How to treat ankle pain with swelling and instability after a fall? - #29792

Hello dear See as per clinical history it seems presence of Minor sprain due to ligament injury Differential diagnosis includes Tendonitis Minor fracture Iam suggesting some medication and precautions for improvement Please follow them for atleast a week Diclofenac sodium gel topical application twice a day for 15 days Voveron xr 50 mg twice a day for 5 days Hot fomentation application twice a day for 5 days Crave bandage application twice a day for 5 days In addition please get following tests done for confirmation of exact diagnosis and best treatment Please share the result with orthopedic surgeon for better clarity CBC Esr X ray Ankle USG Ct scan of recommended by orthopedic surgeon Hopefully you recover soon Regards

First, it’s important to consider the possibility that you might have an ankle sprain, especially since you mentioned increased pain with activity and a sense of instability in the joint. With ankle injuries, the ligaments that support the ankle may be stretched or torn, and this can lead to the symptoms you’re experiencing, like swelling, redness, and pain. Given what you’ve described, it’s crucial to initiate immediate conservative management. The first step in treating a possible sprain is the R.I.C.E protocol: Rest, Ice, Compression, and Elevation. Rest your ankle by avoiding activities that might exacerbate the injury; this includes steering clear of activities like running or jumping. Apply ice to the affected area for around 15-20 minutes every couple of hours to help manage swelling and pain. Use an elastic bandage, like an Ace wrap, for compression, but ensure it’s snug and not too tight to cut off circulation. Elevating your ankle above the level of your heart whenever possible can also reduce swelling. Over-the-counter pain relievers such as ibuprofen or acetaminophen may aid in managing pain and reducing inflammation, but they should be used according to package instructions unless your doctor says otherwise. If the pain, swelling, or instability doesn’t begin to improve within a week, it’s advised to see a healthcare provider. They may recommend imaging, like an X-ray or MRI, and further evaluate for more extensive injuries or to rule out a fracture or severe ligament damage. Persistent instability could indicate a more significant tear that may require more intensive treatments, such as physical therapy or even surgery in rare cases. Ultimately, the careful monitoring of symptoms and gradual return to activity as healing occurs is crucial to prevent re-injury.