Walking After Ankle Replacement: What to Expect

Ankle replacement surgery is a common procedure to relieve chronic ankle pain and restore mobility. If you are considering this surgery, you may be wondering what to expect when it comes to walking after your procedure. In this blog, we'll discuss what to expect in terms of walking after ankle replacement surgery, the expected range of motion, the improvements to gait you may experience, and the importance of managing your expectations.

The recovery period for ankle replacement surgery can vary depending on the individual and whether any additional procedures are performed at the same time. Your surgeon will provide you with guidance on what to expect during your individual recovery, including when you can begin walking and putting weight on your ankle. During the recovery process, you will need to follow your surgeon's instructions carefully, which may include wearing a splint or cast initially, transitioning into a walking boot, using crutches or a walker, and attending physical therapy.

Most patients are non-weight-bearing for the first few weeks after surgery to allow the bones and implant to begin healing properly. Depending on your progress and X-ray findings, you may gradually transition to partial weight-bearing and eventually to full weight-bearing. Some patients may begin walking in a boot around 2–3 weeks, while others may take up to six weeks or longer, depending on their individual circumstances and healing response. It is important not to rush this process, as early overloading of the joint can affect long-term outcomes.

Swelling is common for several months after surgery and may temporarily affect your comfort while walking. Elevation, compression, and icing (if recommended by your surgeon) can help manage swelling. It is also normal to experience stiffness in the ankle early on, which typically improves with time and guided physical therapy.

After your ankle has fully healed, you should be able to walk and move around with greater ease and significantly less pain. Many patients experience meaningful improvement in their range of motion compared to their pre-surgical condition, particularly if arthritis had severely limited movement. While ankle replacement does not restore completely normal motion, it is designed to preserve more natural movement compared to ankle fusion surgery. This preserved motion can help create a smoother walking pattern and reduce stress on surrounding joints.

You may also notice improvements in your gait. Before surgery, chronic pain often causes patients to limp or shift weight unevenly, which can lead to discomfort in the knees, hips, or lower back. As pain decreases and mobility improves, your walking pattern may become more balanced and stable. 

However, it's important to understand that while ankle replacement can significantly improve mobility and function, it may not restore your ankle to the same level as before your injury or condition developed. High-impact activities such as running or jumping are generally discouraged to protect the implant and extend its lifespan. Most patients are able to return to low-impact activities such as walking, golfing, cycling, and swimming.

Your surgeon will work with you to develop realistic expectations for your mobility and function after the procedure, taking into account your age, activity level, bone quality, and overall health. Every patient’s recovery process is unique, and progress may continue for up to a year after surgery.

Managing your expectations and following your surgeon's instructions carefully are crucial for a successful recovery. Maintaining a healthy weight, wearing supportive footwear, and staying consistent with strengthening exercises can also contribute to long-term success.

Gentle Foot and Ankle Care specializes in treating foot and ankle conditions, including ankle replacement surgery. Our team of skilled surgeons is dedicated to helping you recover safely and achieve the best possible outcome. If you're considering ankle replacement surgery or are experiencing ongoing foot or ankle pain, give us a call to schedule an appointment. We're here to help you get back on your feet!