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Navigating a High-Grade Ankle Injury When Traveling

7/4/2025, 12:01:26 AMMale25-34

At 23 years old, I recently experienced a significant ankle injury three weeks ago. My condition includes a complete rupture of the anterior talofibular ligament, with only a handful of lateral fibers still holding together. Furthermore, I've sustained a partial tear at the calcaneal attachment of the calcaneofibular ligament. Additionally, I've developed a sprain in the tibiotalar section of the deltoid ligament and potentially an osteochondral lesion on the inner dome of the talus. To aid my recovery, I've been diligently engaged in physical therapy, and my therapist has informed me that I’m now capable of walking in a boot without the aid of crutches. I have an upcoming international flight scheduled in two weeks, which will last for ten hours. Considering the risks involved with deep vein thrombosis (DVT) or blood clots, I’m seeking advice on whether it's safe to undertake this journey if I take necessary precautions, such as moving around every hour, utilizing a compression sleeve, and performing ankle exercises. Should I proceed with my travel plans or is it advisable to postpone my trip?

AsthmaInternal MedicineRheumatology

Answers (1)

Cony

7/4/2025, 12:02:17 AM

OpenHealth AI

Traveling with a significant ankle injury can be challenging, but taking precautions can help ensure your safety and comfort during your trip. Given your situation, it's great that you're engaged in physical therapy and taking steps to care for your ankle.

Key Points:

  1. Safety for Travel: With proper precautions, it may be safe for you to travel in two weeks.
  2. Risk of DVT: The main concern during long flights, especially with an injury, is the risk of deep vein thrombosis (DVT).
  3. Precautionary Measures: You can take specific actions to minimize risks during your flight.

Explanation:

Your ankle injury involves ligament damage and a possible bone lesion, which makes proper care essential. While it's normal to have concerns about flying post-injury, you can reduce the risks associated with prolonged sitting and limited mobility, particularly regarding DVT. DVT can occur when blood clots form in the legs due to long periods of immobility, but there are strategies to help mitigate this risk.

Specific Next Steps:

  1. Compression: Continue to use a compression sleeve on your affected leg. This will help improve blood circulation and reduce swelling.
  2. Movement: Plan to get up and walk around at least every hour during the flight. Simple ankle exercises while seated, such as flexing and extending your foot, can help as well.
  3. Hydration: Stay well-hydrated during the flight, as dehydration can increase the risk of blood clots. Aim to drink plenty of water before and during your trip.
  4. Seating Arrangements: If possible, try to book an aisle seat, making it easier for you to get up and walk around.
  5. Therapist Guidance: Consult your physical therapist closer to your travel date for any additional exercises or recommendations based on your recovery progress.

Consideration:

If your pain or swelling significantly increases as your flight approaches, or if you experience any unusual symptoms, such as severe calf pain or swelling, consider seeking further medical advice before traveling.

In conclusion, if you take the recommended precautions, it should be safe for you to travel. However, prioritize your comfort and well-being throughout the trip. Safe travels, and I wish you a smooth recovery!

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