherd’s pie. I still can’t easily lift heavy pans from low cupboards and taking a piping-hot dish out of an eye-level oven is nerve-racking on one leg!

December 3

Life is a constant battle between the effort involved in going out, versus staying in and developing cabin fever! Find I’m really looking forward to a trip to Salisbury tomorrow for a retirement party.

December 4

Another hotel with no lift! Nice room, with a brand new bathroom, but could hardly fit in on crutches. The only good light was in the bathroom but impossible to do my makeup balancing on one leg.

Again the problem of navigating through a merry crowd: it’s like watching out for other drivers on the road. I keep myself safe by anticipating which way other revellers are heading and give some a very wide berth.

December 5

Hoping this wet spell is coming to an end. The steps outside our front door are easier now that I can go down upright, but still have to spread out the golfing trousers to crawl home.

December 8

Walked around the gardens three times. Much speedier on crutches now.

December 9

Plaster comes off tomorrow and can’t wait to be able to do normal things, like sitting on the sofa with my legs curled under me.

December 10

I have butterflies. I’m so keen to be properly mobile and active that I dread finding there’s a long process of rehabilitation ahead.

Plaster comes off with an amazing circular saw and my foot feels free and quite scary with nothing to protect it. Keep it off the ground until I see the doctor, when the x-ray demonstrates a beautifully normal (in other words healed) fibula.

Doctor takes the crutches away and tells me to walk. I jump up and it immediately feels very strange, as if I’m standing on a slope and very painful. He quickly shoves the crutches back in my direction and I realise he was joking.

I’ll need physio to rehabilitate the foot, but basically am supposed just to get on with learning to use the foot again.

Once home I practise walking – it’s very painful and the foot is really swollen. I’d carefully selected an old and misshapen pair of shoes to take to the hospital, which was fortunate, for none of my other shoes go anywhere near.

It seems that getting back to normal isn’t going g to be as quick or easy as I’d thought.

December 11

Bad night as the foot hurt more than it’s done for weeks.

The swelling had gone down when I got up and I quickly put the shoe back on while it would fit! Can only place my foot briefly on the mostly only skims the floor... but by walking differently now, I’m using different muscles in my back which begins to ache.

I manage the stairs, resting the swollen foot on the step but putting all my weight on the crutches. I can rest the foot happily on the floor when sitting or standing but without much weight on it.

But having two legs makes SUCH a difference. Can now reach into and find stuff in my wardrobe, and was able to hang up Christmas lights and some washing.

December 13

Despite a restless night I manage on one crutch for a while today.

December 15

A quick burst of Christmas shopping... much easier now with two feet on the ground!

Physiotherapy in the afternoon. I’m given exercises: five repetitions every couple of hours. Of stretching, lifting and twisting the foot.

Physio seemed mildly horrified that I’d been out for an hour and a half earlier! I should build up sensibly - from five minutes to 10, to 15 and rest the ankle in between, still using ice and elevation to reduce the swelling.

Apparently the break takes six weeks to mend but another six to be fully restored. So I’ve had to lower expectations. Should be able to manage without crutches in mid-Jan. But no driving until the full 12 weeks is up.

December 16

Whoever designed elbow crutches didn’t have winter in mind. If I didn’t have a jacket with three-quarter sleeves, I don’t know how I’d manage. Mind you, it’s snowing today on frosty ground... so I’m not venturing anywhere.

December 17

The arrival of snow and ice puts paid to lots of plans and keeps me indoors for days.

December 18

Managing with one crutch more of the time. A friend who knows about orthopaedics advises I strike the ground with a strong heel movement as this helps build new bone. Shuffling around like an invalid is no help at all.

December 20

I can put considerable weight on the foot now, can go up and downstairs easily on one crutch and begin to think I can see the light at the end of the tunnel.

Christmas approaches and I’m not ready! Thank goodness for online shopping.

December 21

Woke up this morning to find I could suddenly hobble on two legs without any aids. What a surprise! I’d noticed a decrease in pain recently whilst being aware of aching muscles elsewhere... but this crept up on me.

It’s wonderful to be upright without any support. So, I’ve immediately started tidying up, moving presents around, and preparing for Christmas.

The long Christmas break

I overdid it, of course, over the holiday period, despite lots of help from the family and as a result the ankle hurt most of the time and I resort back to one crutch.


January 5

It’s quite clear that if I were to follow the leg’s lead, I’d be resting it more with gentle bursts of exercise. Instead, of course, I’ve been trying to resume a relatively normal life, fitting in odd rests when I can.

Resolve to give in now and take care of it so I can be back walking properly by 12 weeks.

January 8

The snow has turned again to ice, so I daren’t even venture to physiotherapy. Over the phone, she gives me additional exercises to strengthen calf muscles and advises it’s better to walk properly with one crutch rather than hobble with none.

She also confirmed that if I overdo it, I’ll get swelling and pain.

January 11

Things are getting easier by the day. I can climb the stairs properly now: one foot on each step. Still come down one step at a time.

I mainly use the single crutch for balance. I’m gaining in confidence about walking unaided...and not hobbling/limping so much when I do.

January 12

Just realised that I got up and went to the loo without giving a thought to taking a crutch or stick!

January 13

Small improvements every day, but a long bout of flu keeps me housebound and sets me back.

Last fortnight of January

I can drive. I can push a trolley round a supermarket and walk around town centre with a stick.

I have exercises that involve balancing on a wobble board, raising myself up on tiptoe, and stretching.

I can balance on the bad leg. I can jump up spontaneously and be impetuous! I can hurry downstairs to answer the door.

My walking isn’t perfect yet, but it’s not far off and I feel - at long last - that normal life has been resumed.

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  • Vena Cava Siregar

    Posted: Sunday 12 October 2014

    I'm just coming up at the end of the recovery process of having fractured my naviculare ankle bones in September 19th. Slipped on a small step and fell on the concrete at the parking lot, was excruciatingly painful. Went straight to have it x-rayed,ended with non bearing weight cast for 3 weeks and was shuffling around like an invalid using a wheelchair. Now I'm trying to put some considerable weight on my broken foot,trying to walk normally without a crutch . Best wishes everyone :)

  • Paula

    Posted: Wednesday 08 October 2014

    I too fractured my ankle and you describe each day exactly as I am going through it. Now at least I know what to expect as I reach day 16.

    I wonder about shoes going forward and if there are very supportive ankle shoes or boots that I should look for to wear on a daily basis because I have severely sprained & injured my left then right now fracture right again. I never ever want this to happen again.

  • Crystal

    Posted: Monday 29 September 2014

    I crashed while racing my bicycle and managed 3 brakes to the ankle, including the tibia and fibula. I had surgery just hours after the brake. Took 10 hours to find a pain med that worked after the spinal block wore off. Leg felt like it was swollen so much the splint could burst open. Very painful. Every movement hurt. Slept a lot with the pain meds. 1st Dr visit scheduled tomorrow (day 13) should get a boot. Hate my crutches. Knee scooter is the way to go! Using FMLA for work.

  • Caz

    Posted: Thursday 25 September 2014

    I broke my tib & fib on my Birthday! Slipped on my stairs and heard a crack..Had op to pin & plate on 29th Aug. I hired a kneel walker and don't know what I'd have done without it. Find crutches exhausting, and steps terrify me. Got two more wks in cast and then the rehab journey begins. I will never take my mobility for granted again. My family and friends have been very helpful and supportive. Still find it hard to get comfy at night but can see light at end of tunnel now. Good luck to all.

  • Donna

    Posted: Wednesday 24 September 2014

    I fell and had 3 breaks in my ankle April 2014. It's now sept and I still cannot walk without using a walker, crutch, or cane. I have 18 screws and 2 plates in my ankle. I go to therapy 3 times a week . I have maybe 20 % movement in my ankle. I can't stand on it more than maybe 30 min before it begins to swell. Its still quite painful. Ive become very discouraged. Im worried that i will be stuck like this for the rest of my life. Ive already lost my job.

  • Julia

    Posted: Tuesday 23 September 2014

    The diary was so good, thank you, echoed many aspects of my own experience: a bimalleolar fracture. Straight to A&E by ambulance - fell off ladder into our cellar. Bones not displaced, amazingly: non-surgery route followed, back-slab plaster for two weeks: allow swelling to subside, then fixed plaster cast,to knee, for another 4 weeks, no weight-bearing and lots of elevation above hip / heart; daytime & night. Question: is phsyio automatic? I thought yes, but Dr said no at last week's hosp appt.

  • paul b

    Posted: Thursday 18 September 2014

    Life changed in one instant. Broken fib and ankle in freak everyday accident. Wow. Never had a broken bone before or been in hospital. All firsts. Interesting and frustrating.
    The diary and every comment has been supportive to read, providing hope and a well beaten path to replicate successful recovery.
    Everyone I speak to mentions ligament damage and how that is the most difficult to recover from? Is this true? and should fib plates and screws be taken out? Main worries now

  • Tamara

    Posted: Tuesday 16 September 2014

    I came across your blog while looking up info on heel pain following a broken ankle. Great diary of the day-to-day life following such an accident. I broke my ankle 7 weeks ago. As an herbalist and alternative healer, I chose to go that route for healing. As I read through the comments, I was grateful that I didn't go with standard medical care! My break was healed after 3 weeks enough for me to only need an occasional use of a boot and I am now getting around normally! I hope you all heal soon.

  • Rose

    Posted: Monday 15 September 2014

    Broken fibula diagnosed 5 days ago after a week of thinking had sprained ankle following fall down 5 stairs. Complicated by fact that have partial knee replacement on same leg and arthritis in other knee (knees have tendency to dislocate so have to be careful). This means I can't even crawl! The diary and comments are so accurate and everyone expresses my frustration and feelings of helplessness. Strangely, reading this has cheered me up so thanks everyone for sharing.

  • Lynda

    Posted: Saturday 06 September 2014

    Cast off! It looked horrible, I couldnt wait to get in a warm bath and clean off the six weeks of skin. Xray was good and Consultant was impressed that I could walk with full weight bearing and without a stick. Ankle feels tight and it has swollen so keeping it raised when I am not walking. Five weeks and four days since the operation. I have a bruised nerve that sends little shocks to the top of my toes otherwise they are numb.. Exercises to "floss" the nerve keep me busy.

  • Bee

    Posted: Monday 01 September 2014

    I broke my ankle (tib and fib plus dislocation) on 19 July in a high speed ski collision with another skier. My second cast comes off on 4 Sept. Your story and timeline pretty much mimics mine. I feel lucky as I have no ongoing pain. My biggest issue has been non-independence plus the shrinkage of my leg (from a vanity point of view). From what I've read here I think I am kidding myself that life will resume as normal once the cast comes iff, driving, walking etc. now I need to prepare for that.

  • Jessica

    Posted: Sunday 31 August 2014

    Hi again ..I started to drive today and was surprised how easy it was no pain so happy with that .I be started doing yoga won t be able to teach it for a while ,what a difference its made to my flexibility after being immobile for so long is getting back to normal oh and my Spanish is getting better so keep positive you all get there ..

  • Renee

    Posted: Sunday 31 August 2014

    Wanted to share a few tips : Keep things simple and together . For a sponge bath use hand towels to rinse with. Wear easy clothing. Nightgown with no under wear . Kitchen trash bags with duck tape works good to keep cast dry. My husband made a shower for me on our deck ,turn our swing and put canopy down and hung blankets . used my outside chair and 4 watering cans for flowers. Feels wonderful ( until it gets cold out. Try to stay happy . Best wishes everyone .

  • Renee

    Posted: Sunday 31 August 2014

    5/30/2014 step on uneven concrete broke my fibula,tibia and a small in small crack in the talus. Had surgery 6/5/14 a plate and 7 screws. Non weight bearing for 12 weeks in a cast. At 11 weeks they put me in a boot , but no weight bearing for 3 more weeks . My skin couldn't take much more of the cast . It nice to soak my leg and foot and oil it. Said I could sleep with out the boot. OH WHAT A FEELING . Better it happened in the summer , less clothing, no ice to deal with. I used a wheel chair

  • Katie

    Posted: Thursday 28 August 2014

    Oh what a helpful article! I'm just coming out of the end of the process having fractured my fibula in May but the step by step commentary has really helped over the last few weeks

  • val

    Posted: Thursday 28 August 2014

    Hi it's 8 months since dislocated my ankle and broke the bone in 4 places and I'm pleased to tell it does get better I thought I would never walk again but I am I do sometimes get pain in but I was told it could take up to 2yrs I'm just happy with the progress I have made .

  • Sandra

    Posted: Thursday 28 August 2014

    I am so happy to have read the diary and seen all the comments,
    I fell 10 days ago and dislocated ankle and broke my leg, had surgery and at home but really struggling with the shock of how little I can actually do for myself. Family are great but also tiring of my requests which has shown me how much I do and what a mistake that my family are not as capable as me!
    The lack of independence hurts probably more than the leg but each day gets a bit easier.

  • Jessica todd

    Posted: Thursday 28 August 2014

    Hi everyone nice to hear your stories and that your all improving.I m on week 10 and my family and friends say there amazed at my progress which is good to hear because it seems so slow to me . I be got elbow crutches now and can actual walk without them but not properly so now I m making sure I use the crutches and walk using my whole foot not hobbling along .I be started wearing support stockings for the swelling and listen to to my foot when it starts to really complain and ease up .

  • Lynda

    Posted: Tuesday 26 August 2014

    Four weeks gone,so as per Drs instructions tried weight bearing today. It was possible but nerve wracking, how much is too much ? What if it hasn't started to heal ? What if the screws come loose? Guess i need to listen to my leg, I think a new ache has appeared over the fracture site and I have to wait for another ten days before the cast comes off. But lucky me, 1) dont have to work 2) i have a helpful husband and friends 3) i will get better eventually.

  • Liz

    Posted: Tuesday 19 August 2014

    So glad I came across this site.I broke two bones in ankle on 28th July.I had to have the ankle pinned as it was unstable.Had back slab on for two weeks,and now a full cast(ankle to knee)for a further 4 weeks. My surgeon advised introducing weight bearing after 4 weeks, which is next Monday.I must admit I don`t know what to expect or how much to do so any advice welcome.Yesterday I got off my chair and with the aid of my zimmer, made an apple crumble. Something so simple but took huge effort!

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One step at a time: diary of a broken ankle

When I broke my ankle I had no idea of the impact it would have on everyday life, but over the following months I kept a diary of my progress - as well as my setbacks

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