Ankle sprain with swelling?
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 medication.
I was advised to immobilize the ankle and apply ice.
For the first three days after the injury, I used ice, and then I switched to heat therapy for about a week.
The swelling has significantly decreased, but my ankle is still swollen.
I can walk without any issues, but if I try to run or jump slightly, it hurts and feels like it's being pulled.
I would like to ask if I should continue with heat therapy now? Are there any rehabilitation exercises I should do to help it heal? Or will it gradually improve with normal activities?
Han, 10~19 year old female. Ask Date: 2017/07/07
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 training, can be performed.
However, activities involving running or jumping are not advisable at this stage.
Reply Date: 2017/07/07
More Info
Managing an ankle sprain effectively is crucial for a full recovery and to prevent future injuries. Ankle sprains are common injuries, especially in sports like basketball, where sudden movements and changes in direction are frequent. The immediate response to an ankle sprain typically involves the R.I.C.E. method: Rest, Ice, Compression, and Elevation. Since you have already followed this protocol for the first few days, let's delve into the next steps for your recovery.
Current Situation
You mentioned that after three days of ice therapy, you transitioned to heat therapy for about a week, which is a common practice. Ice is generally recommended for the first 48-72 hours post-injury to reduce swelling and numb pain. After that, heat can help relax and loosen tissues and stimulate blood flow to the area, promoting healing. However, if you are still experiencing swelling, it may be beneficial to return to ice therapy intermittently, especially after activities that cause discomfort or swelling.
Rehabilitation and Recovery Tips
1. Continued Ice Therapy: If swelling persists, consider applying ice for 15-20 minutes several times a day, especially after any activity that aggravates the ankle. This can help manage inflammation.
2. Gentle Range of Motion Exercises: Start with gentle range of motion exercises to maintain flexibility in the ankle. Simple movements like tracing the alphabet with your toes or gently moving your foot up and down can be beneficial. These exercises should not cause pain; if they do, stop and consult a healthcare professional.
3. Strengthening Exercises: Once the pain decreases and you can perform range of motion exercises without discomfort, begin strengthening exercises. Resistance bands can be helpful for this. Exercises like ankle pumps, toe raises, and heel raises can strengthen the muscles around the ankle, providing better support.
4. Balance and Proprioception Training: Incorporate balance exercises, such as standing on one leg or using a balance board. This helps improve proprioception, which is crucial for preventing future sprains.
5. Gradual Return to Activity: As your ankle improves, gradually reintroduce activities. Start with low-impact exercises like walking or cycling before progressing to running or jumping. Pay attention to any pain or discomfort, and adjust your activities accordingly.
6. Consult a Physical Therapist: If you find that your ankle is not improving or if you experience persistent pain, it may be beneficial to consult a physical therapist. They can provide a tailored rehabilitation program and ensure that you are performing exercises correctly.
7. Use of Supportive Gear: Depending on the severity of your sprain, consider using an ankle brace or supportive footwear during your recovery. This can provide additional stability and prevent re-injury.
Monitoring Progress
Keep track of your symptoms. If you notice increased swelling, pain, or instability, it may indicate that you are pushing too hard or that there is an underlying issue that needs to be addressed.
Conclusion
In summary, while normal activities can help your ankle heal, structured rehabilitation will likely speed up your recovery and improve your overall ankle stability. Continue to monitor your symptoms and adjust your rehabilitation activities as needed. If you have any concerns about your recovery or if symptoms persist, do not hesitate to seek further medical advice. Remember, patience and consistency are key to a successful recovery from an ankle sprain.
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