Physical Therapy After Midfoot Fusion: What to Expect in Your Recovery

Recovering from a midfoot fusion surgery doesn’t end in the operating room. Physical therapy plays a critical role in helping patients regain strength, mobility, and confidence after the procedure. At Plano Orthopedic & Sports Medicine Center, we provide comprehensive care—from surgery through rehabilitation—to ensure every patient has the best chance at a full recovery.

Why Is Physical Therapy Important After Midfoot Fusion?

Midfoot fusion stabilizes the foot by permanently joining bones in the arch that have been damaged by arthritis, injury, or deformity. After the bones are fused, your body needs time—and the right kind of movement—to heal correctly and adapt.

Physical therapy helps:

• Restore range of motion in nearby joints

• Improve balance and gait

• Strengthen surrounding muscles and tendons

• Prevent compensatory issues in the knees, hips, and back

• Reduce scar tissue and stiffness

When Does Physical Therapy Start?

Typically, physical therapy begins after your surgeon confirms that the bones are healing properly—usually several weeks after surgery, once you transition from non-weightbearing to partial or full weightbearing.

What to Expect in Each Phase of Therapy

Phase 1: Protection and Early Healing (Weeks 0–6)

• No weightbearing—your foot will be in a cast or boot.

• Gentle movement of the toes and knee to prevent stiffness.

• Education on using crutches or a knee scooter safely.

Phase 2: Transition to Weightbearing (Weeks 6–12)

• Gradual reintroduction of weight on your foot.

• Basic foot and ankle exercises to restore strength.

• Gentle range-of-motion movements to keep other joints mobile.

Phase 3: Strength and Mobility (Months 3–6)

• Targeted strengthening of the foot, ankle, and lower leg.

• Gait training to improve walking and balance.

• Proprioception (body awareness) and functional training.

Phase 4: Return to Normal Activity (6+ Months)

• Higher-level exercises if returning to sports or active work.

• Continued progression of strength and flexibility.

• Customized exercises based on your goals and lifestyle.

Long-Term Outlook

Most patients return to normal walking and daily activities within 4–6 months, though full recovery can take up to a year. Staying consistent with physical therapy is key to maximizing your outcome and minimizing complications.

Partner With the Experts at POSMC

At Plano Orthopedic & Sports Medicine Center, our experienced foot and ankle surgeons and physical therapists work closely together to guide you through every stage of your recovery after midfoot fusion.

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Ready to Start Your Recovery?
If you’ve had a midfoot fusion or are planning for one, contact POSMC today to schedule your post-op care and physical therapy plan with our expert team.