Managing Ankle Pain After Injury: Tips for Recovery and Relief - Orthopedics

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Ankle


Hello, Dr.
Lee! I previously sprained my left ankle.
After receiving massage therapy from a traditional Chinese medicine practitioner, I noticed that whenever I walk too much or stand for too long, my ankle starts to hurt and I even limp.
After walking a bit, it feels somewhat better.
Recently, I started a job where I stand for over eight hours.
When I get home, I apply heat and elevate my foot.
Tomorrow morning, my right foot feels much better, but my left foot hurts so much that I can barely walk.
Even when sitting, my ankle has a dull ache.
What should I do?

Ling, 10~19 year old female. Ask Date: 2006/10/16

Dr. Li Wenlin reply Orthopedics


Hello: In response to your question, please seek medical attention as soon as possible.
You should avoid standing for long periods, and even if it's a soft tissue injury (such as fascia or tendon), it requires ample rest and should not be overused.
A medical evaluation can help rule out conditions like fractures or gout.
Please do not hesitate; seeking medical care promptly is essential!

Reply Date: 2006/10/16

More Info


Managing ankle pain after an injury, especially following a sprain, can be challenging and requires a multifaceted approach to recovery. Here are some tips and insights based on your situation:
1. Rest and Activity Modification: It’s crucial to allow your ankle adequate time to heal. While it’s great that you’re returning to work, standing for long periods can exacerbate your pain. Consider modifying your activities to include more sitting or resting periods. If possible, alternate between sitting and standing to reduce strain on your ankle.

2. Ice Therapy: Applying ice to the affected area can help reduce swelling and numb the pain. Use an ice pack wrapped in a cloth for 15-20 minutes every few hours, especially after activities that aggravate your ankle.

3. Compression and Elevation: Using a compression bandage can help minimize swelling. Make sure it’s snug but not too tight to cut off circulation. Elevating your ankle above heart level when resting can also help reduce swelling.

4. Gentle Range of Motion Exercises: Once the initial pain and swelling decrease, gentle range of motion exercises can be beneficial. Start with simple movements like ankle circles or flexing and pointing your toes. These exercises can help maintain mobility and prevent stiffness.

5. Strengthening Exercises: As your pain improves, gradually introduce strengthening exercises. Resistance bands can be useful for this purpose. Focus on exercises that target the muscles around the ankle to provide better support and stability.

6. Physical Therapy: If your pain persists or worsens, consider consulting a physical therapist. They can provide a tailored rehabilitation program that includes manual therapy, specific exercises, and modalities like ultrasound or electrical stimulation to promote healing.

7. Footwear Considerations: Ensure that you are wearing supportive footwear, especially when standing for long periods. Shoes with good arch support and cushioning can help alleviate some of the stress on your ankle.

8. Pain Management: Over-the-counter pain relievers such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) can help manage pain and inflammation. However, consult with a healthcare provider before starting any medication, especially if you have underlying health conditions.

9. Gradual Return to Activity: As you start feeling better, gradually increase your activity level. Avoid jumping back into high-impact activities too soon, as this can lead to re-injury.

10. Listen to Your Body: Pay attention to your pain levels. If you notice that certain activities consistently lead to increased pain, it’s essential to modify or avoid those activities until your ankle has fully healed.

11. Consult a Specialist: If your symptoms do not improve with conservative management, it may be necessary to consult an orthopedic specialist. They can evaluate for any underlying issues, such as ligament damage or chronic instability, that may require more advanced treatment.

In summary, managing ankle pain after an injury involves a combination of rest, ice, compression, elevation, gentle exercises, and possibly physical therapy. It’s essential to listen to your body and seek professional help if your symptoms persist. With time and appropriate care, you should be able to recover and return to your normal activities without pain.

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