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Got Kicked While Playing Soccer. Swelling And Bruising Are Prominent. Medial Malleolus Is Completely Flat. Little Pain. Suggest Medication?

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Posted on Thu, 12 Sep 2013
Question: Playing soccer I got kicked on the inside of my lower XXXXXXX ... Swelling and bruising was very prominent but leg ... Can walk and run but Medial malleolus is completely flat ... It seems weird but very little pain ...?
doctor
Answered by Dr. K. Naga Ravi Prasad (25 minutes later)
Brief Answer:
I suspect medial malleolar fracture.

Detailed Answer:
Hi, thanks for writing to XXXXXXX

This is just to let you know that medial malleolar fractures (especially distal tip fractures) may not give much problem during walking or running because of the fact that the weight bearing axis strain is not passing through it and so even pain could not be felt or very little pain may be seen.

But it will be painful to medio-lateral (varus valgus) strain i.e when the foot is everted, you can feel the pain.

An Xray of the anke is mandatory to diagnose the medial malleolar fracture.

An undisplaced fracture is generally treated in a splint or cast for 4-6 weeks. Displaced fractures may need surgical stabilization.

In the meantime, follow the RICE regime (rest, ice packing,compression bandage & elevation of limb) and analgesics as needed.

Hope I have addressed your query. I welcome any clarifications

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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. K. Naga Ravi Prasad

Orthopaedic Surgeon, Joint Replacement

Practicing since :1996

Answered : 2148 Questions

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Got Kicked While Playing Soccer. Swelling And Bruising Are Prominent. Medial Malleolus Is Completely Flat. Little Pain. Suggest Medication?

Brief Answer:
I suspect medial malleolar fracture.

Detailed Answer:
Hi, thanks for writing to XXXXXXX

This is just to let you know that medial malleolar fractures (especially distal tip fractures) may not give much problem during walking or running because of the fact that the weight bearing axis strain is not passing through it and so even pain could not be felt or very little pain may be seen.

But it will be painful to medio-lateral (varus valgus) strain i.e when the foot is everted, you can feel the pain.

An Xray of the anke is mandatory to diagnose the medial malleolar fracture.

An undisplaced fracture is generally treated in a splint or cast for 4-6 weeks. Displaced fractures may need surgical stabilization.

In the meantime, follow the RICE regime (rest, ice packing,compression bandage & elevation of limb) and analgesics as needed.

Hope I have addressed your query. I welcome any clarifications

Regards