Fractures & trauma

Recurring aching, weakness, or soreness around the ankle from old injuries that never fully healed. Shockwave accelerates tissue regeneration in ligaments and tendons, restoring stability and reducing the chronic pain cycle that limits your daily activity.

• what causes it?

  Foot and ankle fractures range from stress fractures (tiny cracks from repetitive overload) to acute traumatic fractures (from a fall, direct blow, or twisting injury). The ankle, fifth metatarsal (the outer bone of the forefoot), and the toes are among the most commonly fractured areas.

  Stress fractures are common in runners and people who suddenly increase their activity level. Acute fractures occur from sports injuries, falls, car accidents, or stepping on uneven ground. Osteoporosis significantly increases fracture risk with minimal trauma. Diabetic patients may fracture bones with little or no pain due to neuropathy.

• How do I know if i have it?

  X-rays are the first step and identify most fractures. However, stress fractures are often invisible on X-rays for the first 2–3 weeks — if a stress fracture is suspected despite a normal X-ray, an MRI or bone scan is ordered, as these are far more sensitive.

  CT scans are used for complex fractures — particularly ankle fractures involving the joint surface — to plan surgical repair. Your doctor will assess circulation and nerve function in the injured foot as part of the evaluation.

• How is it treated?

  Treatment depends on whether the fracture is displaced (bones shifted out of position) or non-displaced (still aligned), and on the specific bone involved.

  Non-displaced fractures are typically managed in a boot or cast with a period of protected weight-bearing, followed by gradual return to activity over 6–12 weeks.

  Displaced or unstable fractures often require surgery to realign and fixate the bone with plates, screws, or pins (ORIF — open reduction internal fixation). Ankle fractures involving the joint are typically repaired surgically to restore alignment and prevent arthritis.

  Fifth metatarsal fractures at the base of the bone (Jones fracture) have a higher risk of non-union and often require surgery, especially in active patients.