Ankle Injuries: Symptoms, Recovery, and Treatment Options - Orthopedics

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Ankle joint injury


Hello Doctor, about two days ago, I accidentally rolled my ankle while exercising.
At the time and afterward, I didn't feel much pain, and there was no swelling on the outer side of my ankle.
However, I do feel slight pain and tightness when performing eversion movements with my ankle.
I have already seen an orthopedic specialist and have been taking medication, but now the pain is radiating down towards my calf, and I also feel pain when pressing on the outer side of my calf.

1: Is this normal? Given my current condition (classified as a Grade I ankle injury),
2: Is it suitable for me to participate in the track and field competition in two weeks?
3: Would electrical therapy be beneficial for my recovery? Thank you.

Xiao Ming, 10~19 year old female. Ask Date: 2019/10/26

Dr. Zhan Xian reply Orthopedics


Hello Xiaoming, injury can cause pain.
Currently, ice therapy and rest are appropriate.
Please avoid electrical stimulation for now.
You can resume exercise in two weeks if there is no pain.

Reply Date: 2019/10/26

More Info


Understanding ankle injuries is crucial for effective recovery and treatment. Based on your description, it seems you may have sustained a mild ankle sprain, which is classified as a Grade I injury. This type of injury typically involves stretching or minor tearing of the ligaments without significant swelling or instability. However, the symptoms you are experiencing, such as pain extending to the outer calf and discomfort during ankle movements, warrant careful consideration.

1. Is this normal?
Yes, it can be normal for pain to radiate from the ankle to the calf after an injury. This phenomenon may occur due to referred pain, where the discomfort from the ankle sprain affects surrounding areas, including the calf. Additionally, the muscles and tendons around the ankle may become tense or strained as they compensate for the injured area. However, if the pain intensifies or if you experience swelling, bruising, or difficulty bearing weight, it would be advisable to seek further medical evaluation to rule out more serious injuries, such as a fracture or a more severe ligament tear.

2. Is it suitable to participate in the track and field event in two weeks?
Participation in the upcoming event largely depends on your recovery progress. For a Grade I sprain, many athletes can return to activity within a couple of weeks, provided they follow a proper rehabilitation protocol. It is essential to listen to your body; if you still experience pain or instability in the ankle during activities, it may be wise to postpone participation. Engaging in a gradual return to activity, including range-of-motion exercises and strengthening, can help ensure that you are adequately prepared for the demands of your sport.

3. Will electrical therapy aid in recovery?
Electrical therapy, such as TENS (Transcutaneous Electrical Nerve Stimulation) or electrical stimulation for muscle re-education, can be beneficial in managing pain and promoting healing. These modalities can help reduce pain perception and may facilitate muscle activation, which is particularly useful if you are experiencing discomfort that limits your mobility. However, it is important to combine electrical therapy with other rehabilitation strategies, such as rest, ice, compression, and elevation (RICE), as well as physical therapy exercises tailored to your specific needs.


Additional Recommendations:
- Rest and Ice: Continue to rest the ankle and apply ice to reduce any potential swelling. Ice should be applied for 15-20 minutes every couple of hours, especially after activity.

- Compression and Elevation: Use an elastic bandage to provide compression and elevate your ankle above heart level to help minimize swelling.

- Rehabilitation Exercises: Once the acute pain subsides, begin gentle range-of-motion exercises to maintain flexibility. Gradually introduce strengthening exercises focusing on the ankle and calf muscles.

- Gradual Return to Activity: Start with low-impact activities, such as swimming or cycling, before returning to running or jumping sports.

- Footwear: Ensure you wear supportive footwear during your recovery to provide stability and prevent further injury.

In conclusion, while your symptoms may align with a mild ankle sprain, it is crucial to monitor your recovery closely. If you have any concerns or if your symptoms worsen, do not hesitate to consult your healthcare provider for further evaluation and tailored treatment options. Remember, prioritizing your recovery will help you return to your athletic activities safely and effectively.

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