Ankle Injury: Is Surgery the Right Solution for Chronic Pain?

Q: Ankle Injury: Is Surgery the Right Solution for Chronic Pain?

Hello： In response to your question, it is best for you to seek an evaluation from an orthopedic physician as soon as possible. <br>During the consultation, the physician will perform an X-ray examination and a physical examination. <br>Considering your age and occupational needs

Ankle joint injury

About 18 years ago, I suffered an open fracture of the ankle due to a car accident.
The injured area has been frequently painful, and I have previously sought treatment and taken pain medication.
I have not sought treatment or taken pain medication for the past year.
I would like to ask the director whether the insertion of intramedullary nails would be appropriate.
Additionally, how long would I need to rest after the surgery before I can return to work? Currently, my symptoms include: 1.
The cartilage tissue in the ankle joint has developed protrusions due to prolonged pressure.
2.
I am unable to walk long distances.
3.
Will the surgery improve my current condition? How long can I expect the improvement to last? Thank you.

Mr. Chen, 40~49 year old female. Ask Date: 2008/03/31

Dr. Li Wenlin reply Orthopedics

Hello: In response to your question, it is best for you to seek an evaluation from an orthopedic physician as soon as possible.
During the consultation, the physician will perform an X-ray examination and a physical examination.
Considering your age and occupational needs, the orthopedic physician will provide appropriate recommendations.
Wishing you a speedy recovery.
Dr.
Li Wen-Lin, Orthopedic Department, Keelung Hospital.

Reply Date: 2008/03/31

More Info

When considering whether surgery is the right solution for chronic ankle pain resulting from an old injury, such as an open fracture sustained 18 years ago, it is essential to evaluate several factors. Chronic pain in the ankle, especially after a significant injury, can stem from various issues, including joint instability, cartilage damage, or the development of arthritis.
Given your history of an open ankle fracture and the ongoing pain, it is crucial to undergo a thorough evaluation by an orthopedic specialist. This evaluation typically includes imaging studies, such as X-rays or MRI, to assess the current state of the ankle joint, including the condition of the cartilage and any potential bone deformities.

Surgical Considerations
1. Bone Marrow Nailing: If your orthopedic surgeon recommends a procedure like bone marrow nailing, it is likely aimed at stabilizing the joint and addressing any structural issues. This type of surgery can help realign the bones and provide support to the joint, potentially alleviating pain and improving function. However, the decision to proceed with surgery should be based on a comprehensive assessment of your specific condition.

2. Recovery Time: The recovery period after ankle surgery can vary widely depending on the specific procedure performed, your overall health, and how well you adhere to post-operative rehabilitation protocols. Generally, you may expect a recovery period of several weeks to a few months before returning to work, especially if your job requires physical activity. During this time, you will likely need to engage in physical therapy to regain strength and mobility in the ankle.

3. Potential Outcomes: While surgery can provide significant relief and improve function for many patients, it is essential to have realistic expectations. The success of the surgery depends on various factors, including the extent of the damage, your age, activity level, and adherence to rehabilitation. Many patients experience a reduction in pain and an improvement in mobility, but outcomes can vary. Some may find that their symptoms improve significantly, while others may continue to experience some level of discomfort.

Non-Surgical Options
Before committing to surgery, consider discussing non-surgical options with your healthcare provider. These may include:
- Physical Therapy: A structured rehabilitation program can help strengthen the muscles around the ankle, improve flexibility, and enhance overall function.

- Pain Management: Medications, such as NSAIDs (non-steroidal anti-inflammatory drugs), can help manage pain and inflammation. In some cases, corticosteroid injections may be considered.

- Orthotics: Custom orthotic devices can provide additional support and alignment to the ankle, potentially reducing pain during activities.

Conclusion
In summary, whether surgery is the right solution for your chronic ankle pain depends on a thorough evaluation of your specific condition and the potential benefits versus risks of the procedure. It is essential to have an open discussion with your orthopedic surgeon about your symptoms, treatment options, and expected outcomes. If surgery is deemed appropriate, following the recommended rehabilitation protocol will be crucial for a successful recovery. Always prioritize communication with your healthcare provider to ensure you make informed decisions about your treatment plan.

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