ankle sprain... still pain one year later... is surgery a good idea?

by tom
(los angeles)

A year ago I sprained my ankle and it didn't seem very serious at first... I could walk on it but there was some swelling...
unfortunately i didn't get any immediate treatment for it...
I just but laid off of running and biking for several weeks...
when the pain didn't go away i finally saw a doctor who
examined my foot and moved it around...
he said physical therapy might have helped at the outset,
can't be sure, but he said i have an unstable ankle and
if it's painful enough to bother me, i should consider surgery...
he says it's a fairly simple one...

what i'm wondering is... what is the success rate of this
type of surgery for returning to pain-free running and
other sports... what are the risks... could it make the
ankle WORSE in any way (and i don't mean if the surgeon
does a poor job...i guess i just mean chronic feelings of
stiffness, tightness, tingling or whatnot)

I can jog now, but it's a little painful and sometimes the
ankle hurts when I'm not doing anything... I just want to
do what will cause the least pain in the long run...

i don't really have experience with surgery so i'm kind of
flying blind on considering it...

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ankle sprain... still pain one year later... is surgery a good idea?

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Nov 19, 2008
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ankle surgery
by: Bart - SII

The surgery they are likely referring to has a high success rate - in the 90% range. It involves tightening the lateral ligaments in the ankle to reduce laxity and instability. However, I would not recommend surgery to anyone until after they go through an extensive rehabilitation program. Rehab can often improve balance, muscle function, and strength enough to stabilize the ankle and avoid surgery. It is never too late to try rehabilitation, especially if you didn't have any after the initial injury.

Surgery would likely not make the ankle worse, but there are obvious drawbacks to the procedure. There is a chance for motion loss, pain and swelling from the surgery, and the obvious recovery time as well. I would give rehab strong consideration before surgery. If you can avoid going under the knife, all the better.

Bart

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