Ankle Sprains: Recovery, Swelling, and Treatment Tips - Rehabilitation

Share to:

Ankle sprain


Hello, doctor.
I accidentally sprained my ankle a while ago and visited an orthopedic specialist.
Since I can walk without much difficulty now, the doctor told me yesterday that I only need to apply warm compresses from now on.
However, I remember hearing that it was a ligament inflammation, and it still feels swollen.
Could the swelling be due to the ligament? It seems like a ligament injury should be quite painful.
Additionally, if it is a ligament issue, will it take at least two weeks to reduce the swelling? Thank you, doctor.

Lin, 20~29 year old female. Ask Date: 2016/04/27

Dr. Zhou Jianwen reply Rehabilitation


Ankle injuries are mostly related to ligament issues.
If it has developed into chronic inflammation, the condition may last longer than two weeks.
It is advisable to consult a rehabilitation specialist.

Reply Date: 2016/04/27

More Info


Hello! It sounds like you've had a challenging experience with your ankle sprain, and I’m glad to hear that you’re on the path to recovery. Let’s break down your concerns regarding ankle sprains, swelling, and treatment options.

Ankle sprains are common injuries that occur when the ligaments that support the ankle are stretched or torn. This typically happens during activities that involve sudden twists or impacts, such as sports or even walking on uneven surfaces. The severity of the sprain can vary, and it is classified into three grades:
1. Grade I (Mild): Slight stretching and microscopic tears of the ligament. Symptoms include mild pain and swelling, but the ankle remains stable.

2. Grade II (Moderate): Partial tearing of the ligament. This results in moderate pain, swelling, and some instability in the ankle.

3. Grade III (Severe): Complete tear of the ligament. This leads to significant swelling, severe pain, and instability, often requiring medical intervention.

In your case, since you mentioned that walking is no longer a major issue, it sounds like you may have experienced a mild to moderate sprain. The lingering swelling you’re experiencing is indeed likely due to the inflammation of the ligaments. When ligaments are injured, the body responds with inflammation, which can cause swelling, pain, and stiffness.

Recovery and Swelling
Swelling can persist for several reasons, including the body’s inflammatory response to injury and the accumulation of fluid in the affected area. It’s not uncommon for swelling to last for a couple of weeks, especially if the injury involved a ligament.
To manage the swelling effectively, the R.I.C.E. method is often recommended:
- Rest: Avoid putting weight on the injured ankle.

- Ice: Apply ice packs for 15-20 minutes every few hours to reduce swelling.

- Compression: Use an elastic bandage or compression wrap to help control swelling.

- Elevation: Keep the ankle elevated above the level of the heart to reduce swelling.


Treatment Tips
As for your question about the duration of swelling, it can vary based on the severity of the injury and how well you adhere to treatment protocols. For mild sprains, swelling may subside within a week or two, while moderate sprains could take longer. If you’re still experiencing significant swelling after two weeks, it may be worth consulting your healthcare provider for further evaluation.

In addition to the R.I.C.E. method, gentle range-of-motion exercises can help restore mobility and prevent stiffness. Once the swelling has decreased, you can gradually introduce strengthening exercises to support the ankle and prevent future injuries.

When to Seek Further Help
If you notice that the swelling does not improve, or if you experience increased pain, instability, or difficulty bearing weight, it’s important to follow up with your healthcare provider. They may recommend imaging studies, such as an MRI, to assess the extent of the injury and rule out any associated fractures or more severe ligament damage.


Conclusion
In summary, the swelling you’re experiencing is likely due to the ligament injury, and it can take time to resolve. Following the R.I.C.E. protocol and gradually reintroducing movement can aid in your recovery. If you have any concerns about your healing process or if the swelling persists, don’t hesitate to reach out to your healthcare provider for further guidance. Wishing you a smooth and speedy recovery!

Similar Q&A

Ankle Injury: Understanding Sprains, Swelling, and Recovery Options

On March 5, 2009, I injured my ankle. It hurts a lot. The ankle is swollen, and there are bruises below the calf. I can register in person.


Dr. Jian Jincheng reply Rehabilitation
Hello, Little Maruko: The best approach is to visit the outpatient clinic. If the ankle is injured and swollen or painful, it is advisable to get an X-ray to rule out any fractures. The treatment methods differ depending on whether there is a fracture. If it is confirmed that the...

[Read More] Ankle Injury: Understanding Sprains, Swelling, and Recovery Options


Managing Ankle Sprain Swelling: Recovery Tips and Rehabilitation

Hello, doctor! In mid-May, I sprained my ankle while playing basketball and it immediately swelled up, making it impossible for me to walk. I went to the hospital for an X-ray, and the doctor said there was no bone damage and prescribed anti-inflammatory and swelling-reducing med...


Dr. Shi Guozheng reply Orthopedics
Ankle joint injuries are most commonly associated with ligament damage, which typically takes two to three months to gradually recover. Currently, rehabilitation is necessary, and heat therapy can continue. Range of motion exercises for the ankle joint, as well as strength traini...

[Read More] Managing Ankle Sprain Swelling: Recovery Tips and Rehabilitation


Understanding Ankle Sprains: Recovery Tips and Concerns

Hello Dr. Wang, About six weeks ago, I sustained an inversion ankle sprain while playing basketball after stepping on muddy ground outside the court. I was wearing high-top basketball shoes, and due to the wet conditions, I twisted my ankle and fell without any external injuries...


Dr. Wang Shouji reply Orthopedics
Ankle injuries are most commonly ligament injuries and fractures of the medial and lateral malleolus. If an injury occurs, it is advisable to seek medical attention immediately to confirm whether there is any bone involvement. If there is none, conservative treatment should be ad...

[Read More] Understanding Ankle Sprains: Recovery Tips and Concerns


Understanding Ankle Sprains: Recovery and Persistent Symptoms Explained

Hello Doctor, I sprained my ankle in mid-December and it swelled significantly. After performing first aid, I went to see a doctor. I am now 90% recovered, but I still feel a hard lump next to my ankle, and the same on the top of my foot. Although it doesn't cause any issues...


Dr. Huang Minxu reply Orthopedics
You can first visit the orthopedic outpatient clinic for a physical examination. If necessary, follow-up X-rays may be taken. Elevating the foot can help reduce swelling. You may also consult a physician in the rehabilitation department for an assessment of related rehabilitation...

[Read More] Understanding Ankle Sprains: Recovery and Persistent Symptoms Explained


Related FAQ

Ankle Sprain

(Rehabilitation)

Ankle

(Rehabilitation)

Ankle Sprain

(Orthopedics)

Ankle Injury

(Surgery)

Leg

(Rehabilitation)

Ligament Injury

(Rehabilitation)

Ankle Sprain

(Family Medicine)

Foot Pain

(Rehabilitation)

Dislocation

(Rehabilitation)

Post-Ankle Ligament Surgery

(Orthopedics)