Ankle Injury After Bus Accident: Symptoms, Treatment, and Recovery Tips

The ankle was hit and compressed?

Last week, I was involved in a bus accident where a board fell on my ankle.
Initially, I experienced pain while walking, but after a few minutes, I was able to walk normally without pain.
That day, my ankle had slight redness and swelling (similar to a mild bruise), which resolved on its own after a day or two.
However, now I occasionally feel pain on the outer side of my right ankle when squatting, but it’s not severe enough to prevent me from squatting.
I also experience pain when pressure is applied to the area, and there is tenderness when I press on the joint.
Since I don’t feel pain while walking, I believe the bones are likely not injured.
Could this be a ligament injury? Would ice or heat therapy help? Is it beneficial to see a chiropractor?

Miss Wang, 20~29 year old female. Ask Date: 2018/10/19

Dr. Cai Dongqi reply Family Medicine

Hello, it is recommended that you seek treatment from a professional orthopedic physician and undergo relevant imaging diagnostics.
If there is an injury, further treatment and rehabilitation may be necessary.

Reply Date: 2018/10/19

More Info

In the context of your recent ankle injury from a bus accident, it sounds like you may be experiencing symptoms consistent with a sprain or strain of the ligaments surrounding the ankle joint. Given that you initially experienced pain and swelling, which later subsided, it is possible that you sustained a mild ligament injury. The fact that you can walk without pain but experience discomfort when squatting or applying pressure suggests that while there may not be a fracture, there could still be some soft tissue damage.

Symptoms and Diagnosis
The symptoms you describe—occasional pain on the outer side of the ankle, tenderness upon pressing the joint, and discomfort during specific movements—are indicative of a possible ankle sprain. Ankle sprains occur when the ligaments that support the ankle stretch beyond their limits and tear. This can happen due to sudden movements, such as twisting or rolling the ankle, which might have occurred during the bus accident.

Treatment Options
1. Rest: It is crucial to allow your ankle time to heal. Avoid activities that exacerbate the pain, especially those that involve squatting or putting pressure on the joint.

2. Ice Therapy: Applying ice to the affected area can help reduce swelling and numb the pain. It is recommended to ice the ankle for 15-20 minutes every 1-2 hours during the first 48 hours post-injury. Make sure to wrap the ice in a cloth to avoid direct contact with the skin.

3. Compression: Using an elastic bandage or ankle brace can provide support and help minimize swelling. Be careful not to wrap it too tightly, as this can impede circulation.

4. Elevation: Keeping your ankle elevated above the level of your heart can help reduce swelling. Prop your foot up on pillows when resting.

5. Heat Therapy: After the initial swelling has gone down (usually after 48 hours), you may switch to heat therapy to promote blood flow and healing. Apply heat for 15-20 minutes at a time.

6. Physical Therapy: If the pain persists or if you have difficulty with mobility, consulting a physical therapist may be beneficial. They can provide exercises to strengthen the ankle and improve flexibility.

Alternative Treatments
Regarding your question about "going to a traditional Chinese medicine clinic" (國術館), this can be a viable option for some individuals. Techniques such as acupuncture or tui na (Chinese therapeutic massage) may help alleviate pain and promote healing. However, it is essential to ensure that the practitioner is qualified and experienced in treating sports injuries.

When to Seek Medical Attention
If your symptoms do not improve with home treatment, or if you experience increased swelling, severe pain, or instability in the ankle, it is advisable to seek medical attention. A healthcare professional may recommend imaging studies, such as an X-ray or MRI, to rule out more severe injuries, such as fractures or significant ligament tears.

Recovery Tips
- Gradual Return to Activity: Once the pain subsides, gradually reintroduce activities. Start with low-impact exercises and slowly increase intensity as tolerated.

- Strengthening Exercises: Once cleared by a healthcare provider, incorporate exercises that strengthen the muscles around the ankle to prevent future injuries.

- Footwear: Wear supportive shoes that provide adequate stability to your ankle, especially during physical activities.

In summary, while your symptoms suggest a mild ankle injury, it is essential to monitor your condition closely. Implementing the recommended treatment strategies can facilitate recovery, and seeking professional guidance if symptoms persist will ensure that you regain full function of your ankle.

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