Immobilization (Casting and Bracing)

In case of ankle or foot injuries, it is important to start treatment in time, which significantly increases the chances of successful recovery. One of the main points of the treatment process is immobilization - partial or complete immobilization of the injured area.

The purpose of immobilization is to create conditions for proper tissue healing. Fixation of mobility in the damaged area helps to reduce pain syndrome, reduce inflammation and prevents the possibility of further damage.

In medical practice, many different methods of immobilization are used to stabilize the affected area, including

• Plastering: plaster is applied to the injured area to provide rigid fixation and exclusion of movements of the injured joint.
• Orthoses: individually made for a particular patient, devices for the support and fixation of the joint and soft tissues.
• Various types of rigid and semi-rigid braces: these are mobile, special devices designed for partial fixation of the ankle joint and support of the foot.

Successful recovery depends on the proper choice of fixation devices. At Illinois Foot & Ankle Clinic, under the guidance of leading specialist Dr. Alex Yanovskiy, DPM, each patient is selected an individualized treatment that takes into account all the peculiarities of his or her condition.

When Is Immobilization Recommended?

Immobilization is recommended when it is necessary to ensure immobility of the affected area, which contributes to its successful healing and prevents possible complications. 

The main indications for immobilization

1. Fractures of the bones of the foot or ankle joint. 
2. Ligament sprains and joint dislocations. 
3. Chronic diseases of the foot and ankle joint.
4. Correction of the foot position.

The doctor decides on the need for immobilization and the choice of fixation method based on the results of the examination and the nature of the disease.

Preparation for Casting and Bracing

Proper preparation for plastering or using orthotics contributes to successful treatment. Preparation consists of several basic steps.

Consultation with a podiatrist

• The doctor will examine the foot and ankle, assess the extent of the injury, and decide whether immobilization is necessary.
• In order for the doctor to get a complete picture of your condition, tell him/her what symptoms you are experiencing, what injuries you have had and if you have any chronic conditions.
• If immobilization is necessary, additional tests will be ordered to determine the exact nature of the injury.

Diagnosis

1. X-rays - to determine the exact localization and extent of the injuries. This is necessary for the correct application of a cast or selection of an orthosis.
2. MRI - to assess the condition of ligaments, tendons, muscles and identify hidden damage.
3. Ultrasound - to detect inflammatory processes in the tissues (if plantar fasciitis is suspected).

Doctor's recommendations

• Before the procedure, it is recommended to thoroughly wash and dry the affected area, which will help prevent irritation or infection.
• Let your doctor know if you are taking any medications that affect tissue healing or blood clotting. This may help in choosing a method of immobilization.
• Ensure that the clothing you will be wearing on the day of the procedure does not interfere with easy access to the injured area.

The Immobilization Process

There are several methods of immobilization, each of which has its own peculiarities and is applied depending on the nature of the injury and individual characteristics of the patient.

• Ankle Casting. Provides full fixation of the ankle joint and foot immobility of the damaged area in sprains, severe sprains and fractures.
• AFO (ankle foot orthosis). It is used for fixation of the ankle joint and part of the foot in various injuries and diseases (valgus deformity of the big toe, ankle instability) and for correction of chronic conditions (foot prolapse).
• Foot orthotics. Only the foot is fixed. They are used for foot deformities (hammer toes, ossicles).
• Foot Braces. Used to stabilize and support the foot, for sprains or chronic instability of the joint.
• Ankle and foot splints. Semi-rigid or rigid structures for fixing the ankle and foot in a certain position in acute injuries and for temporary immobilization.
• Toe Braces. They help to keep the toes in the correct position and prevent dislocation. Used for injuries and deformities of the toes.
• Plantar Fasciitis Braces. Used in the treatment of plantar fasciitis, providing support for the arch of the foot and reducing stress on inflamed tissues.
• Soft retainers: provide light support and compression for minor sprains and swelling.

The plaster application process begins by applying a soft retainer to the skin to prevent irritation. A layer of plaster cast is then applied to the injured area, which hardens and molds to the shape of the leg. The cast securely fixes the bones and joints, preventing them from shifting, providing optimal conditions for healing.

The process of installing an orthosis includes the selection and adjustment of the device in accordance with the anatomical features of the patient. They are made according to the parameters of the impression taken from various materials (plastic, carbon or metal) and provide rigid or semi-rigid support depending on the purpose. AFO helps to prevent abnormal foot movements and improve gait.

Expected Outcomes

On a case-by-case basis, the expected results of mobilization depend on the nature of the injury or disease.

Fractures: 

• fusion of bone fragments;
• restoration of the anatomical shape of the bone; 
• reduction of pain.

Ligament sprains: 

• reduction of swelling;
• reduction of pain;
• restoration of ligament strength.

Inflammatory conditions:

• reduction of inflammation;
• reduction of pain;
• improvement of joint function.

Benefits of Immobilization at Illinois Foot & Ankle Clinic

At Illinois Foot & Ankle Clinic, led by Dr. Alex Yanovskiy, DPM, we offer patients a wide range of immobilization services that provide the highest quality of care.

Our advantages are

1. Professionalism and experience.
2. Individualized approach to each patient.
3. Application of modern methods and technologies.
4. Comprehensive treatment.

Illinois Foot & Ankle Clinic patients receive comprehensive support at all stages of treatment - from initial consultation to full recovery. We provide detailed instructions on how to care for your cast or orthosis, recommendations for rehabilitation and prevention of re-injury. 

You can rest assured that when you come to Illinois Foot & Ankle Clinic, you will receive expert care for your foot and ankle injuries and conditions.