Ankle Ligament Injury: Symptoms, Recovery, and Future Sports

Ankle ligament laxity?

It has been about 13 weeks since my ligament injury.
When I first got injured and visited the clinic, the doctor said there was a partial tear of the ligament.
The doctor did not specifically instruct me to immobilize my ankle, but advised me to avoid walking as much as possible, so I was mostly walking on my toes when necessary.
Now, it feels mostly normal, but my ankle becomes uncomfortable after walking for a long time.
When I invert my ankle, there is a tight, mild pain on the outer side, and I hear a cracking sound when I rotate my ankle clockwise.
Is this serious? Could it be related to the fact that I didn't immobilize it properly at the time? I have been going to the clinic for rehabilitation.
What symptoms would indicate that my ankle ligaments are lax? If I want to return to sports (like playing basketball), how should I manage that? Also, if my ankle ligaments were completely torn, what symptoms would I be experiencing now? I have been practicing standing on the injured leg for about 30 seconds each day.

kevin, 20~29 year old female. Ask Date: 2017/01/23

Dr. Shi Guozheng reply Orthopedics

After a ligament injury, it takes a considerable amount of time to fully recover.
A popping sound does not necessarily indicate a problem.
It is advisable to wear an ankle brace while exercising and to focus on strengthening the ankle joint to enhance stability, which can help reduce the risk of re-injury.

Reply Date: 2017/01/23

More Info

Ankle ligament injuries can be quite complex, and understanding the symptoms, recovery process, and future implications for sports participation is crucial for a successful return to activity. Based on your description, it sounds like you experienced a partial tear of the ankle ligaments approximately 13 weeks ago. While you have made significant progress in your recovery, it is important to address your current symptoms and concerns.

Symptoms and Recovery
The symptoms you are experiencing, such as discomfort during prolonged walking, tightness or mild pain on the outer side of the ankle when inverting (turning inward), and the "cracking" sound during rotation, are not uncommon following a ligament injury. These symptoms can indicate that the ligaments may still be healing or that there may be some residual instability in the ankle joint.

1. Discomfort and Pain: It is normal to feel some discomfort as the ligaments heal, especially if you have been active. However, if the pain is significant or worsening, it may indicate that the injury has not fully healed or that there is an underlying issue that needs to be addressed.

2. Cracking Sounds: The "kaka" sound you hear during ankle movements could be due to several factors, including the movement of tendons over bony structures or residual instability in the joint. While this is often benign, it is essential to monitor it, especially if accompanied by pain.

3. Instability: If the ligaments are lax or "loose," you may experience a feeling of instability, particularly during activities that require quick changes in direction or weight-bearing. This can be a sign of ligamentous laxity, which may require further rehabilitation to strengthen the surrounding muscles and improve joint stability.

Future Sports Participation
If you plan to return to sports, particularly high-impact activities like basketball, it is crucial to ensure that your ankle has regained sufficient strength and stability. Here are some recommendations:
1. Rehabilitation: Continue with your rehabilitation exercises, focusing on strengthening the muscles around the ankle, improving proprioception (awareness of joint position), and enhancing overall stability. Exercises like single-leg stands, balance training, and resistance exercises can be beneficial.

2. Gradual Return to Activity: When you feel ready to return to sports, start with low-impact activities and gradually progress to higher-impact sports. Pay attention to how your ankle responds during and after these activities.

3. Bracing: Consider using an ankle brace during sports activities, especially if you still feel some instability. A brace can provide additional support and help prevent re-injury.

4. Monitoring Symptoms: Keep track of any symptoms that arise during activities. If you experience significant pain, swelling, or instability, it may be wise to consult with a healthcare professional for further evaluation.

Potential for Ligament Tear
If you suspect that your ankle ligaments may be torn, the symptoms can vary. A complete tear of the ligaments often results in:
- Severe pain: Immediate and intense pain at the time of injury.

- Swelling and bruising: Significant swelling and bruising around the ankle.

- Instability: A feeling that the ankle may "give way" during weight-bearing activities.

- Limited range of motion: Difficulty moving the ankle in all directions.

If you are experiencing any of these symptoms, it is essential to seek medical advice for a proper assessment, which may include imaging studies like an MRI to evaluate the extent of the injury.

Conclusion
In summary, while you have made progress in your recovery from an ankle ligament injury, it is essential to continue rehabilitation and monitor your symptoms closely. If you experience any significant changes or concerns, consult with a healthcare professional. With proper care and attention, you can work towards a safe return to sports and minimize the risk of future injuries.

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