Sprained ankle that is long to heal

by My
(Viet Nam)

X-ray of the ankle

X-ray of the ankle

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 Barrie Lewis








»


» 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.

Sprained ankle untreated

X-ray of the ankle

X-ray of the ankle

Sprained ankle untreated now foot discomfort

Hi
I was walking nad went one step up only to miss a side of a step and landed on the widther side which was a bit deeper, of the steps on the same time a huge stone,like a moutain type of stone

was the I lended on it with the left foot and my ankle bend to the inner side nearly broken, for a few minutes I felt hot sensation, but after 5 minutes was very painful, got home did not sleep,is like I felt my blood passing thru, that breathing type of sensation,

the next morning it was swallon could not see the side bones, it took about twoo weeks, walking painfully, but healed. Sort of healed, now is been a year and a half still untreated, so I have discomforts on the same footsince then,

but sometimes I'm fine, comes occasionally, but everytime I wake up and try to stand or walk, I feel pain, or discomfort, in the middle of my foot, more like in between bones or tissues, I can't feel pain when touching butwhen I walk, that middle muscle that streches,somewere inside the Deltoit ligament the one that goes on the middle upper side of the foot, or maybe is the painful one,thanks for the pics the help.

Please help.it feels like is now a long term thing.Since I tripped I had this pain for almost two years now, but never put it together that I was that ancident, sometimes after walking a long distance, both my feet can't take it, I am thinking when am I getting to were I am going,the left foot get more tired that the other





Hello,
The ankle and foot is a very complex organ, and when you sprain your ankle like you did, many things can happen.

Perhaps there's a fracture lurking, sprained ligaments, pulled muscles and injured joints.

I'm afraid that without a careful and thorough examination, no one will no exactly what your problem is. Obviously something.

It's naughty to not have such a serious injury unexamined, and untreated. You may have a disabling ankle / foot pain for the rest of your life.

Start looking for someone who knows about feet. It may be difficult. What you don't need is pills. A good examination: what's wrong! That's what's needed.

Good luck.

Dr Barrie Lewis




Go from Sprained ankle untreated to Chiropractic Tips …

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.

Untreated sprained ankle

by Destiny
(Kentucky)

Ankle fracture

Ankle fracture

I sprained my ankle a couple years ago; I did nothing about it but rest it. About a year ago I sprained it again on a walk, like fall to the ground sprain. I got up and walked home and told everyone I was fine. The ankle never healed.

In the winter it is so sore, and I still have swelling in the ankle and around my lower leg, like very lower leg. I wrap it sometimes, but this doesn't really take care of the pain I still get. Is it possible to see a Dr at this point and get a referral for a specialist? Can therapy help after this long of not getting help?





Hello Destiny,
A careful, thorough examination, that will probably include xrays is long overdue.

Whenever you have an injury and you know you're not getting better, then the longer you delay, the greater chance you'll have a life long disability. I'm don't believe in rushing off to the doctor or chiropractor for every little pain, but a year is far too long.

In the first instance, you need a diagnosis, then one can start to think about the appropriate treatment.

Do it, soon. Keeping to this thread, let us know what comes of the examination.

Medic? Chiro? Your choice.

Dr Barrie Lewis


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.

I sprained my ankle

I sprained my ankle when I was 20 years old I am now 43, and since then I occasionally step on it wrong and I can hear my ankle pop out of socket then back in again and my ankle is sprained again.

When it pops out and back in you can hear it and the pain is very intense. The last time I did it I broke out in a sweat and felt nauseous and almost passed out. Because of this I can't even sit Indian style with my legs crossed because if I lean forward a little my ankle will pop out and back into socket again leaving me with a sprained ankle. What advise can you give me on what I should do to prevent it and also how long should I ice it for?





Hello,
It sounds like your ankle isn't actually spraining, but one of the bones is subluxating which can certainly be extremely painful, especially if you are standing.

I would suggest you start by doing the "alphabet exercises". Since on a normal chair with your foot off the floor. Raise the toes maximally, and dorsiflex the ankle; bring it towards your head. Now paint the letter capital A in the air, trying to move all parts of the foot and ankle, including the toes. Now a B... and so on.

Try to get through the whole alphabet each day. Do you get a painful click whilst doing this?

If this all happened twenty years ago it may be arthritic now; perhaps it's time for an x-ray.

It's probably the ankle mortice joint, or subtalar joints; look these terms up at our sprained ankle page.

What's really needed is a careful and thorough examination leading to a diagnosis; look for a chiropractor who works with feet.

Good luck! This really can be very painful and will probably get worse if you do nothing; try and avoid a fusion of the joint.

Dr Barrie Lewis



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.

Badly sprained foot after six weeks

by Julie

Swollen foot

Swollen foot

I wrote in earlier regarding a badly sprained foot, having tripped over a Chinese rug. I have attached a couple of photos now it has nearly been six weeks and a photo of my normal foot and the original photo after just three days. Should I keep off it until all the swelling goes.

I still have slight bruising. Movement isn't too bad but it is still slightly tender on the ankle side and inflamed. I am still massaging it gently with arnica oil and warm foot baths. Do you think that I should seek medical advice now as it has been such a long time or is this normal after such a bad sprain and to carry on with what I am doing? The bruising on my leg is from crawling on the floor and has nothing to do with the original injury.

Thank you so much and I am sorry to bother you again.

Kind Regards

Julie





Hello Julie,
This was a serious injury. I really needs to be evaluated by a competent professional; you don't want to be crawling on the floor for the rest of your life; it happens.

It may be badly torn ligaments, but you could very easily have nasty fractures in there.

Can you place full weight on the leg now?

Keep to this thread if adding new comments.

Dr Barrie Lewis



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.

Badly sprained my left foot five weeks ago.

by Julie

Swollen foot

Swollen foot

I tripped over a Chinese rug and nearly passed out. I went to the hospital after a week of keeping my foot raised and not putting any weight on it. I plunged it into cold water every two hours and strapped it with crepe bandage. It swelled like a barrage balloon the next morning.

I had three x rays at hospital and was told that it wasn't broken but badly sprained and to keep off it a further two weeks. They strapped it up forcing my toes towards my leg and told me to keep that on for three days. I continued to do RICE and kept off it for a further four weeks as it was still swollen and bruised by the heel and along the side of foot by the ankle was extremely tender.

It was tender to touch along the top of the foot also where thee was yellow bruising and a smarting sensation by the heel. I also continued to spray it with arnica which helped with the swelling. In the last week I have put the water jets on in the bath as this was not possible before as the foot was too tender. I can move my toes and move it backwards and forwards but the heel is still swollen and bruised slightly, although this is less so.

I have also been using warm water treatment in the last week and this seems to help it considerably and also lightly massaging it with arnica oil.

My concern is should I put weight on it now and ease myself into walking properly as it has been five weeks? I have managed to do slight exercises with the foot and I can move my toes freely and move the foot up and down and to the side. My concern is that it is still swollen by the heel and I am still experiencing a smarting almost like someone is pricking my foot with a needle sensation on occasion by the heel. It is still slightly swollen by the ankle also.

The photograph is of my foot three days after spraining my foot and before the bruising came out by the heel and at the side of the foot.I would say it has reduced by 80%. When it is not in a raised position it goes red and starts swelling on top of the foot and towards the toes.

Any advice would be greatly appreciated.

Kind regards





That's a beauty, Julie!

I think you can probably safely assume there's nothing broken. Xrays of ankles are notoriously difficult; if you are still concerned you'll have to ask for a CT. But probably three different radiologists, if one was concerned he would already have recommended a scan.

You're doing the right things but it was obviously a very bad injury. It's obviously improving, albeit slowly.

My main concern is that after five weeks you are still getting sharp stabs; that probably means you have subluxated one of the ankle joints, probably the subtalar is down by the heel.

It's very important you make the ankle move now, preferably non weight bearing. Do the alphabet exercises you'll find at Chiropractic Help regularly.

If you continue to have those sharp stabs then start looking for a chiropractor who works with feet. Take the xrays with you. Probably best to keep using a crutch.

Get rid of the Chinese carpet!

I hope this contributes.

Dr Barrie Lewis



Comments for Badly sprained my left foot five weeks ago.

Average Rating starstarstarstarstar

Click here to add your own comments

Aug 29, 2018
Rating
starstarstarstarstar
Recovery Update
by: Anonymous

Having recently received a comment after my original statement back in 2015, I thought I would give an update on my recovery.

I massaged my foot religiously everyday to reduce the scar tissue and moved my foot in accordance to the alphabet. I continued to have the water jets on in the bath and this eased the pain considerably in the latter weeks before seeing a doctor at week 6. He informed me that it was now time to start walking on the foot. I went home and eased myself into this as it was extremely stiff. When I first put weight onto the foot I felt sick and had tremendous pins and needles. After two weeks of sitting on a chair and bringing my foot back towards the chair because believe it or not this was impossible to begin with, I took the plunge and stood on it. It appeared to be fine and I could walk up the stairs with ease. However, after a day of just periodically walking it swelled from the foot right up to the knee and remained like that for two days. I went to a physio therapist at week 9 and a half and he put me through my paces, doing exercises and told me to only slightly bear weight onto the foot. I am not going to lie but it hurt like hell. With the help of crutches I walked everyday but again only putting partial weight onto the foot. I had several sessions with the physio who told me what to do at home and to have a regime where I walked everyday and a little bit further everyday.

After three and a half months I could drive, but my foot was still weak and it dithered on the clutch, so I couldn't go long distances as it ached. It took five months before I was confident enough to drive a fair distance.

I suppose it took eight months to walk anywhere near like before and it took over 12 months to walk without any pain whatsoever. It is now over three years and I can walk extremely well. I took it very slowly and I am grateful for doing that, and of course the massaging helped with scar tissue. My knee aches some days and I was told this may be normal after such an injury but it is very rare.

The body is a wonderful thing if you give it time to heal, and with a serious injury you cannot rush or be in patient. I feel very lucky, that I haven't really got any side effects, not yet anyway. My advice to anyone is give your injury time to heal and you will reap the rewards for your patience. Rush it and you will live to regret it.


Dr. Barrie Lewis Dr. Barrie Lewis


Hello Julie,
I've been wondering what progress you continue to have. Injuries like this sometimes leave their mark on you. Keep up the range of motion exercises daily and watch your weight. The loss of activity over that time often tends to add on pounds and that would be disastrous for your foot and ankle.

Keep well.


Aug 29, 2018
Rating
starstarstarstarstar
Sprained ankle response
by: Anonymous

If it still hurts I would ask the Dr. About CRPS/RSD. I sprained my ankle and was in pt for 5 months with it getting worse. I Was diagnosed with crps. Good luck.



Dr. Barrie Lewis Dr. Barrie Lewis


The C stands for complex and it certainly is all of that.

May 18, 2015
Rating
starstarstarstarstar
Badly sprained left foot.
by: Anonymous

Thank you for your comments. Yes, it was a simple action that has cost me five weeks of my life so far, made worse by living on your own. I have had the Chinese rung for 24 years and I have never tripped over it in all that time.

Thank you so much for your advice. It is much better but I am still concerned that it is swollen round the ankle. The bruising has gone on the top of the foot but the coloring round the ankle is still visible but faded considerably. I am exercising it everyday and trying to keep it raised as much as I can. I had two x rays initially and then the doctor asked for a third one to be done along the edge of the foot by the ankle. He seemed relieved that it wasn't broken.

I might just visit the doctor and see what he says but it still doesn't look like my foot and I would have thought that it would have improved a lot more by now, but as you said it was a bad sprain. Thank you for coming back to me it is much appreciated. Kind regards Julie.




Pleasure Julie, make sure it gets properly better; something like that can be the beginning of quite serious disability. Then you can't walk properly, limp, put on weight and there's a general knock on to your general health.

Dr B



Click here to add your own 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.