Grade 3 sprained ankle with ruptured ATFL

by Belka
(Melbourne, Australia)

2 weeks ago I fell and severely sprained my left ankle. After a few visits to the hospital and GP found out I have a grade 3 sprain and completely ruptured the ATFL.

I am icing my ankle, wearing a camm boot and doing exactly what I'm told by the GP.
I have tried walking without the camm boot, but I get extremely dizzy and feel sick. Is this normal?

Hello Belka,
You shouldn't be walking without the support for the ankle. You're not doing EXACTLY what you were told by the doctor! It's probably the pain that's making you nauseous.

If it really is completely ruptured, it's probably a job for an orthopaedic surgeon. How was the diagnosis made?

Dr B

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Feb 10, 2016
ruptured ATFL
by: Belka

Hi Dr B,
Thanks for the reply. I forgot to mention that the GP told me to try walking around the house without the boot. The diagnosis was made with ultrasound.
I am going back to see GP tomorrow and will be asking for referral to a specialist.
Thanks again.

Pleasure, Belka, let me know how you get on.

One small thought. Invariably when there's a sprain this serious, there will also be a subluxated talus or calcaneus, and sometimes other proximal foot joints. They are the cause of the incredibly sharp pain when weight bearing.

Once that ligament has healed see a FICS trained chiropractor to check for any subluxated ankle joints, or it will become arthritic and never heal properly.

Dr B

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