Ankle Hurts to Walk On; no Swelling or Bruising

by Angelica

Ankle Hurts to Walk On; no Swelling or Bruising

One week ago, I was walking on an even surface in platforms and fell, my ankle rolled outwards and my foot was bent towards my other foot (so inwards), I felt a sharp pain but just walked it off and all was good.

Fast forward exactly one week later; my ankle hurts to walk on. I have no idea if the pain is coming from that fall, but I haven't done anything remotely damaging to my foot in general since then.

It hurt too much to walk on continuously so I was limping and hopping to get to places. It is not bruised or swollen so I thought it would pass the next day.

Fast forward three days later and the pain is still here. I've rested, iced, compressed and elevated but the pain doesn't seem to want to go away for anymore than a few minutes after this process.

I have absolutely no idea what is wrong. It's not bruised or swollen, nor does the skin feel tender to touch.

Hello Angelica,
The news is basically good; almost no likelihood of fracture, or sprain for that matter.

But clearly one of the small joints in the ankle has become subluxated; when you weight bear it causes the sharp pain.

Whilst there's nothing simple in health care, this is probably routine; you need to find a chiropractor who works a lot with feet. Shop around.

If you do nothing, immobilisation arthritis will set in, and it'll look like the enclosed scan in a few years time.

It's probably in the ankle mortise joint, or the subtalar joint, but could be any one of many. A careful, thorough examination is called for and, like I said, I think it's likely to be routine to fix. Don't sign up for thirty treatments! Not in this instance, nor ever.

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Nov 18, 2016
by: Rolled my ankle extreme pain walking

Hello. My name is Kaili. Yesterday in gym when we were running I rolled on my ankle. It really hurts. It is not swollen or bruised but it hurts extremely when I walk on it. My mom won't take me to the doctor and I can't take myself since I am only 13. I am like 95% sure that I need crutches because the pain is unbearable. What should I do?

Hello Kaili,
When you roll your ankle, several things can happen. Torn ligaments or a tendon for example, then there will be swelling and often internal bleeding; it goes black and blue, and then yellow.

The other thing that often happens is a bone, usually the talus, subluxates giving the very sharp pain when you walk on it.

Usually it's a very simple procedure to reduce the subluxation, only a couple treatments, and then some exercises.

But you will have to allow the doctor to use his discretion; he may feel there's a possibilty of fracture, and will want an x-ray.

My recommendation is to ice it, wiggle it about, and do our alphabet exercises and give it a few days. If it's still really sore after say 5-7 days, then it's best to have a professional examine your ankle; someone who works with feet every day. The average medical doctor and chiropractor probably won't know too much. Your folks will have to scout about and find someone who is knowledgeable about ankles.

Most commonly it's the ankle mortise joint that is affected, though others can be affected.

Perhaps print this out, and let Mom read it. Let me know how you get on.

Remember the 50 percent less pain rule. The pain goes away much faster than it heals; if you turn it again in the next few weeks then it'll certainly be a problem.

Good luck.

Dr B

Nov 04, 2016
ankle hurts
by: Anonymous

My ankle hurts really badly, but there is no swelling or bruising.

Start with an x-ray, it's probably an old injury.

Do your best to locate as accurately as you can where the pain is.

Then work out which movements provoke the pain; are any of them limited?

Let me know.

Dr B

Oct 12, 2016
Ankle problems with running
by: Brandon

I've had this same problem; it's been 4 weeks and it really hurts but there was never any bruising or swelling I run cross country and it really hurts.

Hello Brandon,
There are many possibilities depending on old injuries, etc but most likely you have subluxated talus or calcaneus.

Generally these are not difficult to manage, but of course there may be other stuff lurking.

Best get to see someone who works with feet and ankles; talk to your friends and family; and your GP.

Let me know how you get on.

Dr B

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Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost painfree. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.

5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.  

10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.

13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.

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