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Suggest Treatment For Ankle Pain Post An Accident

Posted on Fri, 19 Feb 2016

Question: Hello, My wife met an accident this morning. She had injuries towards the ankle and minor near the knees. We had the first aid done. She is currently starting to feel a lot of pain near the ankle joint. She took an anti biotic and a pain killer, but the pain is not residing. Can you advice something.

Answered by Dr. Aashish Raghu (2 hours later)

Brief Answer:
Follow these precautions. Get an Xray for fracture, dislocation. Medication

Detailed Answer:
Hi XXXXXXX

Thanks for the query.

Has your wife gotten an ankle Xray?

Does she twist the ankle?

Is any bone exposed at the ankle wound?

I have read your query and reviewed the attached photograph. It appears that she has sustained wound on the ankle region. There does not appear to be much swelling.

In the setting of road traffic accidents, it is best to get a thorough evaluation of the injuries and also required Xrays and related investigations to rule out severe ankle sprain, ankle Fractures or dislocation.

As of now she can keep the legs elevated over a couple of pillows. She can apply a dry, cold pack to the painful region for pain relief. If she isn't on any medication, she can take Tablet Ibuprofen 400mg twice a day for 5 days after meals and Tablet Rantac 150mg twice a week for 5 days ,half an hour before meals. These measures shall give her considerable relief. In the meantime, kindly get an Xray done of her ankle joint. Avoid her putting any weight on the affected ankle for about 10 days.

Kindly answer my queries for me to have a better understanding of the injury and guide you in the right direction for her diagnosis and treatment.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Dr. Aashish Raghu

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Aashish Raghu (24 hours later)

Thank u doc. Here is the film of the xray for your reference. The reports will only be available tomorrow, since its a Sunday. Can you advice something from this.

Answered by Dr. Aashish Raghu (1 hour later)

Brief Answer:
No fracture

Detailed Answer:
Hi there.

Thanks for uploading the reports.

I do not see any obvious bony injury or fracture. You can rest your concerns for the same. She has some soft tissue swelling which is why she has the pain.

Let her keep the leg elevated on a pillow, apply ice, take pain killers. In a week she should be fine.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Aashish Raghu (12 hours later)

Can she apply water on it and dressing was initial one, do we need to dressed it again

Answered by Dr. Aashish Raghu (11 hours later)

Brief Answer:
Keep the wound clean and dry. Do alternate day dressing

Detailed Answer:
Kindly do not apply water on or near the wound since it would contaminate the wound arms cause infection.

The dressing can be done every alternate day till it heals.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Aashish Raghu (1 hour later)

Thanks doc. Can you suggest any alternativ medicine, since this not providing any much relief. Also she is experiencing a lot of pain while trying to walk. Hoping this is fine.e

Answered by Dr. Aashish Raghu (16 minutes later)

Brief Answer:
Tablet Chymoral DS or Tablet Chymoral BR

Detailed Answer:
She can also take Tablet Chymoral DS or Tablet Chymoral BR, thrice a day for 5 days. This will significantly reduce the swelling and pain associated with the injury. She can weak an ankle binder if she feels instability at the ankle.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Vaishalee Punj