Ankle Pain After a Fall: When to Seek Rehab Treatment - Rehabilitation

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soreness


Doctor: Hello.
A few days ago, while walking, I wasn't paying attention and tripped over a step, falling to the ground.
When I got up, I felt a slight twist in my left ankle, but it wasn't severe, and I was still able to walk normally, so I ignored it.
However, starting the next day, I began to experience persistent soreness from my ankle up to my knee, mostly beginning in the late afternoon.
In the past two days, the soreness has started during the day and sometimes extends to my thigh.
Doctor, should I just do some home exercises to improve this, or do I need treatment? If treatment is necessary, should I go directly to the rehabilitation department for an appointment? Thank you!

tina, 20~29 year old female. Ask Date: 2007/06/23

Dr. Chen Xianchang reply Rehabilitation


Hello, Miss: Thank you for your inquiry.
Here are my responses and recommendations: 1.
It is possible that you have sustained a sprain in the ankle joint and the peroneal longus muscle on the lateral side of the calf; the soreness in the thigh may not be related to the sprain but rather due to lumbar radiculopathy.
2.
It is advisable to consult a rehabilitation specialist first, as home treatment with heat application may not be sufficient or targeted.
After undergoing X-ray examination and nerve conduction studies, the diagnosis of nerve root compression can be confirmed, allowing for further treatment.

Reply Date: 2007/06/23

More Info


Hello! It sounds like you’ve experienced a concerning injury to your ankle after your fall, and I appreciate your thorough description of your symptoms. Based on your account, it seems that you may be dealing with a sprain or strain in your ankle, which can sometimes lead to pain that radiates up the leg, as you’ve described.
When it comes to ankle injuries, it’s essential to monitor your symptoms closely. Initially, if you can walk and bear weight on the ankle without severe pain, it may not be a serious injury. However, the fact that you are experiencing persistent pain that has escalated from the ankle to the knee and even the thigh suggests that further evaluation may be warranted.


When to Seek Rehabilitation Treatment
1. Persistent Pain: If the pain continues to worsen or does not improve with home care measures (like rest, ice, compression, and elevation), it is advisable to seek professional help. Persistent pain can indicate a more severe injury, such as a ligament tear or even a fracture that might not be immediately apparent.

2. Swelling and Bruising: If you notice significant swelling, bruising, or difficulty moving your ankle, these are signs that you should consult a healthcare provider. Swelling can indicate inflammation or injury to the soft tissues around the joint.

3. Limited Range of Motion: If you find it difficult to move your ankle or if certain movements cause pain, this is another reason to seek treatment. Rehabilitation can help restore range of motion and strength.

4. Radiating Pain: The fact that your pain extends from the ankle to the knee and thigh is concerning. This could be due to compensatory mechanisms where other muscles and joints are overworking to protect the injured area. Rehabilitation can help address these compensatory patterns.


Next Steps
If you decide that rehabilitation is necessary, you can indeed go directly to a rehabilitation department or a physical therapist. They will assess your injury, possibly perform some tests to evaluate your range of motion and strength, and develop a tailored treatment plan. This plan may include:
- Physical Therapy: A physical therapist can guide you through exercises that promote healing, improve strength, and restore mobility. They may also use modalities such as ultrasound or electrical stimulation to help with pain relief.

- Education: Learning proper techniques for movement and exercises can prevent future injuries and improve your overall function.

- Home Exercise Program: You may be given exercises to do at home to complement your therapy sessions.


Home Care Measures
In the meantime, continue with RICE (Rest, Ice, Compression, Elevation) to manage your symptoms. Avoid putting too much weight on the injured ankle, and consider using a brace or support if it feels unstable.
If your symptoms do not improve within a few days or if they worsen, I strongly recommend that you see a healthcare professional for a thorough evaluation. They may suggest imaging studies, such as an X-ray or MRI, to rule out fractures or more serious injuries.

In summary, while it’s good to start with home care, don’t hesitate to seek professional help if your symptoms persist or worsen. Early intervention can often lead to better outcomes and a quicker return to your normal activities. Take care, and I wish you a speedy recovery!

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