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3Nonoperative care

Functional boot


A functional boot can be used for support and immobilization. The advantage of a boot over casting is that the boot can be removed for personal hygiene.
In the acute phase while there is pain and swelling, weight bearing should be avoided. The boot can be removed for daily hindfoot circumduction. As healing progresses, protective weight bearing is allowed in the boot. The patient can then be progressed from the boot to cushioned running shoes.