Repeated Ankle Sprains: When to Seek Orthopedic Care - Orthopedics

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Ankle sprain


I twisted my ankle while going down the stairs in September this year.
If I remember correctly, I couldn't walk for about three hours due to the pain.
However, after two weeks, I didn't feel anything unusual.
In early November, I twisted the same ankle again, but there was no swelling, and after applying ice, the pain subsided, so I didn't think much of it.
Then, on November 30th, I twisted the same ankle again.
It is slightly swollen now, but I can walk without any issues.
I've twisted it twice in one month; do I need to see an orthopedic specialist? I don't have much time to ask in person, so I'm seeking help online.
(⁠;⁠ŏ⁠﹏⁠ŏ⁠)

Yi Yan, 10~19 year old female. Ask Date: 2023/12/02

Dr. Chen Bochen reply Orthopedics


Hello, repeated sprains can lead to ligament damage.
It's important to undergo rehabilitation and wear an ankle brace; otherwise, you may continue to experience recurrent sprains.

Reply Date: 2023/12/02

More Info


Repeated ankle sprains can be a frustrating and painful experience, and it's important to understand when to seek orthopedic care. Based on your description, it seems you have experienced multiple sprains in a relatively short period of time, which raises some concerns.

Firstly, let's discuss what an ankle sprain is. An ankle sprain occurs when the ligaments that support the ankle stretch beyond their limits and tear. This can happen due to awkward movements, such as stepping on an uneven surface or twisting the ankle while walking or running. Symptoms typically include pain, swelling, bruising, and limited range of motion.

In your case, you mentioned that you sprained your ankle three times within a few months. The first incident resulted in significant pain and inability to walk for a few hours, which is indicative of a more severe sprain. The subsequent sprains seemed to have less immediate impact, but the fact that you are experiencing repeated injuries raises a few red flags.

Here are some signs that indicate you should seek orthopedic care:
1. Persistent Pain: If you continue to experience pain, especially during activities that involve weight-bearing or movement, it may indicate that the injury is not healing properly.

2. Swelling: While some swelling is common after a sprain, if you notice persistent or increasing swelling, it could suggest that there is more damage than just a simple sprain.

3. Instability: If your ankle feels unstable or gives way during normal activities, this could be a sign of ligament damage that may require professional evaluation.

4. Recurrent Injuries: Spraining the same ankle multiple times can lead to chronic instability and may indicate that the ligaments have been weakened. This can increase the risk of future sprains and potentially lead to long-term issues like arthritis.

5. Difficulty with Daily Activities: If your ankle pain or instability is affecting your ability to perform daily activities or participate in sports, it’s time to consult a specialist.

Given that you have sprained your ankle twice in November alone, it would be wise to seek orthopedic care. An orthopedic specialist can perform a thorough examination, which may include imaging studies like X-rays or MRIs, to assess the extent of the injuries. They can also provide you with a tailored rehabilitation program to strengthen the ankle and prevent future injuries.

In the meantime, you can continue to manage your symptoms with the RICE method (Rest, Ice, Compression, Elevation) to help reduce swelling and pain. However, this should not replace professional medical advice.

In conclusion, while it may seem inconvenient to seek care, addressing your repeated ankle sprains now can prevent more serious complications down the line. It’s important to prioritize your health and ensure that your ankle is properly evaluated and treated. If you can find the time, I highly recommend making an appointment with an orthopedic specialist to discuss your situation further.

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