Recovering from Ankle Sprain: Timeline and Tips for Faster Healing - Orthopedics

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Ankle sprain


On October 16, I had a car accident that injured the outer side of my ankle.
At the time, I applied ice because my ankle was completely swollen and bruised, resembling a "puffed up" appearance.
I developed cellulitis and was hospitalized for a week.
Now, the swelling in my ankle has decreased, but it is still slightly larger than my right ankle.
Additionally, whenever I put weight on my foot, the front part of my sole hurts, and my ankle feels very tight, limiting its range of motion.
I am still relying on crutches and cannot walk.
How long will it take before I can walk again? My calf muscles have also atrophied.
What can I do to help my ankle heal faster? I have been elevating my foot while sleeping.

Peter, 10~19 year old female. Ask Date: 2016/12/03

Dr. Shi Guozheng reply Orthopedics


If the cellulitis has resolved, you can start to gradually move the ankle joint and try putting weight on it.
It may take about a month and a half for improvement.

Reply Date: 2016/12/03

More Info


Recovering from an ankle sprain can be a challenging process, especially after experiencing complications like cellulitis, which can prolong healing. Based on your description, it sounds like you have been through a significant injury and subsequent infection, which can complicate recovery. Here’s a comprehensive overview of what to expect in terms of recovery timeline and tips for faster healing.


Recovery Timeline
1. Initial Healing Phase (1-2 weeks): After an ankle sprain, the first few days are crucial for reducing swelling and managing pain. Ice, elevation, and rest are essential during this phase. Since you experienced cellulitis and were hospitalized, this phase may have been extended due to the need for antibiotics and monitoring.

2. Subacute Phase (2-6 weeks): After the initial swelling decreases, you may start to regain some range of motion. However, if you are still experiencing pain and tightness, it may take longer. Typically, most people can begin to bear weight on the injured ankle within 2-4 weeks, but this varies based on the severity of the sprain and any complications like infection.

3. Rehabilitation Phase (6 weeks and beyond): Once the pain and swelling have significantly reduced, you can start rehabilitation exercises to strengthen the ankle and improve flexibility. This phase can last several weeks to months, depending on your adherence to rehabilitation and the severity of the injury.


Tips for Faster Healing
1. Follow R.I.C.E. Protocol: Continue to rest, ice, compress, and elevate your ankle. Ice should be applied for 15-20 minutes every few hours to reduce swelling. Elevation helps decrease swelling by allowing fluids to drain away from the injury site.

2. Physical Therapy: Once the acute pain subsides, consider engaging in physical therapy. A physical therapist can provide tailored exercises to improve strength, flexibility, and balance. This is crucial for regaining full function and preventing future injuries.

3. Gentle Range of Motion Exercises: Start with gentle range-of-motion exercises as soon as you can tolerate them. This can include moving your ankle in circles or flexing and extending your foot. Avoid any movements that cause pain.

4. Strengthening Exercises: As your pain decreases, gradually incorporate strengthening exercises. Resistance bands can be helpful for this purpose. Focus on exercises that target the muscles around the ankle, as well as the calf and foot.

5. Gradual Weight Bearing: Work towards gradually bearing weight on your ankle. Start with partial weight-bearing using crutches or a walking boot, and progress to full weight-bearing as tolerated. Listen to your body and avoid pushing through pain.

6. Nutrition: Ensure you are consuming a balanced diet rich in protein, vitamins, and minerals to support healing. Nutrients like vitamin C, vitamin D, calcium, and zinc are particularly important for tissue repair and bone health.

7. Pain Management: Continue to manage pain with over-the-counter medications as needed, and consult your doctor if you have concerns about pain management or if your pain worsens.

8. Avoid High-Impact Activities: Until your ankle has fully healed, avoid high-impact activities that could exacerbate your injury. Focus on low-impact exercises like swimming or cycling as you progress.


Conclusion
The timeline for returning to normal activities can vary widely based on the severity of your injury and any complications. It’s essential to be patient and follow your healthcare provider's recommendations. If you continue to experience pain or limitations in mobility, consider seeking further evaluation from a specialist. With proper care and rehabilitation, many individuals can return to their pre-injury activity levels, but it may take time and consistent effort.

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