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What to do for ankle pain and swelling after injury from two months ago?
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Bone and Orthopedic Conditions
Question #30233
145 days ago
401

What to do for ankle pain and swelling after injury from two months ago?

Client_d2c590

Yes I was moving stuff 2 months ago and went to step up on to a concrete porch and hit the side of my ankle off the concrete and scraped it. My ankle hurt for a little bit after and then felt better but was swollen for a few days. Now that it is warmer outside I have been taking my dog for walks everyday for 2 to 3 miles and since then my ankle has started to hurt when I am walking and sometimes still when I am resting and it is a little swollen again.

How would you describe the pain in your ankle now?:

- Intermittent

Is the swelling constant or does it come and go?:

- Comes and goes

Have you noticed any stiffness in your ankle?:

- No, it feels normal

Does the pain radiate to other areas?:

- No, it stays in the ankle

Have you tried any treatments for the pain or swelling?:

- Rest and ice

How often do you experience pain when walking?:

- Every time

Do you have any history of ankle injuries or conditions?:

- No, this is my first injury
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Doctors' responses

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

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The persistence of pain and swelling in your ankle, especially after a previous injury, suggests that there may be an underlying issue that wasn’t fully addressed initially. It’s possible that you may have a lingering soft tissue injury, such as a sprain or even a less common fracture, that has been aggravated by increased activity. First, it’s crucial to reduce activities that exacerbate the pain, like long walks, to prevent further strain. The R.I.C.E. method—Rest, Ice, Compression, Elevation—can be helpful to manage swelling and pain. Apply ice packs for 15-20 minutes several times a day and use a compression bandage to reduce swelling, but ensure it’s not too tight. Elevate your ankle when possible to decrease swelling. Over-the-counter pain relievers like ibuprofen or acetaminophen can also be considered for pain management, but be mindful of their usage, especially if you have any underlying conditions or contraindications. Additionally, consider consulting a healthcare professional for a thorough evaluation. An X-ray or MRI might be necessary to rule out fractures or to assess for any ligamentous damage. Persistent ankle pain and swelling can sometimes point to more severe conditions like chronic instability or even early arthritis, especially if there’s a history of repetitive strain. Your provider may recommend physiotherapy to strengthen and stabilize your ankle. This could help you to regain normal function and prevent further injuries. If symptoms worsen or do not improve within a few weeks with conservative management, a more detailed examination is warranted to rule out more serious concerns. Managing your activities and following a regime focused on recovery will be key in your situation.

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