May 26, 2012
Topics A-Z Pain Outside Ankle Pain one year later
Outside Ankle Pain one year later |
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Dear Ask The Doctor: About a year ago i missed the last step going down stairs and when my foot hit the floor it folded over completely. I got up and fell right back down after a while I could get up but couldnt put very much pressure on it. I iced it the rest of the night and it was sore for a few days. Now when I am at work I will be walking and will step on something awkward and will slightly twist my ankle and i get sharp shooting pains on the outside ankle as before. It has happened 4 times in the last month. Do you have any ideas what i may have done? Or what to do to help this pain. Dear Tyler: According to your description, you might be experiencing a Chronic ankle pain due to a unresolved severe ankle sprain, meaning that by the time when you twisted your ankle, one year ago, maybe you had lack of appropriate and early immobilization, lack of timely prescribed mobility and strengthening exercises, the development of scar tissue in the ligaments affected, or too much time immobilized. All these mentioned factors are cause of Chronic Ankle pain and instability. Sometimes the use of orthotics that correct the Hyperpronation of the ankle (ankle with tendency to be inwards) is useful in relieving the symptoms (pain and inflammation) in the chronic and unresolved ankle sprains. If this does not work, further evaluation, meaning local exam in terms of checking ankle stability and imaging, MRI, to see integrity of the ligaments are required to determine the right treatment option. If there are no ligamentous tears, you could still use some physical therapy treatment sessions to control pain and swelling that include: ultrasound, whirpool baths, ice and heat and active exercises to strengthening the ankle muscles, it helps also tape the ankle and begin the weight bearing progressively, as long as you do not feel pain or discomfort. But if there are ligamentous tears seen in the MRI and mayor ankle instability, then the surgery may be considered. |
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| Last Updated ( Thursday, 29 December 2011 ) |
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