Partial Ligament Tears in Ankle Injuries: Recovery Tips

What should I do if I have a partial tear of the ligaments in my right ankle?

I injured the ligaments in my right ankle when I twisted my foot while playing basketball.
It has now been seven weeks since the injury.
Initially, I consulted both traditional Chinese medicine and Western medicine.
The Western doctor performed X-rays and an ultrasound, which indicated a partial ligament tear.
During this period, I also received acupuncture, cupping, and electrical therapy from a Chinese medicine practitioner.
Currently, I am attending physical therapy and treatment with a Western doctor every day.
However, I felt that the Chinese medicine treatments were not effective, so I stopped going.

Although the swelling has significantly decreased after seven weeks, there is still some swelling around the bones on either side of the ankle, and the area around the more severely injured ligament still feels uncomfortable.
I would like to know the current status of my ligament.
I considered asking the doctor for another ultrasound, but he said it was unnecessary and advised me to focus on rehabilitation.
Is it advisable for me to see a chiropractor? Or should I switch to another clinic? Currently, walking is not very painful, but I occasionally feel discomfort.
During rehabilitation exercises, I sometimes hear a cracking sound in the ankle joint when moving it inward and outward.

Could you please explain what is meant by a "partial tear"?

BEAR, 20~29 year old female. Ask Date: 2016/12/14

Dr. Shi Guozheng reply Orthopedics

The most important aspect of treating an ankle ligament injury is to immobilize it for about two to three months before undergoing an ultrasound examination, as this will not be beneficial.
Chiropractic adjustments are also an incorrect approach.
Instead, rehabilitation should be pursued to gradually increase joint mobility.
If there is a tear, it will heal slowly over time, but swelling is a natural part of the process.
A partial tear indicates that some fibers are torn while others remain intact.
Ligaments are composed of many fibers, and after an injury, their strength will be reduced.
If not properly treated, this can lead to laxity and instability in the joint, which may result in premature degeneration.
It is essential to seek treatment from a qualified physician and avoid frequently changing doctors.

Reply Date: 2016/12/14

More Info

Injuries to the ankle ligaments, particularly partial tears, can be quite common, especially in athletes or individuals engaged in physical activities like basketball. Based on your description, it seems you are in the recovery phase of a partial ligament tear, which can take time and requires careful management to ensure proper healing.

Understanding Partial Ligament Tears
A partial ligament tear means that the ligament has been damaged but is not completely severed. This type of injury can lead to instability in the joint and may cause pain, swelling, and difficulty with movement. The fact that you are experiencing some discomfort and swelling around the ankle, even after seven weeks, is not uncommon. The healing process for ligament injuries can vary significantly based on the severity of the tear, the specific ligaments involved, and individual factors such as age, overall health, and adherence to rehabilitation protocols.

Recovery Tips
1. Rest and Ice: Continue to rest your ankle as much as possible, especially if you notice increased swelling or discomfort. Applying ice can help reduce inflammation and pain. Aim for 15-20 minutes of icing several times a day, particularly after any activity.

2. Physical Therapy: Since you are already attending physical therapy, it’s crucial to follow your therapist's recommendations closely. They will guide you through exercises that promote strength, flexibility, and stability in the ankle. If you feel that your current therapy is not effective, it may be worth discussing with your therapist or physician about modifying your treatment plan or seeking a second opinion.

3. Gradual Return to Activity: As your pain decreases and mobility improves, gradually reintroduce activities. Avoid high-impact sports until you have regained full strength and stability in your ankle. Low-impact exercises, such as swimming or cycling, may be beneficial during your recovery.

4. Strengthening Exercises: Focus on strengthening the muscles around the ankle. This can include exercises like ankle pumps, toe raises, and resistance band exercises. Your physical therapist can provide a tailored program that suits your recovery stage.

5. Avoiding Aggravation: Be cautious with movements that may aggravate your injury. If certain exercises cause pain or discomfort, it’s essential to modify or avoid them until you have healed further.

6. Monitoring Symptoms: Keep an eye on your symptoms. If you notice increased swelling, pain, or instability, it may be necessary to revisit your healthcare provider for further evaluation.
7. Consulting a Chiropractor: If you are considering seeing a chiropractor, ensure that they have experience with sports injuries and understand the complexities of ligament injuries. They may provide additional techniques to help with alignment and mobility, but it’s essential to ensure that any manipulation is safe given your current condition.

8. Understanding the "Clicking" Sound: The "clicking" or "popping" sound you hear during movement can be due to several factors, including the movement of tendons over bony structures or residual swelling in the joint. While this can be normal, if it is accompanied by pain or instability, it’s worth discussing with your physical therapist or doctor.

Conclusion
In summary, while partial ligament tears can be frustrating and slow to heal, with proper care and rehabilitation, most individuals can expect to return to their previous level of activity. It’s crucial to listen to your body, adhere to your rehabilitation program, and communicate openly with your healthcare providers about your progress and any concerns. If you feel uncertain about your recovery or treatment plan, seeking a second opinion or consulting with a specialist in sports medicine may provide additional insights and options for your recovery.

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