Ankle Sprains: Symptoms, Recovery, and When to Worry - Rehabilitation

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Ankle sprain


This afternoon, I twisted my ankle due to a fall and now I experience pain that makes it difficult to walk after sitting for a while.
However, after practicing for about 5 minutes, I am able to walk again.
I would like to know if this indicates a bone injury.

Niming, 10~19 year old female. Ask Date: 2023/11/02

Dr. Li Weiqiang reply Rehabilitation


Q: This afternoon, I twisted my ankle after falling, and it hurts so much that I can't walk after sitting for a long time.
However, after practicing for about 5 minutes, I can continue walking.
I would like to know if this indicates a bone injury.
A: It doesn't appear to show any obvious fractures.

Reply Date: 2023/11/02

More Info


Ankle sprains are a common injury that occurs when the ligaments that support the ankle are stretched or torn. This often happens during activities that involve sudden changes in direction, jumping, or landing awkwardly. Given your description of the incident—falling and twisting your ankle—it is possible that you have sustained a sprain.

Symptoms of Ankle Sprains
The symptoms of an ankle sprain can vary depending on the severity of the injury. Common symptoms include:
1. Pain: This is usually immediate and can range from mild to severe, depending on the extent of the injury.

2. Swelling: The ankle may swell up due to inflammation and fluid accumulation.

3. Bruising: Discoloration may appear around the ankle as blood vessels break.

4. Limited Range of Motion: You may find it difficult to move your ankle or bear weight on it.

5. Tenderness: The area may be sensitive to touch.

In your case, you mentioned that sitting for a long time causes pain and that you can walk again after a few minutes of practice. This suggests that while there may be some injury, it might not be severe. However, it is essential to monitor your symptoms closely.


Recovery from Ankle Sprains
Recovery from an ankle sprain typically involves the R.I.C.E. method:
- Rest: Avoid putting weight on the injured ankle for the first 24-48 hours.

- Ice: Apply ice packs to the injured area for 15-20 minutes every few hours to reduce swelling.

- Compression: Use an elastic bandage or wrap to compress the ankle and minimize swelling.

- Elevation: Keep the ankle elevated above the level of your heart to help reduce swelling.

Most mild to moderate sprains heal within a few weeks. However, more severe sprains may take longer and could require physical therapy to regain strength and mobility.


When to Worry
While many ankle sprains can be managed at home, there are specific signs that indicate you should seek medical attention:
1. Inability to Bear Weight: If you cannot put any weight on the ankle after a few minutes or if the pain is severe.

2. Severe Swelling or Bruising: If the swelling is significant or if you notice extensive bruising.

3. Deformity: If the ankle looks misshapen or if you suspect a fracture.

4. Persistent Pain: If the pain does not improve with rest, ice, and elevation after a few days.

5. Numbness or Tingling: If you experience numbness, tingling, or a feeling of instability in the ankle.

If you experience any of these symptoms, it is advisable to consult a healthcare professional for a thorough evaluation. They may perform imaging tests, such as X-rays, to rule out fractures and determine the severity of the sprain.


Conclusion
In summary, based on your description, it sounds like you may have a mild ankle sprain. While you can walk after a few minutes of practice, it's essential to follow the R.I.C.E. method for recovery and monitor your symptoms. If you notice any concerning signs, don't hesitate to seek medical advice. Early intervention can help prevent further complications and ensure a smoother recovery process.

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