Ankle Sprains: When to See a Doctor and Recognizing Symptoms - Traditional Chinese Medicine

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Ankle sprains are a common injury, especially among athletes and active individuals. They occur when the ligaments that support the ankle are stretched or torn, often due to sudden movements or awkward landings. Your situation, where you experienced an ankle sprain while playing basketball, is not uncommon. Let’s address your questions regarding when to see a doctor and the symptoms that warrant medical attention.

1. Should you see a doctor?
Based on your description, you have applied an anti-inflammatory topical spray (Indomethacin), and you are able to walk without pain, which is a positive sign. However, the presence of swelling indicates that there is some degree of injury. Generally, if you can bear weight on the ankle and the pain is manageable, you may not need to see a doctor immediately. However, it is crucial to monitor your symptoms closely. If the swelling worsens, or if you experience increased pain, instability, or difficulty walking, it would be wise to seek medical attention.
2. When to see a doctor for an ankle sprain?
You should consider seeing a doctor if you experience any of the following symptoms:
- Severe pain: If the pain is intense and does not improve with rest, ice, compression, and elevation (the RICE method), it may indicate a more serious injury, such as a fracture.

- Inability to bear weight: If you cannot put any weight on the injured ankle after a couple of days, this could suggest a significant ligament tear or fracture.

- Significant swelling or bruising: While some swelling is normal, if it is excessive or accompanied by bruising that spreads, this could indicate a more severe injury.

- Deformity: If the ankle appears misshapen or out of alignment, this is a clear sign that you should seek immediate medical attention.

- Persistent symptoms: If you notice that your symptoms do not improve after a few days of home treatment, or if they worsen, it is advisable to consult a healthcare professional.

In addition to these symptoms, it is essential to consider your overall health and any pre-existing conditions that may affect healing. If you have a history of ankle injuries or other musculoskeletal issues, it may be beneficial to consult a doctor sooner rather than later.

Treatment and Recovery:
For most mild to moderate ankle sprains, the RICE method is effective:
- Rest: Avoid putting weight on the injured ankle.

- Ice: Apply ice packs for 15-20 minutes every few hours to reduce swelling.

- Compression: Use an elastic bandage or ankle brace to help control swelling.

- Elevation: Keep the ankle elevated above heart level to minimize swelling.

Physical therapy may also be recommended to strengthen the ankle and restore range of motion, especially if you have recurrent sprains.

In conclusion, while your current symptoms may not necessitate an immediate visit to a doctor, it is crucial to remain vigilant and seek medical advice if your condition does not improve or worsens. Ankle sprains can vary significantly in severity, and proper assessment and treatment are vital for a full recovery and to prevent future injuries.