Hip Pain After Ankle Injury: Next Steps for Recovery - Orthopedics

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In your situation, it sounds like you have experienced a significant injury that has led to discomfort in your hip and possibly surrounding structures. After an ankle injury, it is not uncommon for individuals to experience referred pain or discomfort in the hip area, especially if there was a significant impact or if you altered your gait to compensate for the ankle injury.
Given that you mentioned the left side of your pelvis appears to be protruding and that you experience numbness and pain in the left hip area after sitting for extended periods, it is essential to consider a few factors. First, the injury may have caused muscle strain or imbalance in the hip region, which can lead to discomfort and altered biomechanics. The muscles around the hip, including the gluteal muscles, may have been affected, leading to tightness or spasms that can cause pain and a feeling of numbness.

Since you have already undergone X-rays that did not reveal any fractures or significant bony injuries, the next step would typically involve a more detailed assessment of the soft tissues around the hip. An MRI could be beneficial in this case, as it provides a clearer picture of the muscles, tendons, and ligaments, helping to identify any strains, tears, or other soft tissue injuries that may not be visible on X-ray.

In addition to imaging, physical therapy is highly recommended. A physical therapist can assess your range of motion, strength, and flexibility, and develop a tailored rehabilitation program. This program may include:
1. Stretching Exercises: To improve flexibility in the hip and surrounding muscles, which may help alleviate tightness and discomfort.


2. Strengthening Exercises: Focusing on the gluteal muscles and core stability can help support the pelvis and improve overall hip function.

3. Manual Therapy: Techniques such as massage or joint mobilization can help relieve muscle tightness and improve mobility.

4. Postural Training: Since you mentioned discomfort after sitting for long periods, learning proper posture and ergonomic adjustments can help reduce strain on the hip.

5. Activity Modification: Gradually returning to activities while avoiding movements that exacerbate your symptoms is crucial.
6. Pain Management: Continuing with anti-inflammatory medications like ibuprofen, as prescribed, can help manage pain and inflammation during your recovery.

It is also important to monitor your symptoms closely. If you notice any worsening of pain, increased numbness, or changes in your ability to walk, you should follow up with your healthcare provider promptly.
In summary, while your initial injury was to the ankle, the resulting hip pain and discomfort may be due to muscle strain or imbalance. A thorough evaluation, possibly including an MRI, followed by a structured physical therapy program, will be key to your recovery. It is essential to listen to your body and give it the time it needs to heal properly.