Recovery from Right Ankle Dislocation: Pain and Swelling Concerns - Orthopedics

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Right ankle dislocation


Hello, I would like to ask about my condition.
After I fell on February 2nd, I dislocated my right outer ankle.
I had it in a cast for six weeks, and it has since been removed.
However, the affected area is still swollen, and there is pain when I apply light pressure.
I also experience soreness when walking, and I am still unable to walk normally, especially when bending my ankle, which causes more significant pain.
Is this situation normal? Will the swelling eventually go down? How much longer should I expect before I can be free of pain?

Codi Chuang, 20~29 year old female. Ask Date: 2004/03/18

Dr. Shi Qiming reply Orthopedics


Dear Codi user: If there is a dislocation of the ankle joint without a fracture, it is treated with a plaster cast.
This usually lasts for six to eight weeks.
Due to prolonged immobilization of the joint and affected blood circulation, swelling symptoms are common after the cast is removed, and the range of motion may also be impacted.
Generally, it takes about four to six weeks to recover, but if there is persistent swelling and pain due to incomplete reduction, it is advisable to visit the orthopedic outpatient clinic for a detailed examination.
Dr.
Wang Tzu-Kang, Chief of Orthopedics, Hsinchu Hospital, Executive Yuan, March 18, 2004.

Reply Date: 2004/03/18

More Info


Recovering from an ankle dislocation can be a challenging process, and it’s understandable to have concerns about ongoing pain and swelling after your injury. Based on your description, it seems that you experienced a right ankle dislocation on February 2nd, followed by six weeks in a cast. After the cast was removed, you are still experiencing swelling, tenderness, and pain, especially when trying to walk or bend your ankle.
Firstly, it is important to recognize that swelling and pain can be common after an ankle injury, even after the cast is removed. The body goes through a healing process that can take time, and the duration of recovery can vary significantly from person to person. Here are some key points to consider regarding your recovery:
1. Healing Process: After an ankle dislocation, the surrounding tissues, including ligaments, tendons, and muscles, may have been damaged. It is normal for these tissues to take time to heal. Swelling is often a sign of inflammation, which is part of the body’s natural healing response.
2. Duration of Swelling: The swelling in your ankle may persist for several weeks or even months after the cast is removed. Factors such as the severity of the dislocation, your overall health, and how well you follow rehabilitation protocols can influence the duration of swelling.
3. Pain Management: Pain when pressing on the area or during movement is also common. It is crucial to manage this pain effectively. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help reduce pain and inflammation. However, you should consult with your healthcare provider before taking any medication to ensure it is appropriate for your situation.

4. Physical Therapy: Engaging in physical therapy can be beneficial for your recovery. A physical therapist can guide you through exercises that promote mobility, strength, and flexibility in your ankle. They can also provide modalities to reduce swelling and pain, such as ice therapy, ultrasound, or electrical stimulation.

5. Gradual Return to Activity: It is essential to gradually return to normal activities. Start with gentle range-of-motion exercises as tolerated, and avoid putting too much weight on the ankle until you feel more comfortable. Listen to your body, and do not push through severe pain.

6. When to Seek Further Help: If the swelling and pain do not improve over the next few weeks, or if you experience increased pain, instability, or any new symptoms, it is crucial to follow up with your healthcare provider. They may want to perform imaging studies, such as an X-ray or MRI, to assess the healing process and rule out any complications, such as a re-injury or underlying issues.

In summary, while it is common to experience swelling and pain following an ankle dislocation, it is essential to monitor your symptoms and engage in appropriate rehabilitation. With time, patience, and possibly the assistance of a physical therapist, you should see improvement in your ankle's function and a reduction in pain. If you have any concerns about your recovery, do not hesitate to reach out to your healthcare provider for personalized advice and support.

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