Swelling, pain, and numbness in the ankle?
Hello, doctor.
I originally had an old injury in my foot.
About two months ago, I experienced swelling and pain on both the inner and outer sides of my left ankle, and I felt numbness when lightly touching the front of my left ankle.
Initially, I consulted an orthopedic doctor who diagnosed it as a sprain and administered an injection and medication.
Later, I visited a traditional Chinese medicine practitioner and underwent acupuncture three times a week for over two months.
The swelling has subsided, but the pain and numbness seem to have increased.
Should I continue with acupuncture treatment, or what do you recommend?
YVONNE, 10~19 year old female. Ask Date: 2018/12/05
Dr. Liang Zhihuan reply Traditional Chinese Medicine
Dear Ms.
Yvonne,
I apologize for the delay in checking in with you regarding your issue.
I would like to confirm that if the pain and numbness you are experiencing occur only during the acupuncture process, it is generally not a cause for concern.
However, if the numbness and pain increase during your normal activities after treatment, I recommend discussing this with your treating physician, as it may be necessary to adjust the acupuncture points used.
Therefore, continued treatment is advised.
Wishing you a speedy recovery.
Sincerely,
Hualien Hospital, Ministry of Health and Welfare
Reply Date: 2018/12/05
More Info
Managing ankle pain and numbness, especially following an injury, can be quite complex. Your situation, where you experienced swelling and pain in the ankle, followed by numbness, suggests that there may be underlying issues that need to be addressed. Traditional Chinese Medicine (TCM) offers various approaches that may help alleviate your symptoms, but it is essential to consider a comprehensive treatment plan.
In TCM, the body is viewed as a system of interconnected parts, and pain is often seen as a result of stagnation of Qi (energy) or blood in the affected area. Given your history of an ankle injury, it is possible that there is still some residual stagnation or even inflammation that needs to be addressed. The fact that you have seen some improvement with acupuncture but are still experiencing increased pain and numbness indicates that further evaluation and possibly a change in treatment strategy may be necessary.
Acupuncture and TCM Approaches
1. Acupuncture: Since you have been undergoing acupuncture treatments, it is crucial to assess the technique and points being used. Acupuncture can help to promote blood flow, reduce inflammation, and alleviate pain. If the current treatment is not yielding the desired results, it may be beneficial to consult with your acupuncturist about adjusting the treatment plan. They might consider using different acupuncture points or techniques, such as electro-acupuncture, which can provide additional stimulation to the affected area.
2. Herbal Medicine: In addition to acupuncture, TCM often employs herbal remedies to support healing. Formulas that promote blood circulation and dispel stagnation, such as "Xuefu Zhuyu Tang" (Blood Mansion Decoction) or "Sheng Jiang San" (Fresh Ginger Powder), may be beneficial. However, it is essential to consult with a qualified TCM practitioner who can tailor a herbal formula to your specific condition.
3. Cupping and Moxibustion: These are additional TCM modalities that can be effective for pain management. Cupping can help to relieve muscle tension and improve circulation, while moxibustion, which involves burning mugwort near the skin, can warm the area and promote healing.
4. Diet and Lifestyle: TCM emphasizes the importance of diet and lifestyle in managing health. Consuming anti-inflammatory foods, such as ginger, turmeric, and omega-3 fatty acids, can support recovery. Additionally, avoiding cold and raw foods may be advisable, as they can contribute to dampness and stagnation in the body.
Western Medicine Considerations
While TCM can be very effective, it is also essential to consider the insights from Western medicine. If you have not already done so, it may be worthwhile to undergo imaging studies, such as an MRI or ultrasound, to rule out any structural issues, such as ligament tears or cartilage damage, that may not have been evident in your initial evaluation. Persistent numbness and pain could indicate nerve involvement, which may require a different treatment approach, including physical therapy or even surgical consultation if conservative measures fail.
Conclusion
In summary, it is advisable to continue with acupuncture, but consider discussing your increasing pain and numbness with your practitioner to adjust your treatment plan accordingly. Incorporating herbal medicine, cupping, and moxibustion may enhance your recovery. Additionally, do not hesitate to seek further evaluation from a Western medical professional to ensure that there are no underlying structural issues contributing to your symptoms. A multidisciplinary approach that combines TCM and Western medicine may provide the best outcome for managing your ankle pain and numbness.
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