How to transition from a walking boot
When you first get out of a boot, you should resist the temptation to wear shoes for the entire day. It would be best if you gradually weaned out of your boot over a short period. Your doctor should direct the length of time you wean out of the boot. You should wear supportive shoes such as running trainers with good mid-foot support when out of the boot. Avoid wearing poor supporting work shoes, sandals or flip-flops.
An example of weaning out of the boot over two weeks is described below. This protocol is suitable for fractures or stress fractures.
Day 1-4: out of the boot for an hour in the morning and an hour in the afternoon
Days 5-7: out of the boot for 2 hours in the morning and 2 hours in the afternoon
Days 8-12: out of the boot for 3 hours in the morning and 3 hours in the afternoon
Days 13-15: out of the boot for 4 hours in the morning and 4 hours in the afternoon
Day 16: entirely out of the boot
You must carefully control your total step count for the first two weeks while you wean out of your boot. We suggest aiming for a 50% reduction in your normal step count. So, if you average 8000 steps per day, you should aim to keep the step count between 4000-6000 steps.
If you develop pain during this weaning period, slow your progression and wait for your pain to settle before moving on to the next stage. Sometimes, you may need to wean out of a boot over four weeks.