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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Ankle Sprain

Ankle sprain: My 16 year-old daughter was standing on her bed adjusting a push-in that held a poster in place last night when she fell off. She claims to have injured the outside of her right ankle at the base near the top of the foot. I inspected it. No discoloration, swelling, bruising, inflammation or instability was found. I had her ice it and gave her two Motrin to get her through the night. She appeared to sleep well in spite of it. This morning she was hopping around on the ankle, claiming she couldn't put weight on it. I told her to stay in bed and elevate the ankle, and continue to ice it. I also told her she needs to try to move her ankle as it could be a mild sprain and just needs to be worked out. I inspected the ankle again, and there was no swelling, discoloration, bruising, inflammation or instability present.
She insists that she has fractured it, and wants to argue with me about getting it x-rayed.
So, I need your advice as to whether or not we need to go this far with it or not. I think rest, ice and stretching are going to be the antidote.
Please advice
Wed, 26 Nov 2014
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Pediatrician 's  Response
Our body is made of the bones as well as the soft tissue surrounding the bones. Unlike the bones that are visible in the x ray, these soft tissues that consist of the ligaments (structures connecting two bones) or tendons (the tough condensed ends of the muscles joined to the bone), are not visible in the x ray plate. If a fracture occurs, a plaster is done, but if soft tissue injury occurs, at least crepe bandage may be applied to immobilise the area so that it can heal fast. Application of ice provides relief. I would strongly suggest that you get an x ray done and visit a doctor with the report. Please continue applying ice as well as hot compress. I would not suggest stretching without the guidance of a doctor or a physical therapist.
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Suggest Treatment For Ankle Sprain

Our body is made of the bones as well as the soft tissue surrounding the bones. Unlike the bones that are visible in the x ray, these soft tissues that consist of the ligaments (structures connecting two bones) or tendons (the tough condensed ends of the muscles joined to the bone), are not visible in the x ray plate. If a fracture occurs, a plaster is done, but if soft tissue injury occurs, at least crepe bandage may be applied to immobilise the area so that it can heal fast. Application of ice provides relief. I would strongly suggest that you get an x ray done and visit a doctor with the report. Please continue applying ice as well as hot compress. I would not suggest stretching without the guidance of a doctor or a physical therapist.