### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hi i had surgery 2 yrs ago on my ankle, a car wreck caused fractured heel and 3 broken bones in my ankle. they did surgery but apparently it didnt heal correct. i have been to orthapedic dr he said i needed surgery by an ankle specialist. i currently have passport healthcare but will change health plans in order to have this surgery covered. thank you

### output:

Hi, thank you for providing the brief history of you thorough musculoskeletal assessment is advised. As mentioned in your history, it is good to hear that your feet is saved firstly. Also, post surgery, did you perform any exercises to regain the ROM of ankle joint and strengthening of the muscles? Also, do you have any current symptoms like, pain, swelling, discomfort etc. Now to understand the healing of the lower limbs, it varies from patient to patient and also from injury to injury. Lower limbs in theory can take up to 8 weeks, but when comes to ankle and foot, it may take longer. Since the patients keeps asking about the walking, they are made walk early with non weight-bearing and then full weight-bearing. The bones of the feet are smaller and then need adequate time to heal. In that duration, doing physical therapy helps improve the ROM and strength in the muscles which prepare the body for propulsion and weight-bearing. Most cases, due to pain avoid physical therapy and the ultimate result turns out to be dissatisfaction. I will advise you to undergo physical therapy as it will help you to regain the ROM and Strength. Also, the post fracture, the remodeling of the bone is provided by the muscles by friction of the muscles over the bones. You may not necessarily need to undergo a re-surgery for the foot, if the ROM and Strength are back. I have seen cases with similar complaints so I am aware that what helps to avoid the re-surgery. RegardsJay In Chat Doctor. 