Sports Injury Info

pain and swelling twelve weeks post sprain

by Jessica
(Ontario Canada)

I was wondering how long pain and swelling normally last post ankle sprain. I had a severe ankle spain approx 12 weeks ago and still experience pain with full weight bearing(standing on injured ankle and trying to lift onto toes and squatting) can not run or jog at all.

I occasionally feel that my leg is very heavy and I've been experiencing pain on the bottom of my foot near the toes on the side that was sprained not on the normal ankle. This is new and started approx 11 weeks post.

I do not have that much pain or trouble walking. Sometimes walking will cause it to ache but it comes and goes.

I've had x-rays, the first showed widening of the joint space near the talus but no definite fractures and a second set approx 8 weeks post showed a small effusion but no definite fractures.

I've been going to physio once a week and having U/S treatments on it but the recovery seems to have plateaued.

I have a requisition for a bone scan and wondered if it is possible that there is a small fracture or any other type of injury.

At what time interval should I have the bone scan performed?

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pain and swelling twelve weeks post sprain

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Sep 25, 2008
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starstarstarstarstar 		ankle or foot
by: Bart - SII

If I read correctly, the pain you are having is mostly in the foot, not in the ankle? Or are you having pain in both?

The widening of the joint space between the tibia and the fibula may be part of the problem...this could be contributing to your continued pain. With a syndesmotic sprain like this, every time you step down, you place stress on the ligaments between the tibia and fibula. Walking is ok, but trying to run, or when you go up on your toes and the talus moves within the joint, it stresses this area.

A bone scan would show if you had a stress fracture in your foot or ankle, but a CT or MRI might be a better diagnostic tool if there is concern about soft tissue (liagement) damage.

You mentioned that the foot pain started about a week ago - a bone scan in another week or two would probably pick up any abnormalities.

Bart
Sep 26, 2008
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starstarstarstarstar 		DRUMMER NEEDS ADVICE
by: Anonymous

HI I AM A DRUMMER I HAVE ROLLED MY ANKLES OVER TO THE SIDE SINCE I AM A KID SO I GUESS I AM A BIT STRECHED BUT NO PROBLEMS I STILL COULD RUN.ONE TIME WHILE PLAYING BALL I TURNED IT OVER AND IT SWELLES ABOUT AN INCH AND A HALF.SWELLIN WENT DOWN IN THREE DAYS AND I WAS ABLE TO RUN. THIS HAPPENED 5 YEARS AGO BUT ON THE DRUMS THERE WAS A CHANGE . I PLAY TWO BASSDRUMS WITH MY FEET THE TECHNIQUE ALL ROCK DRUMMERS USE IS THERE AKLE STROKES DO THE WORK WHILE HEELS ARE RAISED 2 INCHES .MY PROBLEM IS WHEN I PLAY DOUBLE BASS DRUM EXTENDED STROKES RIGHT LEFT RIGHT LEFT ECT. MY SLOW SPEEDS AND HI SPEEDS ARE UN EFFECTED BUT MY MIDDLE SPEEDS I LOSE ANKLE CONTROL. THE ANKLES FELL SLUGGISH ARE THER ANY EXERCISES TO WAKE UP MY ANKLES OR TO GAIN STENGTH AND DEXTERITY I DO THIS FOR A LIVING I HAVE BEEN TO A DOCTOR NOTHING IS RIPPED WHAT DO YOU DO FOR TIRED STRETCHED SLUGGISH ANLES ANU SUGGESTIONS OR EXERCISES WOULD BE GREATLY APPRECIATED I STILL RIDE A BYCYCLE AND DO CALF RAISES BUT IMPROVEMENT HAS BEEN SLOW THANKS NICKY.

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