Recovering from a Broström Procedure: What Patients Can Expect Week-by-Week

Recovering from a Broström Procedure: What Patients Can Expect Week-by-Week

The Broström procedure is a highly effective surgical technique used to repair and stabilize the lateral ankle ligaments following chronic ankle instability. While the surgical success rate is exceedingly high, recovery is a structured process that requires diligence, patience, and adherence to post-operative guidelines.

As an orthopedic surgeon specializing in foot and ankle conditions, I guide patients through this recovery every day. Below is a comprehensive, week-by-week outline of the typical post-operative course following a Broström repair—along with key milestones to help set expectations for a safe and complete return to activity.

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Post-Operative Days 0–10: Protection and Elevation

During the initial phase of recovery, the primary goals are to protect the surgical site, control swelling, and minimize discomfort.

• Non-weight bearing: You will need to use crutches, a knee scooter, or an iWalk device.

• Immobilization: The ankle will be placed in a splint, which should remain dry and intact at all times.

• Elevation: Keep the ankle elevated above heart level as much as possible. Lower it to the ground briefly (5 minutes every hour) to encourage circulation.

• Cryotherapy: Use your cold therapy device as directed to reduce swelling and pain.

Days 10–28: Controlled Weight Bearing and Early Motion

At your first follow-up appointment (approximately 10 days post-op), the splint will be removed and replaced with a CAM boot.

• Weight bearing as tolerated: You may begin placing weight on the foot in the boot, though crutches are often still necessary early in this phase.

• Range of motion exercises: At least five times daily, perform gentle dorsiflexion and plantarflexion movements. Inversion (side-to-side) motions should be avoided at this stage.

• Nighttime support: Continue wearing an ankle stir-up brace while sleeping to provide additional support.

Week 4: Transition and Physical Therapy Initiation

By week four, most patients are able to transition out of the CAM boot and into a stir-up brace worn with supportive sneakers.

• Begin physical therapy: A prescription will be provided for structured physical therapy to address mobility, strength, proprioception, and gait training.

• Brace usage: Continue wearing the ankle brace during all weight-bearing activities.

• Exercise: may begin activities such as a stationary bike, elliptical, rowing machine and weight work in the gym.

Week 6: Light Activity Resumption

If healing is progressing as expected, patients may begin straight-line jogging or running in their ankle brace under the guidance of their physical therapist.

Week 8: Advanced Functional Training

This stage incorporates agility, cutting, and sport-specific movement patterns designed to prepare the ankle for higher levels of stress and activity.

Weeks 10–12+: Return to Sport

Patients may gradually return to full athletic activity as tolerated. The ankle brace can be discontinued once adequate strength, stability, and confidence are achieved.

• Full return to sports: Most patients resume full participation around the 4-5 month mark, although individual recovery times may vary.

Conclusion

Recovery from a Broström procedure requires structured rehabilitation and active patient participation. By following a clear, progressive timeline, most individuals can return to their pre-injury level of function—and often with improved stability and performance.

If you have questions about lateral ankle instability, surgical options, or recovery expectations, I invite you to schedule a consultation.

Dr. Nicholas Wessling, M.D.Orthopedic Surgeon – Foot & Ankle | Sports Medicine

Serving New York City and surrounding areas