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Sprained ankle and its treatment - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   hello
Doctor :   hello
Doctor :   i am D r XXX here
Doctor :   please tell me your query
User :   i have a few injuries i need help with
Doctor :   tell me
User :   if you can tell me what you think is wrong that would be great
User :   first one is my shoulder
User :   Hi I have a right shoulder injury. I injuried it last october. i went to my doctor and he said i had a grade 2 sprain and he put me a sling. Three weeks later i went to my orthopedic doctor and he said it was healed. He took me out of the sling. He said i must have had the injury for a long time and just aggravated it. Well almost a year later i am having serious problems. When ever i move it up and down a lot i get this tense pain on the top of my shoulder . Same thing happens when i move it side to side. Even when i keep it still for a long time it gives me a shooting pain on and around my shoulder. What could be wrong with it.
Doctor :   did you got an x ray done ?
User :   yes when i first injured it and that was it
Doctor :   ok
Doctor :   may i know your age and gender ?
User :   19 male
Doctor :   how did you injure your shoulder ?
User :   i fell on it hard during a soccer game
Doctor :   was an MRI done to see the damage of ligament ?
User :   no my orthopedic doctor said nothing about getting an MRI
Doctor :   well an x ray tells us if any bone is broken or not but and MRI will tell us ligament damage
Doctor :   which seems to be the case
User :   alright i will get that checked out again now for my other injury
Doctor :   sure tell me
User :   I injured my right ankle about a month ago and i got this intense pained when i rolled it and had a limp when i walked it was swollen 10min after i hurt it. I went to the doctor a wk later and had an xray done nothing showed up so he shrugged it off. Well it is still swollen around the ball on the outside of the ankle and it is this faint dark brown color around it. And when ever i have it flat than bend it either to the right or left i got this mild to throbbing pain around the ball of the ankle
Doctor :   looks like a typical case of ligament tear
Doctor :   you need to give it complete rest
Doctor :   it takes time to heal thats the main problem
Doctor :   sometimes up to 6 months
Doctor :   you need to be careful with joint injuries
Doctor :   physiotherapy can help a lot in yoru case
User :   alright but what if i can't give it complete rest due to my job what can i do
Doctor :   is there still swelling ?
User :   yes around the ball of the ankle about the size of half of a golf ball
Doctor :   Put ice on the ankle, Leave it on no longer than 20 minutes. Any longer than that will do more damage than good. Put ice on your ankle two or three times a day to keep the swelling down.
Doctor :   It is best to keep your ankle elevated, for example laying on the couch or in bed. Put a pillow or two under your ankle for more comfort
Doctor :   Do not use any type of compression, like an ace bandage. This can often prolong the pain and the healing of the inflammation
User :   alright thank you so how soon should i see my doctor about my shoulder problem
Doctor :   dont stand for long hours ,Use crutches for support and avoid pressure on the ankle.
Doctor :   well i would suggest you to get an MRI as soon s you can as this problem is really bothering you
Doctor :   that will tell us exactly the extent of damage
Doctor :   your 19 and at this age the healing will be faster
User :   alright so should i also have my doctor check out my ankle while he is checking out my shoulder to make sure or just leave it and take your advice
Doctor :   are you taking any medications ?
User :   no
Doctor :   its always better to have a physical examination of your ankle . i strongly suggest you should show your ankle too
Doctor :   tylenol helps reducing pain. Inflammation, swelling and pain can be reduced with ibuprofen.
Doctor :   you can take them if the pain is too much
User :   oh and one last thing about my shoulder the shoulder that hurts is lower than the other shoulder.
Doctor :   we have ligaments that keep the shoulder in place and during their tear they can cause a depression in the shoulder. do get a repeat x ray if thats possible along with the MRI
Doctor :   sometimes small hairlines fractures can be missed on first X ray
User :   and that can last almost a year after it originally occurred
Doctor :   it usually heals if the fusion is complete , and at 19 the healing of bones if faster too .. you need to not move it much and give it rest
Doctor :   x ray and a MRI will pinpoint the exact cause
Doctor :   and you will be given treatment accordingly
User :   alright thank you so much for the info you have been very helpful
Doctor :   your most welcome
Doctor :   take care of your self
User :   thank you you too
Doctor :   thanks
Doctor :   bye bye
User :   bye
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