Ankle Sprains: Recovery Time and When to See a Doctor - Orthopedics

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Ankle sprain


Hello Doctor, two weeks ago I sat cross-legged for too long, and when I stood up, I twisted my ankle.
I went to see a doctor who said it was a ligament injury.
The area below my little toe is still numb, and I cannot keep my heel on the ground while lifting my forefoot when standing.
Should I see a doctor again? The previous doctor mentioned it would heal on its own; how long do you think it will take to recover? Thank you, Doctor.

Lin., 10~19 year old female. Ask Date: 2020/09/08

Dr. Chen Bochen reply Orthopedics


Hello, your symptoms are more indicative of a common peroneal nerve stretch injury.
Generally, it takes about one to two months for recovery.
It is recommended to soak in warm water, apply heat, and engage in rehabilitation (electrical stimulation and passive range of motion exercises).
Wishing you a speedy recovery.

Reply Date: 2020/09/08

More Info


Ankle sprains are a common injury that can occur when the ankle is twisted or turned in an awkward way, leading to damage to the ligaments that support the ankle joint. The recovery time for an ankle sprain can vary significantly depending on the severity of the injury, which is typically classified into three grades:
1. Grade I (Mild): This involves slight stretching and microscopic tears of the ligament. Recovery usually takes a few days to a week.

2. Grade II (Moderate): This includes partial tearing of the ligament, resulting in moderate pain, swelling, and instability. Recovery can take several weeks, typically 2 to 6 weeks.

3. Grade III (Severe): This is a complete tear of the ligament, leading to significant instability and swelling. Recovery may take several months, and in some cases, surgical intervention may be necessary.

In your case, since you mentioned that you experienced numbness in the area below your little toe and difficulty standing with your heel on the ground, it is essential to consider a few factors. Numbness can indicate nerve involvement or significant swelling that may be compressing nerves in the area. Additionally, the inability to perform certain movements, such as raising your toes while keeping your heel on the ground, suggests that the injury may be more severe than initially assessed.

Here are some recommendations for your situation:
1. Follow-Up with a Doctor: Given your ongoing symptoms, it would be wise to return to your doctor or seek a second opinion, especially if the numbness persists or worsens. A healthcare professional may want to perform imaging studies, such as an X-ray or MRI, to rule out any fractures or more severe ligament injuries.

2. Rest and Elevation: Continue to rest your ankle and keep it elevated as much as possible to reduce swelling. Avoid putting weight on the injured ankle until you can do so without pain.

3. Ice and Compression: Applying ice to the affected area for 15-20 minutes every few hours can help reduce swelling and numbness. Compression with an elastic bandage can also provide support and limit swelling.

4. Physical Therapy: If your doctor recommends it, physical therapy can be beneficial in restoring strength and flexibility to the ankle. A physical therapist can guide you through exercises that promote healing and help prevent future injuries.

5. Gradual Return to Activity: Once your symptoms improve, gradually return to your normal activities. Avoid high-impact sports or activities that put stress on the ankle until you have fully recovered.

6. Monitor Symptoms: Keep an eye on your symptoms. If you experience increased pain, swelling, or any new symptoms, seek medical attention promptly.

In summary, while many ankle sprains can heal with conservative treatment, your ongoing symptoms warrant further evaluation. Recovery times can vary, but with appropriate care and monitoring, most individuals can expect to return to their normal activities within a few weeks to a few months, depending on the severity of the injury. Always prioritize your health and consult with a healthcare professional if you have concerns about your recovery.

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