Ankle Sprains: Symptoms, Treatment, and Recovery Time - Orthopedics

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Ankle sprain?


Hello Doctor: Two weeks ago, while exercising and going down the stairs (right foot down, left foot back), I heard a pop in my ankle.
At that moment, I didn't feel any discomfort, so I continued to exercise as usual.
However, three days later, my ankle became slightly swollen.
I have been receiving acupuncture treatment for two weeks, along with one session of manual therapy, and I elevate my foot and perform stretching exercises at home.
Although there has been some improvement, I still experience soreness and numbness in my ankle when walking, standing, or sitting.
Could this indicate that there is still inflammation? Would this situation be classified as a strain, sprain, or twist? How long will it take for the treatment to be effective? Thank you, Doctor.

Ms. K, 20~29 year old female. Ask Date: 2017/04/09

Dr. Shi Guozheng reply Orthopedics


You need to rest for about six weeks to recover, as you are currently in an inflammatory state.

Reply Date: 2017/04/09

More Info


Ankle sprains are a common injury that occurs when the ligaments that support the ankle are stretched or torn. This typically happens during activities that involve sudden changes in direction, awkward landings, or missteps, such as your experience of descending stairs. Understanding the symptoms, treatment options, and recovery time for ankle sprains can help you manage your condition effectively.


Symptoms of Ankle Sprains
The symptoms of an ankle sprain can vary depending on the severity of the injury. Common signs include:
1. Pain: This may be immediate and can range from mild to severe, depending on the extent of the injury.

2. Swelling: This usually develops within a few hours after the injury.

3. Bruising: Discoloration around the ankle may appear as the injury heals.

4. Limited Range of Motion: You may find it difficult to move your ankle or bear weight on it.

5. Tenderness: The area around the ankle may be sensitive to touch.

In your case, the "popping" sound you heard at the time of injury could indicate a ligament tear. The subsequent swelling and discomfort suggest that there may still be inflammation present, especially since you are experiencing soreness and a "numb" feeling when walking, standing, or sitting.


Treatment Options
The initial treatment for an ankle sprain typically follows the R.I.C.E. method:
- Rest: Avoid putting weight on the injured ankle to prevent further damage.

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

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

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

In addition to R.I.C.E., physical therapy may be beneficial. Exercises that focus on strengthening the ankle and improving flexibility can help restore function. Since you have already undergone acupuncture and some physical therapy, it’s essential to continue these treatments as they can aid in recovery.


Recovery Time
Recovery time for an ankle sprain can vary based on the severity of the injury:
- Grade I (Mild): Minor stretching of ligaments, typically heals within a few days to a week.

- Grade II (Moderate): Partial tearing of ligaments, recovery may take several weeks (2-6 weeks).

- Grade III (Severe): Complete tear of ligaments, may require several weeks to months for recovery, and sometimes surgical intervention.

Given that you have been experiencing symptoms for two weeks and have undergone treatment, it is possible that you are dealing with a Grade I or II sprain. However, the persistent soreness and numbness suggest that inflammation may still be present, and it is crucial to monitor your symptoms closely.


When to Seek Further Medical Attention
If your symptoms do not improve with conservative treatment, or if you experience increased pain, significant swelling, or difficulty bearing weight, it is advisable to consult a healthcare professional. They may recommend imaging studies, such as an X-ray or MRI, to rule out fractures or more severe ligament injuries.


Conclusion
In summary, ankle sprains can be managed effectively with appropriate treatment and rehabilitation. While your current symptoms suggest that you may still be experiencing some inflammation, continuing with your treatment plan and monitoring your progress is essential. If you have concerns about your recovery or if symptoms persist, do not hesitate to seek further medical advice. Remember, patience is key in the healing process, and allowing your body the time it needs to recover will help ensure a full return to your normal activities.

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