Managing Severe Ankle Strains: Tips for Recovery and Pain Relief

Severe tear after an ankle sprain?

After suffering a strain on the dorsum of my foot at the end of June this year, I have had difficulty walking.
I initially thought resting in bed would help, so I relied on lying down for recovery.
However, since only my heel was in contact with the bed while the rest of my foot was elevated, there was a counterforce that, combined with the tension in my body, caused the injury to spread from the original site, resulting in multiple tears in the dorsum, ankle, and sole of my foot.
Due to the inconvenience of traveling far to see a doctor, I only received five PRP injections locally, but the results have been limited.
Currently, I feel that lying down is the biggest issue.
However, I also have injuries in my gluteal and piriformis muscles, which prevent me from sitting (it causes pain) or lying on my side (it also causes pain).
I am wondering if there are any aids, equipment, or methods that can reduce the pressure on my foot and dorsum while lying down.
Can I wear a walking boot while lying down?

Y, 40~49 year old female. Ask Date: 2023/11/15

Dr. Wang Zhaomin reply Rehabilitation

After an injury, it is important to incorporate stretching exercises to aid recovery.
Wearing protective gear can help prevent further injury; however, excessive use may lead to adverse effects, such as muscle atrophy or joint contractures.
Please consult an orthopedic or rehabilitation specialist to arrange appropriate treatment and assistive devices.

Reply Date: 2023/11/15

More Info

Managing severe ankle strains can be quite challenging, especially when the injury leads to complications like additional tears and discomfort in surrounding muscles. Your situation, where the initial injury has expanded due to improper resting posture, highlights the importance of appropriate recovery strategies. Here are some tips for recovery and pain relief, along with a discussion on the use of assistive devices.

Understanding Your Injury
Ankle strains often involve the stretching or tearing of ligaments around the ankle joint. When you mentioned that lying down exacerbated your condition, it suggests that the position may not be providing adequate support or that the weight distribution is causing additional strain on the injured area. The fact that you have also experienced pain in the piriformis and other muscle groups indicates that your body is compensating for the ankle injury, leading to further discomfort.

Recovery Strategies
1. Rest and Elevation: While resting is crucial, it’s important to find a position that minimizes strain on your ankle. Elevating your foot can help reduce swelling and improve circulation. Consider using pillows to prop your leg up while lying down.

2. Cold Therapy: Applying ice to the injured area can help reduce swelling and numb the pain. Use an ice pack for 15-20 minutes every few hours, especially in the first few days after the injury.

3. Compression: Using a compression bandage can help stabilize the ankle and reduce swelling. Ensure that it’s snug but not too tight to avoid cutting off circulation.

4. Gentle Range of Motion Exercises: Once the acute pain subsides, gentle movements can help maintain flexibility and prevent stiffness. Consult with a physical therapist for specific exercises tailored to your condition.

5. Assistive Devices:
- Walking Boots or Casts: A walking boot can provide support while allowing you to move around. It’s designed to immobilize the ankle while still permitting some mobility.

- Crutches or a Walker: These can help you avoid putting weight on the injured ankle while allowing you to move around safely.

- Pillow or Wedge: If lying down is uncomfortable, consider using a wedge pillow that allows you to elevate your foot while keeping your body in a more comfortable position.

6. Physical Therapy: Since you’ve already received PRP injections, it may be beneficial to engage in a structured physical therapy program. A therapist can provide personalized exercises and modalities (like ultrasound or electrical stimulation) to promote healing and strengthen the surrounding muscles.

7. Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and inflammation. Always consult with a healthcare provider before starting any medication, especially considering your existing health conditions.

Addressing Your Concerns
Regarding your question about using a walking boot while lying down, it is generally acceptable to wear a walking boot in bed if it provides comfort and support. However, ensure that it does not restrict blood flow or cause additional discomfort.
If you are unable to sit or lie comfortably due to pain, it may be worthwhile to consult a healthcare professional who can assess your condition and recommend further interventions. This could include imaging studies to evaluate the extent of the injury and any potential complications.

Conclusion
In summary, managing severe ankle strains requires a multifaceted approach that includes rest, appropriate positioning, physical therapy, and possibly the use of assistive devices. It’s crucial to listen to your body and seek professional guidance to ensure a safe and effective recovery. If symptoms persist or worsen, do not hesitate to seek medical attention, as further evaluation may be necessary to address any underlying issues.

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