May 26, 2012
Topics A-Z Pain Multiple ankle injuries in the lasts four years
Multiple ankle injuries in the lasts four years |
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Dear Ask The Doctor: I hurt my ankle a few times in the last four years. I've had an MRI and it said that I tore my ligament, that was about two years that I had that done. Now, its swollen again behind the ankle and there is a lot of pain. I've been putting ice on it and elevating it. Can't get in with the orthodox dr til the 27th. What do u think is going on?? Dear Jessica: Multiple ankle injuries may lead to a torn ligaments of the ankle, which may produce chronic pain and instability. Chronic ankle pain due to a unresolved severe ankle sprain, meaning that by the time when you had the injuries, 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 ( Friday, 30 December 2011 ) |
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