Chiropractors and Ankle Dislocations
Three weeks ago, I slipped while jumping to receive a shuttlecock during badminton.
Both sides of my ankle are slightly swollen, and I can feel a bit of bone protruding when I touch it.
It seems to have rolled inward.
When I went to change the dressing today, I noticed a little swelling in the sole of my foot.
The chiropractor mentioned that it has shifted again! Additionally, I discovered four days ago that I wasn't walking properly (I can walk, but as long as I don't walk for too long, it doesn't hurt).
So, he manipulated it back into place and, besides applying medication, he added a splint for stabilization (he initially said it should improve in two days).
I would like to ask if the medication loses its effectiveness after four hours, and if I can switch to heat therapy? {I change the dressing almost every day}.
Should I avoid going anywhere and try to rest and elevate the injured area? Should I wait until it is completely healed before doing rehabilitation exercises (like standing on one leg)? Generally, how long does it take for treatment? Thank you; I need different professional opinions.
Yan Zi, 20~29 year old female. Ask Date: 2004/06/21
Dr. Zheng Shunping reply Rehabilitation
Hello, in response to your questions:
1.
Since we do not know the ingredients of the topical medication, we cannot assess its efficacy.
2.
Your condition has progressed to the chronic stage; applying heat can help improve blood circulation, but it should be based on the extent of swelling in your ankle.
3.
Resting and elevating the affected area should be beneficial for local swelling, and it should not require complete restriction of activity.
4.
Rehabilitation exercises should be initiated only after the swelling and joint mobility have improved.
5.
The treatment duration is approximately 6 to 8 weeks.
Wishing you a speedy recovery!
Reply Date: 2004/06/21
More Info
Recovering from an ankle dislocation can be a complex process that requires careful management and rehabilitation. Based on your description, it seems you have experienced a significant injury that may involve not only the ligaments but also the bones and soft tissues surrounding the ankle joint. Here are some insights and treatment tips to help you understand the recovery process better.
Understanding Ankle Dislocation
Ankle dislocation occurs when the bones that form the ankle joint are forced out of their normal position. This can happen due to trauma, such as a fall or a sports injury, like the one you experienced while playing badminton. The dislocation can lead to damage to the ligaments, tendons, and sometimes the surrounding nerves and blood vessels.
Initial Treatment and Recovery
1. Immediate Care: After an ankle dislocation, the initial treatment typically involves the R.I.C.E. method—Rest, Ice, Compression, and Elevation. This helps reduce swelling and pain. It’s crucial to avoid putting weight on the injured ankle until it has been properly assessed and treated.
2. Medical Intervention: It sounds like you have already sought medical attention, which is essential. If the dislocation was reduced (put back into place), your doctor or orthopedic specialist would likely have immobilized the ankle using a splint or cast to allow for healing.
3. Medication: Regarding your question about medication, it’s important to follow your healthcare provider's instructions. If you are taking anti-inflammatory medications, they are typically effective for a certain duration, and it’s essential to take them as prescribed. If you feel the medication is wearing off, consult your doctor before switching to heat therapy, as heat can sometimes exacerbate swelling in the acute phase.
Rehabilitation and Recovery Timeline
1. Rest and Elevation: Continuing to rest and elevate your ankle is crucial, especially in the early stages of recovery. This helps minimize swelling and promotes healing.
2. Physical Therapy: Once the initial swelling has decreased and your doctor gives the go-ahead, physical therapy can begin. This may include gentle range-of-motion exercises, strengthening exercises, and balance training. It’s important to wait until your ankle is stable and pain-free before starting any rehabilitation exercises, such as single-leg standing.
3. Duration of Recovery: The recovery time for an ankle dislocation can vary widely depending on the severity of the injury, the presence of any fractures, and how well you adhere to your rehabilitation program. Generally, you can expect a recovery period of several weeks to a few months. Full recovery may take longer, especially if there are complications.
4. Monitoring Progress: Regular follow-ups with your healthcare provider are essential to monitor your recovery. If you notice any unusual symptoms, such as increased pain, swelling, or instability, it’s important to report these to your doctor immediately.
Conclusion
In summary, recovering from an ankle dislocation requires a combination of rest, proper medical treatment, and a structured rehabilitation program. It’s crucial to listen to your body and not rush the recovery process. Engaging in physical therapy at the appropriate time can significantly enhance your recovery and help restore function to your ankle. Always consult with your healthcare provider before making any changes to your treatment plan or starting new exercises. With proper care and patience, you can expect to regain strength and mobility in your ankle.
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