Ankle injuries are one of the most common presenting injuries to primary care doctors, urgent care, and emergency centers in the United States. The injuries come in a variety of presentations from people limping into an office appointment after rolling their ankle, to dislocated ankle fractures on the football field, or near amputations from motorcycle accidents.

The pain can be severe at times. Typical pain is associated with the swelling and deep tissue bruising associated with the injury. Superficial and deep nerves can be stretched or lacerated leading to neuropathic pain which feels like radiating electric symptoms or numbness and tingling. A person that is ambulating without pain does not typically need an x-ray because the likelihood of a fracture is low.

First-line care includes splinting or bracing the injured ankle with a variety of medical supplies: casts, splints, walking boots, lace-up ankle splints, or air-casts. Elevation is critical during the initial injury period and weeks later to help with pain and swelling. Ice can be utilized during the first week after an injury to help with swelling and pain. Medications are used based on severity to include: Tylenol, nonsteroidal anti-inflammatories, steroids, muscle relaxants, neurotropic pain medications, and narcotics. The classic teaching is Rest, Ice, Compression, and Elevation or R.I.C.E.

Ankle sprains are typically self-limiting processes which can improve over 4-6 weeks. Ankle fractures can be treated successfully without surgery in casts, braces, or walking boots in some instances where the ankle is stable. Unstable ankle fractures are treated with surgery to maintain a reduced ankle, improve alignment, and decrease the risk of arthritis or long-term ankle pain/deformity. If you have an ankle sprain or possible fracture please come and see us for an initial evaluation or seek the help of a medical professional for an appropriate diagnosis and treatment plan.

Want to learn about common sports injuries and learn how to care for them safely?  You should check out the article on Rotator Cuffs.  Been at the gym or around the house lately and feeling some discomfort in your Shoulder.  This article could make a HUGE difference.