Sports injury: My ankle has been sprained for over six months and hasn't healed?
Hello Dr.
Wang: Last October, I sprained my left ankle while playing basketball (inward inversion).
During this time, I consulted both Western and Traditional Chinese Medicine.
Initially, the Western doctor prescribed anti-inflammatory medication and advised me to rest at home.
Later, I received acupuncture, electrical therapy, and medication from Traditional Chinese Medicine until now.
The swelling has improved, but my ankle still feels tight, as if it is bound, making it difficult to move.
The doctor mentioned that it could be due to ligament calcification or fibrosis.
Could you please explain the difference between calcification and fibrosis? What kind of rehabilitation can I do to expedite my recovery? Typically, how long does it take for this condition to heal? Thank you.
Lanqiu Dui, 30~39 year old female. Ask Date: 2011/03/13
Dr. Wang Shouji reply Orthopedics
Basketball team: Based on your description of symptoms, it seems to be caused by inadequate rehabilitation following an injury.
I recommend that you first visit a sports medicine specialist to assess the condition of the ligaments and check for any laxity.
With proper rehabilitation, most cases can improve.
As for ligament calcification and fibrosis, these are often the result of excessive protection after the injury for too long, but with proper rehabilitation, improvement is achievable.
Reply Date: 2011/03/13
More Info
Ankle sprains are common injuries, especially among athletes and active individuals. They occur when the ligaments that support the ankle stretch beyond their limits and tear. In your case, it sounds like you experienced an inward rolling of the ankle, which is a typical mechanism for such injuries. Recovery from an ankle sprain can vary significantly depending on the severity of the injury, the treatment received, and the rehabilitation efforts undertaken.
Understanding Calcium and Fibrosis in Ankle Sprains
You mentioned concerns about potential calcification and fibrosis in your ankle. Calcification refers to the accumulation of calcium salts in body tissue, which can occur as a response to injury. This process can lead to stiffness and decreased range of motion in the affected area. Fibrosis, on the other hand, is the formation of excess fibrous connective tissue, which can also develop after an injury as part of the healing process. Fibrosis can lead to scar tissue formation, which may restrict movement and cause discomfort.
Both conditions can contribute to the sensation of tightness and reduced mobility in your ankle. While calcification may be more permanent, fibrosis can often be improved with appropriate rehabilitation techniques.
Rehabilitation Strategies
To promote healing and regain mobility in your ankle, consider the following rehabilitation strategies:
1. Range of Motion Exercises: Start with gentle range of motion exercises to help restore flexibility. Simple movements like ankle circles, pointing and flexing your toes, and moving your foot side to side can be beneficial.
2. Strengthening Exercises: Once you have regained some range of motion, incorporate strengthening exercises. Resistance bands can be useful for this purpose. Focus on exercises that target the muscles around the ankle, such as calf raises and toe raises.
3. Balance Training: Incorporate balance exercises to improve stability. Standing on one leg, using a balance board, or practicing yoga can enhance proprioception and prevent future injuries.
4. Physical Therapy: If you haven’t already, consider working with a physical therapist. They can provide a tailored rehabilitation program, including manual therapy techniques to address stiffness and improve mobility.
5. Ice and Compression: Continue to use ice and compression to manage any swelling that may occur during your rehabilitation. This can help reduce inflammation and promote healing.
6. Gradual Return to Activity: As your ankle improves, gradually return to your normal activities. Avoid high-impact sports until you have regained full strength and mobility to prevent re-injury.
Timeline for Recovery
The timeline for recovery from an ankle sprain can vary widely. Mild sprains may heal within a few weeks, while more severe injuries can take several months. If you are experiencing persistent tightness and limited mobility, it may indicate that your rehabilitation needs to be adjusted or that further medical evaluation is necessary.
When to Seek Further Help
If your symptoms do not improve with home rehabilitation or if you experience increased pain, swelling, or instability, it is crucial to consult with a healthcare professional. They may recommend imaging studies, such as an MRI, to assess the extent of any ligament damage or other underlying issues.
In summary, while calcification and fibrosis can complicate recovery from an ankle sprain, a dedicated rehabilitation program focusing on flexibility, strength, and balance can significantly enhance your healing process. Be patient with your recovery, and ensure that you are following a comprehensive approach to rehabilitation.
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