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Services A to Z

Please read the following information and then use the links at the bottom of the page if you are looking for further information or exercise.

Important Facts About Your Neck Pain- Please read

Here are the main problems and concerns we would recommend you get checked out by a health professional before commencing self-management exercises. These are called Red Flags and may indicate a more serious problem that requires medical assessment.

Symptoms That Are Present After Trauma

If symptoms are caused by a traumatic incident to your head and/ or neck (e.g. a fall or severe whiplash) please have this checked out by a health professional before commencing with an exercise program.

Note: If you have a known diagnosis of osteoporosis (low bone density) a small amount of force may cause problems that require medical assessment.

Symptoms Where No Trauma Was Involved

If you feel any of these signs appear rapidly or over a longer period of time please have these checked out by a health professional. 

  • Severe restriction in the movement of your neck and/ or head
  • Changes in your balance and the way you are walking e.g. tripping, falling
  • Weakness and/ or altered sensation into both arms and/ or legs at the same time
  • Problems with coordination of upper and/ or lower limbs e.g. writing, getting dressed, walking
  • Electric shocks sensations into both arms and legs on forward bending of your head or looking down
  • Significant changes to bowel, bladder habits and/or sexual function required immediate medical assessment. Warning: Cauda Equina Syndrome (CES): This a rare but extremely serious spinal condition that requires immediate assessment. For further information on CES:
  • New problems with talking, dizziness, swallowing or eyesight
  • Fever or generally feeling unwell at same time as neck symptoms developed
  • Constant pain which does not change with rest or activity
  • Significant pain and/ or sweats at night
  • A previous history of cancer and/ or unexplained weight loss
  • Unexplained lumps or bumps that are changing/growing
  • Increasing number of joints that are painful and/or stiff
  • Severe headaches and/ or jaw pain.

Note: Special attention should be taken if you have a history of long-term steroid/ immunosuppressive drug use, recent joint replacement, dental surgery or steroid injection. Previous spinal surgery. Rheumatoid arthritis or other joint disease, recent infection, previous history of tuberculosis, intravenous drug use or alcohol misuse.

Resources

Neck information leaflets
Neck exercises

Please make sure you have read through the important information above about neck pain before proceeding.

Here are some specific exercises to help you get your neck moving better. You may need to build these exercises up gradually.

You may be uncomfortable when you start doing these exercises – make sure the level of discomfort feels acceptable to you and that it doesn’t take too long to settle once you are finished.

The exercises should get easier the more consistently you manage to practice them and this may allow you to progress to more difficult exercises.

These are self help exercises:

  • Try to enjoy the exercises and work at a pace and level that feels safe.
  • Please use a common sense approach when deciding which ones to try.
  • The exercises listed are not designed as an alternative to professional advice.
Neck exercise videos
Neck exercise class videos (3 parts)

Neck exercise class introduction (please watch before commencing exercise parts 1-3)

Neck exercises – part 1

Neck exercises – part 2

Neck exercises – part 3

Temporomandibular joint problems (joint between jaw-bone and skull)

If you think you may have, or have been told that you have, a temporomandibular joint problem you may find the following information documents useful:

Your general health and wellbeing are essential to enjoying life and can have a big impact on your MSK condition, on how it developed and also in helping you to manage it and prevent it from coming back. 

The NHSGGC Health Improvement site below is a good place to start if you are looking for something in particular, including advice about smoking, weight, literacy and physical activity. These resources are updated regularly.

The Health and Wellbeing directory allows you to search by topic, for example ‘alcohol’ and has a huge range of resources. For more of a national perspective, try NHS Inform. In addition, we have gathered some resources on a range of topics that may be helpful for you.

Resources

Links to Resource Libraries and Services

Meeting Your Needs- Specific Topics

Physical Activity – Want to become more active?
Work – Unemployed and looking for work?
Alcohol- Want to cut down?
Smoking – Want to stop or cut down?
Stress, Anxiety or Depression – Want some support?
Weight – Looking to lose weight?
Sleep
Finance

Other Resources

Self-help Management and Helpline Versus Arthritis

Mental Flourishing – Wellbeing, Stress, Anxiety and Depression

Being Present and Self Aware: Mindfulness

Being Kind to Yourself: Self Compassion

Volunteering

The aim of this website is to provide support to healthcare professionals, especially midwives and health visitors, when interpreting the result of a haemoglobinopathy screening.

Haemoglobinopathies are a large group of inherited blood disorders, which affect haemoglobin (an oxygen carrying substance found in red blood cells). Some haemoglobinopathies can cause life-threatening symptoms, while others do not cause medical problems or even signs of the condition. Mild haemoglobinopathies may go undetected and require no medical treatment.

Carriers of haemoglobinopathies are not expected to present with any health problems. However, it is important that they are aware of their carrier status as it has reproduction implications.

Geographical mapping of uptake rates for NHSGGC Adult Screening Programmes is available at data-zone level. Maps are available at HSCP level for AAA, Bowel, Breast, Cervical and DES screening programmes.

Data zones are groups of 2001 Census output areas and have populations of between 500 and 1,000 household residents. Where possible, they have been made to respect physical boundaries and natural communities. They have a regular shape and, as far as possible, contain households with similar social characteristics.

Abdominal Aortic Aneurysm (AAA) Screening: Uptake data at datazone level from 1st April 2023 – 31st March 2024:
Bowel Screening: Uptake data at datazone level from 1st April 2023 – 31st March 2024:
Breast Screening: Uptake data at datazone level from 1st April 2023 – 31st March 2024:
Cervical Screening: Uptake data at datazone level from 1st April 2023 – 31st March 2024:
Diabetic Eye Screening (DES): Uptake data at datazone level from 1st April 2023 – 31st March 2024:
Screening uptake 2021-22

AAA – NHSGGC

Bowel – NHSGGC

Cervical – NHSGGC

DES –NHSGGC

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NHSGGC 2022-25 Inequalities in Adult Screening Plan
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Abdominal Aortic Aneurysm Screening

All men aged 65 who live in the Greater Glasgow and Clyde area will be invited to take part in abdominal aortic aneurysm screening.  If you are over 65 you can self refer.

Using an ultrasound scan, we look for aneurysms in the stomach so that we can monitor or treat them.  

For more information on screening, please visit the NHS Inform Website.

If you want to make or change your appointment, please phone 0141 277 7677.

British sign language video information – Abdominal aortic aneurysm (AAA) screening – British Sign Language (BSL) | Translations (nhsinform.scot)

Screening information for the Transgender community – Transgender screening in Scotland | NHS inform

Bowel Screening

Do yours – it could  be a life saver.

Here’s to the half a million Scots who did their bowel cancer screening test last year.

It’s the best way to catch it early and, if you do, you’re 14 times more likely to survive.  So if you’re aged between 50 and 74, do your test and join the bowel movement.

This animation is also available in the following languages:

Arabic – Bowel screening (Arabic) | Translations (nhsinform.scot)

Chinese – Bowel screening (Chinese – simplified) | Translations (nhsinform.scot)

Punjabi – Bowel screening (Punjabi) | Translations (nhsinform.scot)

Urdu – Bowel screening (Urdu) | Translations (nhsinform.scot)

Roma – Bowel screening (Roma) | Translations (nhsinform.scot)

British Sign Language – NHSGGC – Bowel Cancer Screening – British Sign Language – YouTube

For more information about bowel screening please visit NHSinform

Patient Information

Bowel Screening test

Bowel screening information leaflets in different languages are available on the NHS Inform.

Having a Colonoscopy

If your bowel screening result came back positive, you will be referred to your local Health Board for a colonoscopy.  Information about having a colonoscopy is available in the following languages:

(Please note: These leaflets are currently under review)

Screening information for the Transgender community – Transgender screening in Scotland | NHS inform

Bowel Screening Policies

This page is intended for professionals involved in the delivery of bowel screening across NHS Greater Glasgow and Clyde and NHS Highland – Argyll & Bute sector.

Please note: These policies are currently under review and will be updated in due course.

The current clinical policies for bowel screening are:

Breast Screening

Did you know that……?

  • 1 in 8 women in Scotland will be diagnosed with breast cancer
  • if caught early, you are 5 times more likely to survive breast cancer
  • breast screening saves 130 lives ever year in Scotland
  • it only takes 10 minutes
  • breast screening can detect tiny cancers that are less often advanced and easier to treat
  • breast screening appointments are sent to all women aged 50 – 70 every three years

Find out how Elaine C Smith got on with her breast screening appointment

Information about Breast Screening:

This animation is also available in the following languages:

Arabic – Information about breast screening in Scotland | Translations (nhsinform.scot)

Mandarin – Information about breast screening in Scotland | Translations (nhsinform.scot)

Punjabi – Information about breast screening in Scotland | Translations (nhsinform.scot)

Urdu – Breast Screening (Urdu) | Translations (nhsinform.scot)

Roma – Breast screening (Roma) | Translations (nhsinform.scot)

British Sign Language – NHSGGC – Breast Cancer Screening – British Sign Language – YouTube

Don’t get scared, get screened.

If you want to get in touch with our helpful staff at the breast screening centre to change your appointment or want to know when you are due an appointment, phone them on Tel: 0141 800 8800

Breast Screening Centre
Stock Exchange
77 Nelson Mandela Place
Glasgow G2 1QT

Tel: 0141 800 8800

For more information about breast screening, please visit NHSinform Website

Patient Information

Cervical Screening (Smear Tests)

Cervical screening is routinely offered to anyone with a cervix in Scotland between the ages of 25 and 64 every 5 years.

Regular cervical screening (smear test):

  • Is the best protection against cervical cancer
  • Saves around 5,000 lives every year in the UK
  • prevents 8 out of 10 cervical cancers from developing.

The test takes less than 5 minutes and can save lives.  Go on, add a smear to your to-do list.

Make your appointment with your GP Practice

For more information about cervical screening, please visit NHSinform.scot

Information about Cervical Screening:

This animation is also available in the following languages:

Arabic – Cervical screening (Arabic) | Translations (nhsinform.scot)

Mandarin – Cervical screening (Mandarin) | Translations (nhsinform.scot)

Punjabi – Cervical screening (Punjabi) | Translations (nhsinform.scot)

Urdu – Cervical screening (Urdu) | Translations (nhsinform.scot)

Roma – Cervical screening (Roma) | Translations (nhsinform.scot)

British Sign Language – NHSGGC – Cervical Cancer Screening – British Sign Language – YouTube

Screening information for the Transgender community – Transgender screening in Scotland | NHS inform

Human Papilloma Virus (HPV)

The HPV virus is very common and causes 99% of cervical cancers.  You can catch it through intimate sexual contact with another person who already has it. Because it is so common, most people will get infected at some point in their life. People are often infected without knowing it as there are usually no symptoms. In most women the virus does not cause cervical cancer.  

For more information about cervical screening visit NHSinform website

HPV vaccine for secondary school pupils

The HPV (cervical cancer) vaccine is offered to girls and boys of secondary school age to protect them against the two types of HPV that cause cervical cancer.

From January 2023, the immunisation schedule for HPV has changed – only one dose of the vaccine is required.

For more information visit the NHS Inform Immunisation website.  

Colposcopy

If you have been referred to Colposcopy, it will be for one of the following reasons:

  • you had three unsatisfactory smears, or
  • your recent smear test result was abnormal.

Our leaflet below gives you more information about colposcopy. (Please note: These leaflets are currently under review)

Diabetic Eye Screening

Everyone with diabetes runs the risk of developing diabetic retinopathy, a condition that may cause blindness or serious damage to eyesight.

As part of a national screening programme, anyone with diabetes over the age 12 years is invited to have their eyes checked.

Visit NHS Inform for more information about the screening programme

To change your appointment, please phone 0141 277 7417 and one of our staff will be on hand to offer you a  more convenient appointment time.

Pregnancy and Newborn Screening

The UK guidelines suggest that the average adult should undertake 150 minutes of physical activity per week. 

More than half (54%) of all Greater Glasgow and Clyde residents are not active enough to gain these health benefits.

See Chapter 5. Section 5.3.1 of the Director of Public Health Report 2015-17 for more background information on levels of physical activity in Glasgow and Clyde.

See also the NHS Greater Glasgow and Clyde 2014/15 Health and Wellbeing Survey  (Section 3.4)

To help with this, NHS Greater Glasgow and Clyde have a Physical Activity Team who work with a range of partners to try to increase physical activity levels.  Part of our remit is to work with our six Local Authority partners and to part fund the delivery of three core physical activity programmes; Health Walks, Live Active and Vitality, which are available and promoted throughout the GGC area. 

Further information

The Public Health – Health Services is responsible for co-ordinating and monitoring screening programmes across Greater Glasgow and Clyde and Argyll & Bute (part of NHS Highland).

Screening can find conditions early, before you get any symptoms. The earlier the condition is found, the better your chance of dealing with it. If a condition is found early, it is less likely to become severe and you are less likely to need major treatment.

Contact us

Alison Potts, Consultant in Public Health

Heather Jarvie, Programme Manager (adult screening)

Uzma Rehman, Programme Manager (adult, pregnancy, newborn and vision screening)

Leanne Carnevale, Administration Team Leader

Emma Kinghorn, Senior Support Officer

Jo Zelazny, Senior Support Officer

Jade Curtis, Senior Support Officer

Liz O’Hora, Senior Support Officer

You can contact us by emailing phsu.admin@ggc.scot.nhs.uk or call 0141 201 4541.

Introduction

This booklet gives you information about hip arthroscopy. It will explain what will happen when you come into hospital, what to expect before you go home and when you are at home. The success of the operation is a team effort including doctors, nurses, physiotherapists but most importantly you.

Please note that your aftercare and rehabilitation will vary depending on what you have done to your hip during the operation and also on your surgeon’s wishes.

Next: Who may be suitable for a hip arthroscopy?

What is a hip arthroscopy?

A hip arthroscopy is a surgical procedure where we look inside the hip joint using a small camera on the end of a flexible tube (an arthroscope). This allows the surgeon to see any problems in the hip joint. The surgeon can then use small instruments to treat some of these problems if appropriate. Hip arthroscopy can help with the following problems:

• Labral tears

• Hip impingement

• Damaged cartilage

• Loose bodies in the joint

Next: What to expect

What to expect

The Operation:

You will have a general anaesthetic which means you will be asleep. The operation usually takes 1 to 2 hours. We use a special table to access your hip joint. This moves the joint a little further apart and allows space to insert the arthroscope. The surgeon will make 2 to 4 small cuts around your hip area. They will insert the arthroscope and any instruments needed to treat your hip through these cuts.

The Wound:

Sometimes we stitch the cuts but not always. We will cover them with a sterile dressing. Usually the nursing staff change this dressing if you stay in overnight, however if it is dry and intact they may leave it. We will give you dressings to take home with you. The nursing staff will discuss this with you on the ward.

Pain Control:

We will inject some local anaesthetic into the joint and around your cuts to help reduce the pain when you wake up. We will also give you pain killers. It is important to let a member of staff know if you are sore so they can give you something to help.

Discharge (Going Home):

Most patients go home the day after their operation but some people go home the same day. This depends what time you are back on the ward and how you are feeling.

Next: Complications

Complications

After a hip arthroscopy it is likely that you will have some muscle bruising and swelling around the hip and thigh. As with any surgical procedure there is a small risk of other complications. These may include:

  1.  Difficulty passing urine or having a bowel movement after the operation.
  2.  Problems with the anaesthetic or development of an acute medical problem (clarify).
  3.  Wound Infections: If you notice a change in the area around your wounds and they become red, very hot and swollen, or if you develop any discharge from your wounds please see your GP as soon as possible?
  4. Blood clots in your calf are known as a DVT (deep vein thrombosis):

• You may go home on aspirin to help prevent this however the best way to reduce the risk is to do the exercises in this booklet regularly and by moving around.

• If you experience pain and tenderness in your calf and it becomes hot and swollen please see your GP.

    5. Blood clots in your lung known as a PE (pulmonary embolis):

• If you experience a sudden shortness of breath which is unusual for you please see your GP.

    6. Damage or bruising to a minor nerve leading to numbness or tingling in your thigh, groin or genitalia.

    7. Damage to the major blood vessels or nerves around the joint or the joint itself.

Next: Physiotherapy

Physiotherapy

You will normally see a physiotherapist before you go home. They will show you some exercises to help keep the muscles around your hip strong and to get the hip moving. These exercises are shown in this booklet.

We will give you elbow crutches to help you walk after the operation. You may be able to take as much weight as you feel able to through your hip (fully weight bearing) but we will often advise you to take some weight off the hip by leaning through the elbow crutches (partial weight bearing). This will depend on what treatment you have done and on your consultant’s wishes. For example if you have a simple labral tidy up you will usually be able to fully weight bear. However if you have a more extensive procedure such as microfracture on your joint surface we will normally advise you to take minimal weight through your hip for 4-6 weeks. The physiotherapist will advise you how much weight to take through your hip and how long you will need to use your elbow crutches.

We will show you how to go up and down stairs before you go home.

Your physiotherapist is likely to refer you to your local physiotherapy department for ongoing rehabilitation and in some places they may refer you for hydrotherapy (rehabilitation in water). This will depend on where you stay and on your consultant’s wishes.

Next: Exercises

Exercises

1. Ankle pumps: Pull your ankles backwards and forwards and circle them around. This increases the blood flow in your legs and helps prevent clots forming.

2. Static Quads: Point your toes to the ceiling. Press the back of our knee against the bed tightening up the muscle at the front of your thigh. Hold for 5 seconds then relax. Repeat 10 times.

3. Static Gluts: Squeeze your bottom muscles together. Hold for 5 seconds then relax. Repeat 10 times.

4. Static Hamstrings. Dig your heel into the bed as if trying to bend your knee. Hold for 5 seconds then relax. Repeat 10 times.

5. Hip Flexion: Bend your hip and knee up and down. You might find this easier at first if you hook a scarf around your foot and use this to help pull your leg up. Do 2 sets of 10.

Following some procedures this movement may be restricted for 4-6 weeks. Your physiotherapist will advise you if this is the case.

6. Hip Abduction: Bring your leg out to the side then back in again. You might find this easier at first if you hook a scarf around your foot and use this to help pull your leg out to the side and back in. Do 2 sets of 10.

It is important to do these exercises regularly. We advise you to try and do them 4 times a day or even a set of 10 every hour or two.

 Next: Going Up and Down Stairs

Going UP and Downs Stairs

If a handrail is available then always use it as well as one crutch. Your physiotherapist will teach you how to carry your other crutch up the stairs as you will need it when you get to the top.

Going up stairs:

1. Place your un-operated leg up onto the step

2. Lift your operated leg onto the same step

3. Bring the crutch up onto the same step

Going down the stairs:

1. Place your crutch down onto the step below

2. Step down with your operated leg

3. Bring your un-operated leg down onto the same step

 Next: General Advice Following your Hip Arthroscopy

General Advice Following your Hip Arthroscopy

Ice:

This may help with pain and swelling around the hip or thigh area. Wrap an ice pack or a bag of frozen peas in a towel and rest this on your hip or thigh area. Do not leave on for any longer than 20 minutes at a time.

Pain Relief:

We will usually give you a 7 day supply of pain killers to take home with you and can get more from your GP if necessary once these run out. If you experience more pain when you go home and do not feel the pain killers are helping, please see your GP.

Wound Care:

If you have stitches you will need to visit your practice nurse 10-12 days after your operation to have these removed. The nursing staff will discuss your wound care with you before going home.

Rehabilitation:

It is important to do the exercises in this booklet regularly to prevent your hip becoming stiff and weak. Most patients are referred for physiotherapy locally once they are home. The length of time you need to go to physiotherapy will depend on the treatment that you have and also on what activities you plan on getting back to. You are likely to attend physiotherapy for at least 3 months.

Next: Return to Activity

Return to Activity
  • Driving: You can begin driving when you are allowed to be fully weight bearing, walking without crutches and feel comfortable to do so. Only return to driving when able to comfortably and safely change gear and carry out an emergency stop. This will vary depending on what treatment you have and on your consultant’s wishes.
  •  Work: This will depend on your job and on what treatment you have done. People in manual jobs or jobs involving a lot of walking are likely to need longer off than those who have jobs involving mainly sitting. Please discuss this with your consultant while in the hospital or in the clinic
  •  Sport: Your physiotherapist will advise you about returning to sport. Again this will depend on what treatment you have done and on the sport you wish to return to.

Next: Routine Follow-Up

Routine Follow-Up

We will see you back at the clinic 4-6 weeks after your operation. You may then have a further appointment about 12 weeks after the operation. If you need further appointments we will arrange these.

Outpatient Musculoskeletal Physiotherapy input after leaving hospital (hospital discharge)

Your referral will be sent as an urgent request. It is extremely important you attend for Physiotherapy to maximise the benefits of your surgery.

On receiving your referral, you will be contacted by either telephone or letter. If by telephone, this will show as an 0800 number. Please answer this as they do not leave a message.

If RMC (Referral Management Centre) are unable to contact you via telephone, an opt-in letter will be sent to your address. It is important you contact the telephone / email on this letter as soon as you receive it in order to offer you an appropriate appointment.

If after 2 weeks you have not heard anything, please contact RMC on 0800 592 087.

What is an ankle fracture

A fracture is a break or crack in a bone. The ankle is formed by three bones. These bones are the tibia, fibula and talus. Treatment depends on where and which bones are affected, if the fragments are badly aligned or if it causes joint instability.

Sometimes this can be managed by putting a plaster cast or splint on.

Sometimes surgery is carried out to realign and hold the bones together to improve healing.

Sometimes this is followed by a period in a plaster cast or splint and by keeping your weight off that foot using crutches.

If my injury is being treated with surgery

The aim of surgery is to realign and stabilise the bone while it is healing. This is to try and prevent permanent stiffness, weakness and pain. Some ankle fractures can be treated in a plaster or splint if the bone is not displaced and stable, you accept the displacement or surgery would be too risky for you.

If I need it, what does surgery involve?

Surgery involves the bone being held with plates and screws that sit on the bone under the skin. More than one bone may need to be fixed and this sometimes needs to be done through more than one cut (wound) in the skin. The most common wounds will be on both sides of the ankle. There are always risks of surgery, these will be explained to you before surgery takes place by your surgeon. Surgery will either involve a general anaesthetic (going to sleep) or a spinal anaesthetic (numbing your leg so you don’t feel the surgery). This will be decided between you and your anaesthetist.

What happens next?

You will usually be discharged from hospital on the same or next day after surgery. Before you go home a doctor or nurse will discuss with you whether you need to take any blood thinning medication. They may also discuss whether some of your appointments may be carried out using a videophone or telephone. You will usually have follow up at 2 weeks and 6 weeks after surgery. These appointments will should be given to you before you leave hospital.

At around 2 weeks after your surgery, you will be seen by one of the fracture clinic nurses or podiatrists. They will examine your wound and ankle. They will change your cast or offer you a new walking boot and remove your clips/stitches. They may then send you for an X-ray of your ankle. They will then make sure you have another appointment booked for week 6 with either the fracture clinic or podiatry clinic.

At around 6 weeks after your surgery, you will come back to hospital for an X-ray and to see a healthcare specialist. Most people will be discharged after this appointment to patient initiated return but some may need more appointments or a physiotherapy referral.

What Problems Should I Look Out For?

Some problems patients can develop after surgery are infection, blood clots in the leg, poor bone healing, arthritis, nerve damage, tendon irritation, complex regional pain syndrome, irritating or prominent metalwork, walking difficulties, poor balance, pain, stiffness or weakness. If you are suffering from any of the list below, it may mean you have a problem from your surgery.

Infection – You might feel unwell or feverish with increased pain, swelling or stiffness in the ankle. Sometimes the wound can become red, painful or start to leak. If you develop any of these problems contact the clinic using the contact details below. If it is out-with clinic hours and you feel unwell then go to your local Emergency Department.

Pain – This can be caused by many problems. If your pain is getting worse or you still have moderate or severe pain 12 weeks after surgery then contact the clinic using the details below.

Stiffness – If you are having problems with ankle stiffness that is affecting your ability to do things at 12 weeks after surgery you should arrange physiotherapy using the details below.

Swelling – If you have new or worse swelling after you have been to your final clinic appointment then contact the clinic using the details below.

Breathing problems – For around 1 in 100 patients, a blood clot can form in the veins of the leg after surgery. This might cause pain and swelling in the leg. Very rarely a clot can travel to the lung through the bloodstream. This can give people chest pain or breathing difficulties. If you think you have one of these problems phone an ambulance or NHS24 immediately.

Walking difficulties or balance problems – There are different reasons why patients can have problems with walking or balance after surgery. If these problems continue for more than 12 weeks after surgery you may benefit from speaking to a healthcare professional. You may also have stiffness or pain that affects your ability to walk. If your problem is mainly caused by pain, you should contact the clinic. If it is mainly caused by stiffness, or you have balance problems, you should arrange to see a physiotherapist. It is ok to call the clinic to discuss this first if you are not sure.

If you have a problem related to your ankle fracture or surgery that is not listed here but you would like to see someone about it then please contact the clinic using the details below.

Queen Elizabeth University Hospital Fracture Clinic – 0141 452 3210 (Monday – Friday, 09:00 – 16:00)

Victoria ACH Fracture Clinic – 0141 347 8754 (Monday – Friday, 09:00 – 16:00)

When Can I Walk Again?

This depends on your injury and the surgery you have. Your surgeon will advise you about this after your surgery. Most patients will be allowed to walk as their pain allows them immediately after surgery. You will need to wear a walking boot while you are walking for the first 6 weeks after surgery. You can take it off when you are sitting down, sleeping or doing your exercises.

If you are wearing a cast, you will usually not be allowed to put any weight through that leg for 2 weeks. Once the cast is changed you might be allowed to put some weight through it from week 2 – 6 after surgery. Sometimes people need to use crutches for some of this period. This will be assessed by a physiotherapist before you go home.

When Can I Return To Work?

This depends on the demands of your job. It is likely that you will require 2-3 weeks off to recover from the surgery and allow the discomfort to settle. If you have an office job, returning to work after this for light duties might be possible, but you should avoid anything which makes your ankle uncomfortable, such as prolonged standing or walking. For manual work requiring lifting, you will need at least 6 weeks off, which may be longer depending of the extent of your injury. If your job involved driving you will be off work for at least 6 weeks.

When Can I Return To Driving?

You should not drive while you are in a cast or walking boot. You cannot drive for at least 6 weeks after surgery. After this you can drive when you are able to control your vehicle and safely perform an emergency stop. This is your decision. You can discuss this with your doctor or physiotherapist if you are unsure. You must be safe and in control of the vehicle. The law is very clear that you have to be able to prove to the police that you are ‘safe’ to drive, so it is entirely your own responsibility and we cannot give you permission to drive.

When Can I Return To Sport?

It is advised that you do return to sport until at least 12 weeks after your injury – please seek advice from your doctor or physiotherapist who will guide you.

Do I Need Physiotherapy?

If you carry out the exercises in this leaflet your movement will probably return to normal. If you are having problems with stiffness and this is affecting what you can do discuss this at your clinic appointment and you may need a physiotherapy referral. If you have been discharged from Orthopaedic clinic, please self refer to your local physiotherapy department or arrange this with your GP.

What Will My Recovery Be Like?

Below is a rough guide of what most patients will be able to do after ankle fracture surgery. Everyone is different and some people may take longer or shorter to be able to do these things. If you are unsure please discuss them with your nurse or surgeon.

Weeks 0-6

  • You will be in a cast or walking boot depending on your injury
  • Keep foot elevated when you are not walking to reduce swelling
  • If you are in a walking boot you will be allowed to weight bear as your pain allows. Move your toes often.
  • If you are in a walking boot you can remove this when you are sitting down or in bed.
  • If you are in a walking boot you can begin stage 1 exercises.

If you are in a cast you will not normally be allowed to weight bear on that leg.

Weeks 2-6

  • Continue stage 1 exercises
  • Return to desk based work if required and comfortable.

Weeks 6-12

  • The fracture is united (healed)
  • You can begin to resume normal activity but be guided by any pain you are experiencing.
  • Carry out day to day activities.
  • Carry out stage 2 exercises
  • If you no longer require to wear a walking boot you may wish to consider driving provided you can safely operate a car.
  • If you were in a cast and it has now been removed you can start stage 1 exercises followed by stage 2 as your pain allows.
  • Heavy tasks, heavy lifting or sport may cause some initial discomfort.

Week 12

  • Return to manual work, sport and heavy activities.
  • If you are still experiencing significant pain or swelling then please contact the Fracture Care Team for advice.
Exercises – Stage 1 (week 0-6)
  • Lying on your back or sitting. Bend and straighten your ankles. If you keep your knees straight during the exercise you will stretch your calf muscles.
  • When sitting or lying, move your ankle slowly in large circles. Repeat in opposite direction.
  • Sitting on a chair, alternatively raise your toes and your heels.

Repeat each exercise 10 times, 5 times per day.

When you are comfortable doing these exercises you can begin the gentle resistance exercises below.

  • Sit on a chair or on the floor. Put one foot on top of the other foot. Try to point the toes of the foot that is on top while preventing any movement with the foot that is underneath.
  • Sit on a chair or on the floor. Put the inner borders of your big toes together. Press the inner borders of your big toes together. Hold approx. 5  secs.
  • Sit on a chair or on the floor. Cross your feet and put the outer edges of your little toes together. Press the outer edges of your little toes together. Hold approx.  5  secs. 
Exercises – Stage 2 (week 6+)
  • Sitting on a chair. Cross the ankle to be stretched over the other knee. Place your hand on top of your foot and help to point your toes. This will stretch your ankle. You should feel the stretch in the front of your shin.
  • When standing, place your foot on a chair. Line your heel up with the front edge of the chair. Hold the back of the chair for balance. Gradually move your knee towards the back of the chair keeping your whole foot in contact with the chair.This will stretch your ankle. You may feel a stretch in your calf and at the front of your ankle.
  • Note: if you walked with assistance of a walking stick or walking aid prior to ankle injury then please do not attempt this exercise.
  • Sit on the floor or on a chair with one leg out straight in front of you. Put a rubber exercise band or towel around your foot.Use the band / towel to gently pull your foot up towards your body. You will feel a stretch in your calf.
  • 1. Sit with operated leg crossed over and hold foot as shown
    2. Turn foot (forefoot and heel) upward so that you feel a stretch,
    3. Hold 3 seconds
    4. Then turn foot downwards, feel the stretch and hold for 3 seconds. Hold each exercise for 10 seconds. Repeat 10 times, 5 times per day.

  • Sit on a chair or on the floor. Put one foot on top of the other foot. Try to point the toes of the foot that is on top while preventing any movement with the foot that is underneath.
  • Alternatively, sit on the floor or on a chair with one leg out straight in front of you.
  • Tie a rubber exercise band to something secure and put the rubber exercise band around your foot (make sure there is some tension on the band to pull against). Pull your foot up towards your body against the resistance of the band.

Hold each exercise for 5 seconds. Repeat each exercise 10 times, 5 times per day.


  • Sit on a chair or on the floor. Put one foot on top of the other foot. Try to lift the foot that is under while preventing any movement with the foot that is on top.
  • Alternatively, sit on the floor or on a chair with one leg out straight in front of you. Put a rubber exercise band or towel around your foot. Pull the band/towel towards you to provide some resistance. Point your toes towards the floor, against the resistance of the band/ towel. Slowly return to starting position.

Hold each exercise for 10 seconds. Repeat each exercise 10 times, 5 times per day.

Exercises – Stage 3

The exercises in this section are not intended for anyone who required assistance of a walking stick or walking aid prior to injury.

The exercises in this section should be completed along side on-going physiotherapy input with the aim of returning to specific hobby or sport that demands higher level rehabilitation. If you are not attending physiotherapy and wish to return to sport please request referral through fracture clinic or self- refer to your local physiotherapy department.

It is normal to feel some discomfort when starting a new exercise. If any of these exercises cause increased pain at your ankle then stop the exercise and speak with your physiotherapist. 

  • Mini Band Resisted Marching: Start by standing with a mini band around both feet and arms relaxed by your side.
    Lift one leg and bring your knee towards your chest against the resistance from the band. At the same time keep the hip of the supporting leg straight. Keep your upper body upright and let arms swing by your sides at the same tempo as your legs march.

    Repeat 10  times.
  • Stand as pictured below. 
    Start in standing with your feet hip-width apart and a mini band around both feet close to your ankles. Feel how the band pulls your feet inwards.
    Step to side keeping your toes pointing forwards. 3 steps in each direction.
    Note: Keep your toes relaxed during this exercise.

    Repeat 3-5 times in each direction.
  • Stand. Step sideways and place your foot on a balance pad/ folded pillow.
    Hold 10  seconds, increase as you are able.
    Repeat 10  times.
  • Stand on one leg holding onto support of chair. Push up on your toes.

         This can be progressed into a walking exercise. As you walk try to push up on

          to your tip toes, you should feel like your heading bobbing up and down.          Repeat times 10 times.

  • Stand on one leg on a step with your heel over the edge holding onto support. Let your heel drop downwards. Push up on your toes.
    Repeat 10  times.
  • Stand on one leg on a step facing down. Slowly lower yourself by bending your knee to 30 degrees. Return to starting position.

Repeat 10  times.

  • Stand with feet together.When you feel ready try initially to jump on the spot, as you get more confident try jumping forward and backward in a Z pattern. Reverse the Z pattern.
  • Stand on one foot.
    When you feel ready try hopping on the spot, this will be closer to the 12 weeks and may even take longer than that.
    Once hopping on the spot becomes easy try to hop forward and backward, then try side to side and finally try to hop in a Z pattern. Reverse the Z pattern.
Further Information and Contact Details

Contact Details

Queen Elizabeth University Hospital main switchboard – 0141 201 1100

Queen Elizabeth University Hospital Fracture Clinic – 0141 452 3210 (Monday – Friday, 09:00 – 16:00)

Victoria ACH Fracture Clinic – 0141 347 8754 (Monday – Friday, 09:00 – 16:00)

Appointments booking office – 0141 347 8347 (Monday – Friday, 08:00 – 20:00)

Physiotherapy – 0141 452 3713 (Monday – Friday 8.30- 1600)

MSK Physiotherapy Self Referral  https://www.nhsggc.org.uk/your-health/health-services/msk-physiotherapy/

Further information is available at https://www.nhs.uk/conditions/broken-ankle/

Patient Initiated Return

At the end of your final appointment you will usually be discharged from further follow up. This information sheet has advice on problems to watch out for and advice on exercises you should carry out. You should read through this leaflet closely as they will tell you about what you should expect for your recovery. They will also tell you how to get arrange a further appointment should you have any problems.

Once you have finished at your final appointment, if you develop a problem related to your ankle fracture or surgery, you can contact the clinic and arrange a new appointment yourself. You do not need to contact your GP to do this.

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