A walking boot is often prescribed to support recovery from foot or ankle injuries. While it provides stability and protection, prolonged use can lead to several side effects that patients should be aware of. Understanding these potential issues can help mitigate discomfort and ensure a smoother recovery. 1. Muscle Weakness and Atrophy: Wearing a walking boot for an extended period can lead to muscle weakness and atrophy in the affected leg. Since the boot restricts normal movement, muscles that are not actively engaged may lose strength over time. This can make rehabilitation more challenging once the boot is removed. 2. Joint Stiffness: Limited mobility in the foot and ankle can lead to joint stiffness. If not addressed through gentle movement or physical therapy, this stiffness can persist even after the boot is no longer needed. 3. Gait Imbalance and Hip Pain: A walking boot changes your natural gait, causing an imbalance that can affect your hips, knees, and lower back. Many people experience hip discomfort or misalignment due to the uneven weight distribution while wearing the boot. 4. Increased Risk of Blood Clots: Reduced movement in the affected limb can slow down circulation, increasing the risk of deep vein thrombosis (DVT). While rare, prolonged immobility can contribute to the formation of blood clots, which can be dangerous if not addressed. 5. Skin Irritation and Pressure Sores: The rigid structure of the walking boot can cause friction and pressure on certain areas of the foot and leg. This may lead to skin irritation, blisters, or pressure sores, especially if the boot is not fitted correctly or if socks and padding are not used appropriately. 6. Lower Back Pain: The uneven height between the boot and the uninjured foot can lead to lower back strain. Many healthcare professionals recommend wearing an even-up shoe balancer on the uninjured foot to reduce this imbalance. 7. Swelling and Circulation Issues: While a walking boot stabilizes the foot, it can also limit proper circulation. Some people experience swelling in the toes or foot due to the restrictive nature of the boot. Elevating the foot when resting and performing gentle foot exercises can help reduce swelling. How to Minimize Side Effects: Perform gentle stretching exercises to maintain flexibility and circulation. Use a shoe balancer on the opposite foot to maintain proper posture and prevent hip and back pain. Monitor skin condition and adjust padding to avoid blisters or sores. Follow a gradual transition out of the boot under medical supervision to prevent muscle and joint strain. Stay active within your limits to reduce the risk of blood clots and stiffness.