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Ankle sprain (soft tissue injury)
Dear Sir/Madam,
It's been 7 months since i twisted my right ankle (while landing after a jump) when I was playing badminton. MRI scan report taken after a month post injury said I had grade 1 and grade 2 ligament tears and micro fractures in talus bone. Visited a couple of orthopedics who suggested me to wear an ankle binder , keep ice packs and prescribed collagen tablets . Swelling has come down by almost 90% but I keep getting on and off pain and a feeling of discomfort while walking especially on any uneven surface and while doing strengthening excercise. Last week I have taken six sessions of physiotherapy as well which included cold laser, IFT, short wave diathermy and ultrasound but to no much benefit.
As I badly want to get back to sports what should I do ?
1) Should I have gotten a cast right after injury instead of an ankle binder?
2) Why is it taking so long to completely recover. Is it because the ligament tear has not healed properly?
3) How much walking is recommended?
Hi.. I am a foot and ankle specialist and I see a lot of patients with a similar history and pain profile.
An MRI is a static investigation and can talk about sprain, tear, tendonosis but not loosening of the ligament (the ligament may stretch and thin out during the injury and may appear as a sprain, especially if the MRI was done more than 3 weeks late)
You will need a proper examination by a foot and ankle specialist in your city (in Mumbai you are free to consult me)
Proprioceptive physiotherapy can give your good relief. In an athlete, if the ankle is found to be loose on examination , a small surgical procedure can get back your ankle to full stability (much like an ACL surgery in the knee can gets athletes back to full function)
Foot an ankle in one of the most neglected branch in Orthopaedics and that is the reason why most ankle sprains are under treated.
Next Steps
Consult with a foot and ankle specialist in your city
Health Tips
Regular exercise can help for your body to adapt to the loose ankle.
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Ligaments normally heal by scarring. So there is a possibility of it being a persistent source of pain. It is important to know if you have pain only or if it is associated with instability/ give way. Difficulty in walking on uneven surface specifically occurs due to lateral ligament injury as in your case. It needs careful clinical examination to look at possible source of pain as they can be few. Non operative treatment mainly includes rest, pain killers, ankle brace and physiotherapy (perineal tendon strengthening and proprioceptive training- to be specific). If it doesnât work, In some cases steroid injection in joint may be used. And finally surgery may be needed if everything else fails- key hole surgery to clean the ankle joint and ligament reconstruction.
Next Steps
Physiotherapy and ankle brace
Health Tips
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Hello sir,
Needs proper history and clinical discussion, please consult on my personal app, its completely free.
*You can have chat or video call discussion*
http://arth.link/drortho
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https://play.google.com/store/apps/details?id=tech.arth.drjaideepgaver
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