Recovering from Ankle Ligament Tear: Tips for a Smooth Healing Process

Ankle ligament tear?

Hello Doctor, I apologize for the interruption.
I would like to ask you a few questions regarding my recent ankle injury.
On the afternoon of July 13, while playing basketball, I rolled my ankle and it was subsequently compressed.
It swelled immediately, and after an X-ray, the doctor indicated that there were no bone injuries.
An ultrasound revealed that the lateral ligaments are 70-80% torn.
Currently, I am using crutches and have my ankle wrapped with elastic bandages, as well as wearing an ankle brace.
I am actively undergoing rehabilitation at a clinic with infrared therapy, ultrasound, electrical stimulation, ice therapy, and physical therapy, along with acupuncture at a traditional Chinese medicine clinic.
I am scheduled to travel abroad at the end of September and would like to know if this will affect my recovery.
I do not expect to be fully healed, but I would like to understand if it is possible to walk normally without crutches before the end of September.
Thank you, Doctor.

Matt, 20~29 year old female. Ask Date: 2018/07/22

Dr. Zhan Xian reply Orthopedics

The timeline for returning to normal walking and resuming sports activities depends on the severity of the injury and the intensity of the sport.
According to the statement: if there is no fracture in the bone and the lateral ligament is 70-80% torn, crutches should be used for protection for 3 weeks.
Ankle mobility exercises can be performed, but they should be gradual and based on the principle of no pain.
After 6 weeks, rehabilitation exercises can be intensified, and recovery is expected within 8 to 10 weeks.
If discomfort persists, a follow-up consultation should be scheduled for re-evaluation.

Reply Date: 2018/07/22

More Info

Recovering from an ankle ligament tear can be a challenging process, but with the right approach, you can facilitate a smoother healing journey. Based on your description, it sounds like you have sustained a significant injury, specifically a 70-80% tear of the lateral ankle ligaments. Here are some tips and considerations to help you recover effectively:

1. Follow Medical Advice
First and foremost, adhere to the recommendations provided by your healthcare professionals. Since you have already undergone imaging studies and received a diagnosis, it’s crucial to follow the treatment plan they have laid out for you. This may include using a brace or splint, engaging in physical therapy, and possibly taking anti-inflammatory medications as prescribed.

2. Rest and Elevation
Rest is essential for healing. Avoid putting weight on the injured ankle as much as possible, especially in the early stages of recovery. Elevating your ankle above heart level can help reduce swelling and promote healing. You can do this by propping your leg up on pillows while sitting or lying down.

3. Ice Therapy
Applying ice to the injured area can help manage swelling and pain. Use an ice pack wrapped in a cloth for 15-20 minutes every couple of hours during the first few days post-injury. Be careful not to apply ice directly to the skin to avoid frostbite.

4. Compression
Using a compression bandage can help control swelling. Make sure it is snug but not too tight, as this could impede circulation. If you experience increased pain or numbness, loosen the bandage.

5. Gradual Weight Bearing
As your pain decreases and swelling subsides, you can gradually start to put weight on your ankle. This should be done under the guidance of a physical therapist or physician. They will likely recommend a progression from partial weight-bearing with crutches to full weight-bearing as tolerated.

6. Physical Therapy
Engaging in physical therapy is crucial for regaining strength, flexibility, and stability in your ankle. Your therapist will guide you through exercises tailored to your specific injury and recovery stage. These may include range-of-motion exercises, strengthening exercises, and balance training.

7. Monitor Symptoms
Pay attention to how your ankle responds to activity. If you experience increased pain, swelling, or instability, it may be a sign that you are pushing too hard. Communicate any concerns with your healthcare provider.

8. Preparing for Travel
Since you mentioned traveling at the end of September, it’s important to plan accordingly. If you are still using crutches or a brace, consider how you will navigate airports and other travel logistics. You may want to consult with your doctor about the timing of your travel and any precautions you should take.

9. Mental Health Considerations
Injuries can be frustrating and may lead to feelings of anxiety or depression, especially if they impact your daily activities or travel plans. It’s important to acknowledge these feelings and seek support if needed. Engaging in light activities that you enjoy, within your physical limits, can help improve your mood.

10. Nutrition and Hydration
Maintaining a balanced diet rich in vitamins and minerals can support your healing process. Focus on foods high in protein, vitamin C, and calcium, as these nutrients are essential for tissue repair and bone health. Staying hydrated is equally important.

Conclusion
While it’s difficult to predict the exact timeline for your recovery, with diligent adherence to your rehabilitation program and proper care, many individuals can return to normal activities, including walking without assistance, within a few weeks to months after a significant ligament injury. Always keep an open line of communication with your healthcare team, and don’t hesitate to reach out for guidance as you progress through your recovery. Remember, patience and consistency are key to a successful healing process.

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