Struggling to Walk Normally After Ankle Injury: Treatment Options - Orthopedics

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Inability to walk normally?


I injured the sole of my left foot while playing basketball; it swelled significantly, and I couldn't walk normally, only sideways.
After seeing a doctor, I was diagnosed with a triangular ligament injury.
After a month of treatment, my condition has improved, but I still cannot walk normally.
Now, when I put pressure on the sole under my big toe or jump, I experience pain on the upper part of my foot.
Is there any way to improve this? Here is a photo of my injury: http://www.wretch.cc/album/show.php?i=dreamyghost2&b=5&f=1669190531&p=1

Jiahao, 10~19 year old female. Ask Date: 2007/07/21

Dr. Shi Guozheng reply Orthopedics


Ankle injuries typically take about two to three months to heal.
Based on the photos, there is still bruising on the dorsum of the foot, indicating that the injury is relatively recent.
Currently, rehabilitation therapy may be necessary.
If there is pain while walking, the use of assistive devices will be required.

Reply Date: 2007/07/21

More Info


After an ankle injury, particularly one involving the triangular ligament, it is common to experience difficulties in walking normally. The triangular ligament, located on the inner side of the ankle, plays a crucial role in stabilizing the joint. When injured, it can lead to swelling, pain, and instability, making it challenging to walk without discomfort.

Given that you've been undergoing treatment for about a month and have seen some improvement, it's essential to continue with a structured rehabilitation program. Here are some treatment options and recommendations to help you regain normal function in your ankle:
1. Physical Therapy: Engaging in physical therapy is one of the most effective ways to recover from an ankle injury. A physical therapist can design a personalized rehabilitation program that focuses on strengthening the muscles around the ankle, improving flexibility, and enhancing balance. This may include exercises such as ankle circles, toe raises, and resistance band workouts.

2. Gradual Weight Bearing: As you progress, gradually increasing the weight you place on your injured foot is crucial. Start with partial weight-bearing exercises, using crutches or a walking aid if necessary, and slowly transition to full weight-bearing activities as tolerated. This will help your body adapt and strengthen the ankle joint.

3. Range of Motion Exercises: Incorporating range of motion exercises can help reduce stiffness and improve mobility. Simple movements like flexing and extending your foot, as well as moving it side to side, can be beneficial. Aim to perform these exercises several times a day.

4. Ice and Compression: To manage swelling and pain, continue using ice packs on the affected area, especially after exercises. Compression wraps can also help reduce swelling and provide support to the injured ankle.

5. Pain Management: If you experience pain during activities, over-the-counter pain relievers such as ibuprofen or acetaminophen can be helpful. However, consult with your healthcare provider before taking any medication to ensure it is appropriate for your situation.

6. Footwear: Wearing supportive footwear is essential during your recovery. Shoes that provide good arch support and cushioning can help alleviate pressure on the injured area and promote proper alignment while walking.

7. Gradual Return to Activities: Once you start feeling more comfortable, you can gradually return to activities like basketball. However, it's crucial to listen to your body and avoid pushing through pain. Consider starting with low-impact exercises, such as swimming or cycling, before returning to high-impact sports.

8. Consultation with a Specialist: If pain persists, especially when putting pressure on your big toe or during jumping movements, it may be beneficial to consult with an orthopedic specialist. They can assess for any underlying issues, such as tendonitis or other ligament injuries, and recommend further treatment options.

9. Patience and Consistency: Recovery from an ankle injury can take time, and it's essential to be patient with the process. Consistency in your rehabilitation exercises and following your healthcare provider's recommendations will significantly impact your recovery.

In summary, while it is common to struggle with walking normally after an ankle injury, a comprehensive rehabilitation program focusing on physical therapy, gradual weight-bearing, and proper pain management can facilitate recovery. If you continue to experience pain or instability, seeking further evaluation from a specialist is advisable to ensure a full recovery.

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