Post-Treatment Pain After Ankle Sprain Rehabilitation - Rehabilitation

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After ultrasound treatment for a sprain, there may be a tingling sensation?


Hello, I sustained a sprain near my fifth metatarsal while exercising when I stepped on someone else's foot.
The emergency physician indicated that there were no fractures.
The next day, I sought acupuncture treatment from a traditional Chinese medicine practitioner.
About a week later, I began receiving massage therapy on the affected area, which I continued for nearly three weeks, but I still have a hard lump and even more pain.
Later, I consulted an orthopedic doctor who performed ultrasound therapy and infrared electrical stimulation.
The physical therapist explained the sensations I might experience during the treatment, but my concern is this: after the treatment, I feel a tingling sensation at home, and what was initially manageable walking has now started to hurt.
Is this due to the treatment being too intense, or is it a normal phenomenon? Additionally, I am worried about potential long-term effects after recovery.
Should I see a chiropractor, or is that unnecessary? The orthopedic doctor mentioned that there is slight displacement of the bone and periostitis, and that massage therapy was inappropriate.
The physical therapist suggested that if I am concerned about long-term effects, I could consult a trusted chiropractor, but this is my first injury, and I am unsure whom to approach.
I would greatly appreciate your guidance.
Thank you!

Mi Hua, 20~29 year old female. Ask Date: 2019/06/04

Dr. Wang Zhaomin reply Rehabilitation


It is normal to experience soreness during ultrasound therapy, and initial treatment may increase pain levels.
However, if the pain becomes sharp and unbearable, it may be necessary to reduce the treatment intensity.
If there is a dislocation of bones or joints, it is not advisable to consult a chiropractor; instead, protective braces should be used, along with appropriate rehabilitation therapy.
It is recommended to continue discussing the treatment plan with orthopedic and rehabilitation physicians.

Reply Date: 2019/06/04

More Info


Post-treatment pain after an ankle sprain can be a common concern, especially when the injury has been treated through various modalities such as acupuncture, physical therapy, and ultrasound. It’s important to understand that the healing process can vary significantly from person to person, and several factors can influence your recovery.

Firstly, the presence of pain or discomfort after treatment does not necessarily indicate that something is wrong. After an ankle sprain, the surrounding tissues, including ligaments, tendons, and muscles, can become inflamed and sensitive. This inflammation can lead to a sensation of tightness or a hard lump in the area, which you have described. It is also common to experience a temporary increase in pain after physical therapy sessions, especially if the treatment involved manual therapy or aggressive rehabilitation techniques. This is sometimes referred to as "post-exercise soreness" and can be a normal part of the healing process.

However, if you are experiencing sharp, stabbing pain or if the pain is worsening rather than improving, it may be a sign that the treatment intensity was too high or that there is an underlying issue that needs to be addressed. It’s crucial to communicate openly with your physical therapist and orthopedic doctor about your symptoms. They can adjust your treatment plan accordingly, ensuring that it is both effective and tolerable.

Regarding your concern about potential long-term effects or residual pain, it’s understandable to be apprehensive. Ankle sprains can sometimes lead to chronic issues, such as instability or arthritis, particularly if the injury was severe or not rehabilitated properly. However, with appropriate rehabilitation, many individuals recover fully without lasting effects. If your orthopedic doctor has indicated that there is a slight displacement of the bone and periostitis (inflammation of the periosteum), it’s essential to follow their recommendations closely. They may suggest specific rehabilitation exercises to strengthen the ankle and improve stability, which can help prevent future injuries.

As for seeking treatment from a chiropractor, it’s important to proceed with caution. While some individuals find relief through chiropractic care, it’s essential to ensure that the practitioner is experienced in treating sports injuries and understands the complexities of your specific condition. If you choose to see a chiropractor, consider discussing it with your orthopedic doctor first to ensure that it aligns with your recovery plan.

In summary, post-treatment pain can be a normal part of the recovery process after an ankle sprain, but it’s vital to monitor your symptoms closely. If the pain persists or worsens, or if you have concerns about your recovery, do not hesitate to reach out to your healthcare provider for further evaluation. They can help determine the best course of action to facilitate your healing and address any potential complications. Remember, effective communication with your healthcare team is key to a successful recovery.

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