Brief Answer:
Too much too soon

Detailed Answer:
Hello,
Thank you for your query.
I'm Dr. Shuba Hariprasad and will be answering your query today.

I believe that you may have done too much too soon.
Resuming an active lifestyle after 2weeks of rest and medical therapy is fine but the activities need to be started slow and gradually increased in intensity over a few weeks.

A burning sensation that occurs after physical exertion is due to over strain and is not part of the healing process.

I suggest that you rest your ankle for a couple of days and resume mild activity. Monitor the duration and Intensity of activity.
Notice when your ankle feels uncomfortable. Stop and go back one level for a few days and gradually increase.

If you notice that this limitation persists more than a month, you will need to see an orthopedic doctor to check for the cause & you may need physiotherapy.

I understand your anxiety. However, please note that recurrent stress to the injured joint may lead to chronic inflammation and pain with extended recovery period.

It is frustrating when one part of your body doesn't cooperate with the rest. I assure you that being aware or the limitations posed by your injured ankle and taking it slow, listening to your body's caution signs will help in the long run.

I recommend :
-rest for 2 days, with ice and elevation

-resume activity at a comfortable pace and slowly increase it. Maintain a log of the intensity, duration and any discomfort, if it occurs.

-warm up - stretches of all joints and warm up exercises before your actual work out.

-supportive shoes

-avoid high impact (on joints) exercise for 2 months like jogging or treadmil. Walking, swimming is fine.

-take a calcium supplement with vitamin D (if you don't already)

If you find that you pain worsens or limits your activities inspite of trying the above measures, see your doctor.
Hope this helps.
Please let me know if there is anything else I can help you with.
Regards,
Dr.Shuba Hariprasad

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Brief Answer:
One week

Detailed Answer:
Hello,
Thank you for the follow up.

Wearing an ankle brace supports the ankle offering it some level of protection from strain and further injury.
It thus helps prevent (to a certain extent, depending on severity of injury and intensity of activity) and protect the ankle from further injury and helps with recovery and it's duration

For instance, if you were to walk at a moderate speed for 10 - 15 minutes, it will help but if you were to run a marathon, won't help much.

I suggest that you wear the ankle brace for one week and see how it goes. If you feel discomfort or pain after you remove it and exercise, wear it for a week longer.

Hope this helps.
Please let me know if there is anything else I can help you with.
Wish you well.
Regards,
Dr. Shuba Hariprasad

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Brief Answer:
Celebrex & anti inflammatory gels

Detailed Answer:
Hello,
If you have swelling, you have to reduce your activity further. Swelling is a sign of tissue injury & strain.
If persistent, it will hinder the healing process.
Some amount of swelling is expected, but if it occurs or increases after exercise, you are doing too much too soon.
Take frequent breaks. While resting keep your foot above hip level to reduce swelling.
Also make sure the brace is not too tight. You should be able to snugly yet comfortably slide two fingers (both touching your skin/brace) in between the brace an ankle.
If too tight, may obstruct blood flow and if too loose, won't provide enough support.

Yes celebrex (celecoxib) will definitely help. 200mg twice a day with meals for 3 days after which you can take it if you have pain.
Apply local anti inflammatory gels (containing diclofenac or methyl salicylic acid) after a warm compress. Apply gently in circular motion over affected area.
An hour after this, apply ice pack (covered in a thin cloth) for 15-20 minutes. Do this 3 times (at least twice) a day

Do not soak your legs in warm water. Use a hot towel or hot water bag to give the warm compresses prior to application of the gel.
You may continue your supplements.

Hope this helps.
Please let me know if there is anything else I can help you with.
Best wishes and speedy recovery.
Regards,
Dr. Shuba Hariprasad

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Brief Answer:
Hope you feel better soon Ms. XXXXXXX

Detailed Answer:
You are most welcome.
I would be happy to help if you need anything else.

I believe understanding creates awareness and that is the key to recovery and continued good health.
Best wishes,
Regards,
Dr. Shuba Hariprasad

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