Sprained ankle that is long to heal

by My
(Viet Nam)



I'm 19 and having a 10 month sprain now.
Sprain status: the swelling has decreased by about 90% but it pains inside, and restricts me from walking more than a period of time.

If I walk for more than a certain period of time, I will feel pain and nearly not be able to walk anymore.

At the time the injury occurred I rested, applied r.i.c.e, used a brace then got to go to school. 1 month after that and did have join in some school activities that need quite a lot movement. I think the reason may be because I didn't have COMPLETE REST but I still do some.

I still got to go to school every day now and I'm wondering if I have to drop out of school for half year or one year to cure this
I've seen a lot of doctors and orthopaedics practitioners but it didn't help.
I'm quite afraid that it would affect heavily on my future.

Hope to see your solution.

Hello My,
I think the problem is that the correct diagnosis has not been made, and thus the wrong treatment has been given, or insufficient treatment.

Very occasionally, but it really is rare, a sprain can be so bad that it leaves a permanent mark; that doesn't sound like the case, from what you describe.

It's not impossible that a fracture has been missed; there are many overlapping bones in the foot and ankle, and often the radiologist doesn't see the fracture line. It happens all too frequently, particularly if the xray was taken soon after the fracture, and there hasn't been enough swelling to open the crack and make it visible.

A very common injury is the subluxation of the ankle mortise or subtalar joints. It's not seen on xray usually, and is very painful. I know because I've had it myself. The analysis and and treatment of such subluxations is usually not difficult in the hands of a skilled chiropractor.

Then the cuboid bone can be a devil. It articulates with six different bones and any one of those joints can be problematic.

My suggestions are:
1. Have a second xray taken if one hasn't already been done. Specify as accurately as you can where the pain is.
2. If you can persuade the orthopedist, have a CT scan done. That will find any fracture that may be lurking.
3. See if you can find a chiropractor with a FICS qualification; sports chiropractic.
4. Do our alphabet exercises.

I hope this contributes.

Dr B





»


» Sprain that is long to heal

Click here to post comments

Join in and write your own page! It's easy to do. How? Simply click here to return to Foot and ankle joint pain.


Did you find this page useful? Then perhaps forward it to a suffering friend. Better still, Tweet or Face Book it.


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.



Have a problem that's not getting better? Looking for a different slant on your pain? Want to pose a question?


Interesting questions from visitors

CLS writes:

Greetings, Dr B.
You helped me quite some time back with a soothing and professional response which turned out to be exactly correct. I now consult a local chiropractor. You write a superb newsletter, too.

Your own unresolved problem. Pose a question

Knowing that up to 70% of the time the correct diagnosis is made with no examination, no special tests, no xrays, but just from the history, there's a fair chance I can add some insight to your unresolved problem. But at least 30% of the time, I may be quite wrong! Give plenty of detail if you want a sensible reply.


You visited this chiropractic help site no doubt because you have a problem that is not resolving and want to know more about what chiropractors do.

The quickest and most interesting way is to read one of my ebooks of anecdotes. Described by a reader as gems, both funny and healthful, from the life and work of a chiropractor, you'll love them. Priced right at $2.99, though Kindle fiddles the price without telling me.