Three Months After Ankle Sprain: Seeking Effective Treatment Options - Traditional Chinese Medicine

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Ankle sprain for three months?


I have had a sprained ankle for three months now.
Initially, I sought help from Western medicine, but it was ineffective; they only told me that my ankle was inflamed.
I then turned to Traditional Chinese Medicine.
During my first visit, due to time constraints, I received a massage.
The massage therapist observed my ankle and said, "Your ankle is still swollen; this is not good." However, I couldn't see any swelling myself; it only hurts for a few days after standing or exercising for a long time.
During my second visit, I had acupuncture, and the doctor also mentioned that my ankle was swollen.
However, after the acupuncture session, the pain did not improve; in fact, it seemed to hurt even more.
Is this because I am still in the treatment phase? What else can I do to help my ankle heal faster? How many acupuncture sessions does it typically take before I can feel an effect?

gigi, 10~19 year old female. Ask Date: 2018/05/14

Dr. Yan Sumei reply Traditional Chinese Medicine


Dear Gigi,
I hope your ankle sprain heals quickly.
In addition to massage and acupuncture, it's important to rest and avoid activities such as hiking, dancing, running, playing sports, or walking on uneven surfaces to prevent re-injury.
In terms of diet, try to limit cold beverages and icy fruits, as they can affect blood circulation and hinder the healing of the injured tissues.
The effectiveness of acupuncture can vary depending on individual circumstances, so I cannot provide a specific number of sessions that will be effective.
I apologize for that! Wishing you health and safety!
Sincerely,
Yen Su-Mei, Department of Traditional Chinese Medicine, Nantou Hospital

Reply Date: 2018/05/14

More Info


Three months after an ankle sprain can be a frustrating time, especially when you're still experiencing pain and swelling. It’s important to understand that recovery from an ankle sprain can vary significantly depending on the severity of the injury, the treatment methods used, and individual healing responses. Here’s a comprehensive approach to managing your condition effectively.


Understanding Your Condition
Ankle sprains typically involve the stretching or tearing of ligaments that support the ankle joint. Symptoms can include pain, swelling, bruising, and limited range of motion. In your case, the persistent swelling and pain after three months suggest that the injury may not have healed properly, or there could be underlying issues such as chronic inflammation or instability in the ankle joint.


Treatment Options
1. Rest and Activity Modification: It’s crucial to allow your ankle to rest, especially if you notice pain after standing or exercising. Avoid activities that exacerbate the pain, and consider using crutches or a brace to limit weight-bearing on the affected ankle.

2. Physical Therapy: Engaging in a structured physical therapy program can be beneficial. A physical therapist can provide targeted exercises to strengthen the ankle, improve flexibility, and restore function. They may also use modalities such as ultrasound or electrical stimulation to reduce pain and swelling.

3. Ice and Compression: Continue to apply ice to the affected area for 15-20 minutes several times a day, especially after activities that cause pain. Compression with an elastic bandage can help manage swelling.

4. Elevation: Keeping your ankle elevated above the level of your heart can help reduce swelling, particularly after activities.

5. Medication: If you are experiencing significant pain, over-the-counter pain relievers such as acetaminophen or topical analgesics may help. However, if you have allergies to NSAIDs, consult your healthcare provider for alternatives.

6. Alternative Therapies: Since you have tried acupuncture and massage, it's worth noting that these therapies can sometimes take several sessions to show significant benefits. However, if you feel that they are exacerbating your pain, it may be wise to pause these treatments and focus on more conventional methods.

7. Gradual Return to Activity: Once the pain and swelling decrease, gradually reintroduce activities. Start with low-impact exercises such as swimming or cycling before progressing to weight-bearing activities.


Monitoring Progress
It’s essential to monitor your symptoms closely. If you continue to experience swelling and pain despite following these recommendations, it may be time to revisit a healthcare professional. They may consider imaging studies, such as an MRI, to rule out any structural damage that could be contributing to your ongoing symptoms.


Timeline for Recovery
The timeline for recovery from an ankle sprain can vary widely. Mild sprains may heal within a few weeks, while more severe injuries can take several months. If you are not noticing improvement after a few weeks of consistent treatment, it may be necessary to reassess your treatment plan with a healthcare provider.


Conclusion
In summary, while it can be disheartening to deal with a lingering ankle sprain, there are effective treatment options available. Focus on rest, physical therapy, and gradual reintroduction of activities. If symptoms persist, don’t hesitate to seek further evaluation to ensure there are no underlying issues. Remember, recovery is a process, and with the right approach, you can regain full function of your ankle.

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