Ankle Injury from Basketball: Persistent Pain and Swelling Solutions

I sprained my ankle while playing basketball last December?

Hello Dr.
Lee: Last year, I sprained my ankle while playing basketball when I stepped on someone else's foot.
At that moment, I heard a tearing sound, and my entire left foot swelled up.
Although I had an X-ray and the doctor said there was no bone injury, the swelling has gone down, but when I lift my left foot while going up the stairs, I hear a popping sound.
Additionally, compared to my right ankle, the left ankle is slightly swollen, and I experience some pain and tightness on both sides of my left ankle while playing basketball.
If I bend my ankle too much, it hurts a bit.
I would appreciate any advice you could provide, Dr.
Lee!

A Zhe, 10~19 year old female. Ask Date: 2012/05/26

Dr. Li Wenlin reply Orthopedics

X-rays are normal, but there is a possibility of ligament injury.
It is advisable to use an ankle brace for three weeks after the initial injury.
If there is chronic inflammation, a local corticosteroid injection may be necessary.

Reply Date: 2012/05/26

More Info

Hello! It sounds like you are experiencing some persistent issues following an ankle injury from playing basketball. Ankle injuries, particularly sprains, are quite common in sports, and they can lead to ongoing pain, swelling, and instability if not properly managed. Let's break down your situation and discuss potential solutions and preventive measures.

Understanding Your Injury
From your description, it seems you sustained a significant ankle sprain, which is characterized by the stretching or tearing of ligaments around the ankle joint. The "tearing" sound you heard at the time of injury is often associated with ligament damage. Although X-rays showed no bone fractures, it's important to recognize that soft tissue injuries can take longer to heal and may lead to chronic issues if not addressed properly.

The persistent pain and swelling you are experiencing, especially when going upstairs or during basketball activities, suggest that there may still be some underlying issues, such as:
1. Ligament Instability: If the ligaments were stretched or torn, they may not have healed properly, leading to instability in the joint.

2. Scar Tissue Formation: After an injury, scar tissue can form, which may restrict movement and cause discomfort.

3. Tendinitis: The surrounding tendons may also become inflamed due to overuse or compensatory movements following the injury.

4. Chronic Inflammation: Ongoing inflammation in the joint can lead to pain and swelling, especially with activity.

Recommended Treatment Options
1. Rest and Activity Modification: It's crucial to allow your ankle to rest, especially if you are experiencing pain during specific movements. Avoid activities that exacerbate the pain, such as jumping or running, until you have a clearer understanding of your condition.

2. Physical Therapy: Engaging in a structured rehabilitation program with a physical therapist can be highly beneficial. They can provide exercises to strengthen the muscles around the ankle, improve flexibility, and restore range of motion. This is essential for regaining stability and preventing future injuries.

3. Ice and Compression: Applying ice to the ankle can help reduce swelling and pain. Use ice for 15-20 minutes several times a day, especially after activities. Compression wraps can also help manage swelling.

4. Strengthening Exercises: Once the acute pain subsides, focus on strengthening the ankle. Exercises such as ankle circles, toe raises, and resistance band exercises can help build strength and stability.

5. Balance Training: Incorporating balance exercises, such as standing on one leg or using a balance board, can improve proprioception and reduce the risk of re-injury.

6. Gradual Return to Activity: When you feel ready, gradually reintroduce basketball and other activities. Start with low-impact exercises and slowly increase intensity as tolerated.

Preventive Measures
To prevent future ankle injuries, consider the following:
- Proper Footwear: Ensure you are wearing appropriate shoes that provide adequate support and cushioning for basketball.

- Warm-Up and Stretching: Always perform a proper warm-up and stretching routine before engaging in sports to prepare your muscles and joints.

- Strength Training: Incorporate strength training for your legs and core to improve overall stability and reduce the risk of injury.

- Listen to Your Body: Pay attention to any signs of discomfort or pain, and do not push through it. Early intervention can prevent more significant issues down the line.

Conclusion
In summary, while your ankle injury may have initially seemed minor, the ongoing symptoms suggest that further attention is needed. A combination of rest, physical therapy, and preventive measures will be key to your recovery. If symptoms persist or worsen, consider consulting a specialist for further evaluation, which may include imaging studies to assess the ligaments and soft tissues more closely. Remember, patience and consistent rehabilitation are crucial for a full recovery. Good luck, and take care of your ankle!

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