What happens after the cast or boot is removed?

Once your cast is removed (usually after 6 weeks), it’s normal for your ankle to feel stiff, weak and slightly swollen. The muscles and joints will have been inactive for several weeks, so it’ll take time to restore strength and movement. Your consultant and physiotherapist will guide you through a gradual recovery plan that focuses on improving flexibility, balance, and stability.

You’ll begin gentle exercises to increase your range of motion, followed by strengthening and balance work as your comfort improves. Weight bearing usually starts slowly, with support if needed, and increases over several weeks. Some swelling and mild discomfort can continue for a few months, but this will ease as your ankle becomes stronger.

Recovery is an individual process and will vary depending on the type of surgery you had. Most people find they can return to normal daily activities within a few weeks of cast removal, although it can take 3 to 6 months before the ankle is fully recovered and ready for higher-impact exercise. With regular physiotherapy and patience, movement and confidence will steadily return.