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Ankle sprain is one of the most common sports and activity related injuries. Have the foot roll in or out during the injury with a “pop” is common with ankle sprain, The number of ligaments torn with the injury determine the grade of sprain. Immediate and large swelling and bruising from the toes to the middle leg is common. Pain with motion, or ambulation is expected initially after injury. If there is tenderness over the bone region of the ankle, a X-ray may be needed to determine if a fracture occurred. Examination from the doctor and possibly X-rays
are usually all that is required. In rare cases MRI may be needed. Depending on the patient age, activity, and grade of sprain, will determine treatment and duration for recovery or return to activity.
Bracing, limited weight bearing, ICE, NSAIDS, elevation, and physical therapy, are the most common treatments. In rare cases injections such are PRP, or surgery for recurrent instability are indicated. Swelling in the ankle is common and can last 6-9 months after the injury, even after return to activity or sport. Bracing may be required for initial return to activity or sport.
Tendons in the ankle can be injured from activity or trauma. Many common tendon injuries or issues occur from overuse, or chronic repetitive activity. Pain and swelling on or around tendons can indicate inflammation or partial tearing. Pain with walking or activity is common.
Flattening of the arch of the foot, or malposition of the heal can be signs of chronic tendon injury. Examination from the doctor, xrays, and MRI, may be needed to confirm the diagnosis. Depending on how long the symptoms have occurred, the activity of the patient, and severity
of tendon damage, will determine treatment recommendations. Brace or orthotics, rest, limited weight bearing, physical therapy, injections, PRP, and surgery are possible treatments.
Fractures of the bones around the ankle can occur from trauma or activity related injuries. Pain, swelling, bruising, tenderness over the bone, limited ability to walk, and “pop” or ankle deformity, are all signs of possible fracture. Depending on how the bone is broken, which
bones are broken, and the displacement of the fracture, will determine treatment. Examination from the doctor and x-rays are used to confirm the diagnosis. Bracing, casting, ICE, elevation, limited weight bearing, and surgery are treatment options. Weight bearing may be limited for 4-6 weeks depending on the fracture. Pain, stiffness, and prolonged swelling for 6-9 months are common after ankle fracture.