Orthopedic Disorders
Question #9015
19 days ago
60,411

Sprain - #9015

Anonymously

A few days ago, I sprained my ankle while playing basketball with some friends. I didn’t twist it too badly, but I felt a sharp pain right after landing awkwardly. At first, I thought it was just a little tweak and that it would go away in a few minutes. However, the pain didn’t subside, and my ankle started swelling up. I immediately sat down and tried to ice it, but it was still quite painful even after resting for a while. The next day, I could barely walk, and I noticed the swelling and bruising around my ankle was worse. I’ve been keeping it elevated and using ice for the past couple of days, but the pain hasn’t completely gone away, and it’s still hard to walk without limping. I’ve been wondering if this is just a mild sprain or something more serious. From what I’ve read, a sprain occurs when the ligaments in the ankle are stretched or torn, but I’m not sure how to tell if this is a Grade 1 (mild) sprain, a Grade 2 (moderate), or even a Grade 3 (severe). I’ve had a few minor injuries in the past, but nothing this painful or swollen. The pain seems to get worse if I try to walk or put pressure on the foot, and I haven’t been able to do my usual activities. I’m also concerned that if I don’t treat it properly, it could cause long-term issues like instability in my ankle. The doctor I saw briefly mentioned that I should follow the R.I.C.E. method (Rest, Ice, Compression, Elevation) and avoid putting weight on it, but I’m not sure how long I should rest before trying to move it again. Is there a risk of further injury if I try to walk on it too soon? I’ve been using a compression bandage to help with the swelling, but I’m unsure if that’s helping or if I should be using something like a brace for better support. My main concern is how long I should wait before returning to my normal routine, including exercise and sports. Also, I’ve read that if the swelling doesn’t go down after a few days, or if the pain increases, I might need an X-ray to rule out a fracture. I haven’t had any difficulty moving my toes, and there’s no sharp pain in the bone itself, but I’m wondering if I should ask for further imaging just to be sure. How do I know when it’s safe to stop resting and start using my ankle again without causing further damage? If the sprain is mild, should I expect to be back to normal soon, or does it typically take longer to heal? Has anyone else dealt with a sprain that didn’t improve right away? I’m trying to be patient, but the pain and swelling are still there, and I just want to make sure I’m doing the right things to speed up my recovery.

Sprain
Ankle sprain
Swelling
Rice method
Sprain recovery
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Doctors’ responses

Dr. Evgeny Arsentev
I am a highly qualified medical professional with over 15 years of experience in General Medicine. My expertise spans diagnosing and treating a wide range of conditions, providing evidence-based care, and mentoring junior doctors. I am dedicated to ensuring patient well-being through a combination of clinical skills and compassionate care.
18 days ago
Based on your description, it sounds like you have a moderate ankle sprain, with symptoms of swelling, bruising, and significant pain when trying to walk. It's good that you have already implemented the R.I.C.E. method, as this is an essential first aid step. The classification of ankle sprains is as follows: - Grade 1 (mild): Mild pain and swelling; no significant loss of function. - Grade 2 (moderate): Moderate pain, swelling, bruising; some loss of function and instability. - Grade 3 (severe): Complete tear of the ligament; significant swelling, pain, and instability. Given that you're experiencing significant pain and difficulty walking, it's important to consider that your sprain may be more than mild. However, making a determination about the severity requires a clinical evaluation, including potentially imaging such as an X-ray, especially if you continue to experience significant swelling and pain. Here are some clear steps you can take to aid your recovery: 1. **Continue Resting**: Avoid putting weight on the ankle as much as possible for the next few days. If you can, use crutches or a walking aid to reduce weight on the involved foot. 2. **Ice Application**: Ice the area for 15-20 minutes every 1-2 hours, especially within the first 48 hours post-injury. This will help control swelling and pain. Ensure you wrap the ice in a cloth to avoid frostbite. 3. **Compression**: Continue using a compression bandage. A brace can be beneficial for more support, especially to limit movement while healing. Ensure it’s snug but not so tight that it cuts off circulation. 4. **Elevation**: Keep your ankle elevated above heart level as much as possible, especially while resting or sleeping. This will help reduce swelling. 5. **Monitor Symptoms**: If swelling does not start to decrease within 2 days or if your pain worsens, it would be prudent to seek medical evaluation. An X-ray may be necessary to rule out a fracture, particularly if you are still experiencing significant difficulty walking. 6. **Activity Modification**: Once swelling subsides and pain decreases markedly, you can begin gentle range-of-motion exercises. Gradually increase activity levels as tolerated. Avoid jumping, running, or high-impact activities until fully healed. 7. **Return to Sports**: Full recovery can vary widely based on the severity of the injury. Generally, a mild sprain may take a week or two, while moderate sprains can take several weeks. Gradual reintroduction to sports should occur only when you have full range of motion, minimal to no pain, and can bear weight comfortably. Remember, if you experience any new symptoms, such as increased pain, inability to move the ankle, numbness, or changes in your toes' color, seek immediate medical care. Ensuring you don't rush back to sports too early is crucial in preventing further injury or long-term issues with ankle stability. Patience is key during your recovery. Following these guidelines will help you heal more effectively. If improvement isn't seen soon or if you're concerned, consult your healthcare provider for further evaluation and possible imaging.
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