Lockdown has meant countless changes and one major trend that has emerged is the huge spike in usage of fitness apps like Strava and MapMyRun. With gyms and leisure centres closed down, many of us are turning to pounding the streets to get our exercise fix, but this has also meant an increase in ankle running injuries.

Mobile network EE released data usage figures to track changing habits due to quarantine and found that use of Strava had tripled during lockdown. MapMyRun, which also uses real-time GPS to track your route, distance and pace, has seen usage double.

However, in another study carried out by Bupa UK last year, it was revealed that over a quarter of adults had upped their usual intake of exercise during lockdown with one in five inspired to try a new exercise. But 7.2 million exercisers had potentially been hurt or injured during lockdown, with ankle injuries accounting for 26% of all MSK injuries.

There are two main types of ankle injuries – acute and chronic. Acute are injuries where you’re likely to be aware of the cause, such as an ankle sprain. Chronic injuries are due to overuse or overload and build up over time. These are much more common in runners, due to its repetitive nature and the fact that the foot and ankle bear your whole body weight.

Common ankle running injuries

  1. Ankle sprain

Typically, the lateral or external ligaments are damaged. A grade one sprain means the ligament is overstretched, but there is no actual tear. In grade two injuries, there are partial tears of the ligament and in a grade three injury, there is a complete rupture.

  1. Ankle arthritis

Arthritis isn’t something that exclusively affects older or hardcore runners, so it’s important to be aware of the symptoms before it gets progressively worse. Due to the wearing down of cartilage that coats our joints, it can be exacerbated if the joint has been damaged.

  1. Achilles tendinopathy

This chronic injury is the most common cause of posterior ankle pain, causing swelling and stiffness. It can be the result of bad mechanics, overpronation or weak calf muscles. Other tendinopathies include peroneal tendinopathy, tibialis posterior tendinopathy and tibialis anterior tendinopathy.

It’s essential you seek expert advice on any ankle injuries at an early stage as continuing to train with ankle issues can result in you developing further injuries elsewhere. Problems with the knee or hip joint can be a result of compensating for the ankle.

If you would like to contact Windsor Foot & Ankle Clinic, please call us on 01753 660840 or email us at reception@windsorfoot.com to arrange a consultation with one of our Consultant Ankle Surgeons.

In a recent analysis of monthly data released by NHS England, the British Medical Association highlighted the huge pressures facing our healthcare service. Figures from December 2020 and January 2021 indicates that the COVID-19 pandemic continues to disrupt NHS care, meaning a backlog in elective surgery such as joint replacements.

The BMA estimates that between April and December 2020, there were 2.7 million fewer elective procedures performed. The second, worse wave that we’ve witnessed since the beginning of the year, has meant that many elective procedures were cancelled again as resources were diverted to dealing with COVID hospitalisations.

Wait times are, however, increasing – the number of patients waiting over one year for treatment had risen to 153-fold its 2019 value in 2020 and this count will have risen further this year. Orthopaedic surgery has been significantly impacted by the COVID crisis. By the end of August 2020, an estimated 86,000 elective joint replacement procedures had been cancelled.

Surgical procedures to treat foot and ankle arthritis typically have a profound impact on quality of life. Delaying surgery can lead to a deterioration of physical and mental health, which is why many patients are choosing to fund their procedures themselves. Self-pay has become an increasingly significant part of the private healthcare market, with adults in the UK spending about 1.7bn a year on treatments.

If you’re suffering from the discomfort and pain of bunions, then bunion removal surgery is often your only option. However, the post-surgical recovery can be a great cause of concern, as prospective patients wonder when they’ll be able to walk normally again or how long they will have to take off work.

Due to advances in surgical techniques, though, keyhole bunion removal does mean a much shorter recovery time.

Your bunion surgery recovery at the Windsor Foot and Ankle Clinic

Most patients undergoing bunion surgery will stay in hospital overnight and will typically be discharged with a padded dressing and bandage, but some patients may require a plaster cast. A special shoe and elbow crutches will help keep any weight off the foot.

You’ll return for your wound to be redressed between seven and 14 days and your stitches will be removed or trimmed between two and three weeks. You will be advised to wear the special shoe for between four and eight weeks.

Swelling after bunion surgery

This is quite common after bunion surgery and our surgeons advise that you regularly elevate the foot throughout the day and sleep with the foot on a raised pillow at night. You’ll be advised to follow these measures for at least the first couple of weeks to minimise swelling. You can expect the foot to be swollen for up to six months after surgery.

Resuming normal activities after bunion surgery

If your left foot was operated on, then you can expect to drive an automatic car within two weeks. However, if the right foot was operated on, then you will have to wait between six and eight weeks. You can usually drive once you’re able to perform an emergency stop safely. It’s advisable you check with your insurance company first.

Before returning to exercise, you will work with a physiotherapist to build up strength and stability. Depending on how you’re progressing, you may be able to return to limited weight-bearing exercise, such as cycling or swimming, at about four to six weeks. Running is not usually recommended for two to three months and you should always be careful about overloading your foot as it is recovering.

Returning to work depends on the nature of work that you do. If you have a sedentary job and are able to work with your foot elevated regularly, then you can return to work typically after two weeks. However, if you do manual work then you may need up to three months off work.

Your bunion surgery recovery will depend on many factors, including your age, general health and wellbeing and the severity of your bunion. For more advice, please call us on 01753 660840 or email us at reception@windsorfoot.com.

MR CALLUM CLARK

0333 004 7370
clark@windsorfoot.com

MR RAMAN DEGA

07394 543929
dega@windsorfoot.com

MR JASDEEP GIDDIE

0208 059 7703
pa.mrgiddie@footandankleclinic.net

OUR PRIVACY POLICY

MR CALLUM CLARK

0333 004 7370
clark@windsorfoot.com

MR RAMAN DEGA

07394 543929
dega@windsorfoot.com

MR JASDEEP GIDDIE

0208 059 7703
giddie@windsorfoot.com

OUR PRIVACY POLICY