What should I do for swollen and painful ankles?
Hello doctor, this morning I woke up with sudden pain in my ankle.
It hurts a lot even when I let my foot hang down relaxed, and I have to hop to walk.
I slightly twisted it while playing basketball the day before yesterday, but it only hurt a little when I jumped hard.
There were no significant issues the next day, but this morning it hurts a lot and is a bit swollen.
Do I need to see a doctor, or is ice therapy sufficient?
Kevin, 10~19 year old female. Ask Date: 2017/08/13
Dr. Shi Guozheng reply Orthopedics
Apply ice for one day, then switch to heat therapy.
Temporarily stop exercising.
If the pain is severe, you can take some pain relievers.
Try to elevate your leg to reduce swelling.
Reply Date: 2017/08/13
More Info
When it comes to ankle pain and swelling, especially after a recent injury, it's important to assess the situation carefully. Based on your description, it sounds like you may have sustained a sprain or strain during your basketball game. Ankle sprains are common injuries that occur when the ligaments that support the ankle are stretched or torn, often due to twisting or rolling the ankle.
Given that you experienced a minor twist during the game but felt fine afterward, it’s possible that the injury was not immediately apparent. However, the sudden onset of pain and swelling the following morning suggests that there may be some underlying damage that needs to be addressed.
When to Ice
In the immediate aftermath of an ankle injury, the R.I.C.E. method is often recommended:
1. Rest: Avoid putting weight on the injured ankle.
2. Ice: Apply ice to the affected area for 15-20 minutes every hour as needed. This helps reduce swelling and numbs the pain.
3. Compression: Use an elastic bandage or wrap to compress the area, which can also help minimize swelling.
4. Elevation: Keep the ankle elevated above the level of your heart to reduce swelling.
You should continue to ice your ankle for the first 48 hours after the injury, especially since you are experiencing swelling and pain.
When to See a Doctor
While icing and resting may help alleviate some of the symptoms, there are specific signs that indicate you should seek medical attention:
1. Severe Pain: If the pain is intense and does not improve with rest and ice.
2. Inability to Bear Weight: If you cannot put any weight on the ankle or if walking is extremely painful.
3. Significant Swelling or Bruising: If the swelling increases or if you notice significant bruising around the ankle.
4. Deformity: If the ankle appears deformed or out of place.
5. Persistent Symptoms: If symptoms do not improve after a few days of home treatment.
In your case, since you are experiencing significant pain and swelling, it would be prudent to consult a healthcare professional. They may perform a physical examination and possibly imaging studies, such as an X-ray, to rule out fractures or more severe ligament injuries.
Conclusion
In summary, while icing and resting your ankle is a good initial approach, the severity of your symptoms suggests that a visit to a doctor may be warranted. Early intervention can help prevent further complications and ensure a proper recovery. If you have any doubts or if your condition worsens, do not hesitate to seek medical advice. Remember, taking care of your body is crucial, especially when it comes to injuries that can affect your mobility and overall quality of life.
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