Physical Rehabilitation

Rehabilitation is key to recovery from many orthopedic conditions and procedures. Middlesex Health offers comprehensive physical and occupational rehab services at numerous convenient locations.

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Helping you recover from foot and ankle injury or illness, one step at a time.

No matter how you injured your foot or ankle, our orthopedic specialists will work with you to find a solution that allows you to get back to the activities you love. 

Many conditions can be managed non-surgically. However, if conservative strategies - such as pain management and rehabilitation - are not enough to remedy your foot and ankle conditions, surgery may be an appropriate option.  Surgery is often used to treat severe ankle misalignment, osteoarthritis, or complete loss of cartilage.


Conditions of the foot and ankle may include:

  • arthritis and related complications
  • complications from diabetes
  • fractures
  • heel, arch, and toe pain
  • nerve or tendon injury
  • neuromuscular problems
  • pain
  • sports and exercise-related injuries
  • trauma or sprains


Many foot and ankle conditions can be addressed using:

  • monitoring and treatment for complications of diabetes
  • pain management techniques
  • physical rehabilitation

What is ankle fusion surgery?

Ankle fusion surgery fuses together the bones in your ankle. This is done using internal and external devices - such as rods and pins - to hold your bones in place until they heal. Plates and screws may also be used to compress the leg and ankle bones after cartilage removal.

The fusion may be promoted by first inserting bone-graft material, which is usually obtained from another place in your body.

Ankle replacement surgery may become necessary if your ankle bones are very damaged or weakened. Ankle replacement surgery can help alleviate the pain and increase your function - so that everything from daily chores to recreation and leisure becomes possible again.

What is ankle replacement?

Ankle replacement surgery replaces the damaged parts of the three bones that make up the ankle joint.

What is used to replace the bone?

Artificial joint parts - or prosthetics - are used to replace your own bones. They come in different sizes to fit different-size people.

The experienced orthopedic surgical team at Middlesex Health uses state-of-the-art prosthetics to achieve the best possible outcomes.

What steps does the surgeon take during ankle replacement?
  • Step 1: Remove the damaged bone
  • Step 2: Reshape the three bones that remain in place
  • Step 3: Attach the parts of the new artificial joint to the cut bony surfaces. The new parts are held in place with special glue or bone cement. Screws are typically placed through the two leg bones to help support the artificial ankle.
  • Step 4: Create a bone graft between the ends of the two primary bones to help stabilize your new ankle.
Comprehensive Care

Orthopedic care happens across a continuum that starts with evaluation and diagnosis and continues through treatment and recovery. Our multidisciplinary team of caregivers will:

  • help you understand your diagnosis
  • prepare you for treatment - which may include surgery
  • assist you with physical rehabilitation and transitional or home care

Your Care Team

Lawrence Berson, MD

Lawrence Berson, MD


  • Joint Replacement
  • Orthopedic Surgery


  • Middletown, CT
  • Westbrook, CT
  • Hebron, CT
  • Bloomfield, CT
Adebola T. Adeleke, DMD

Adebola T. Adeleke, DMD


  • Podiatry


  • Middletown, CT