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Suggest Remedy For Twisted Ankles And Bruising On The Calf

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Posted on Tue, 17 Mar 2015
Question: I twisted my ankle 4 days ago and the bruising was now moved up to the middle of my calf. Should I be concerned?
doctor
Answered by Dr. Shafi Ullah Khan (2 hours later)
Brief Answer:
ankle sprain or break

Detailed Answer:
Hi,
Ottawa rules is one of the methods you can tell between a sprain and a break with ankle twist. Please use the following rules.
1. There’s tenderness when you press on the tibia along any part of the six centimeters (about two-and-a-half inches) above where it ends.

Anatomy lesson: The end of your tibia is that knot on the inside of your ankle. The tibia is the larger of the two leg bones, and it supports your weight.

2. There’s tenderness when you press on the fibula along any part of the six centimeters above where it ends.

Anatomy lesson: The end of your fibula is that knot on the outside of your ankle. The fibula is smaller than the tibia. It’s just there for extra support and for muscles to attach to it.

3. You’re not able to bear any weight because of ankle pain. (Limping is OK.)


Suspect a break in the foot if you have any of these three findings:

1. There’s tenderness when you press near the ankle on the fifth metatarsal.

Anatomy lesson: The metatarsals are those long bones in your foot that the toes attach to. The fifth metatarsal is the one that goes with the little toe. If the ankle gets rolled inward too far, it’s not uncommon for that metatarsal to break off from the ligament that attaches it to an ankle bone. In essence, you have a broken foot bone.

2. There’s tenderness when you press on the navicular bone anywhere. (Press the top of it or its inner side.)

Anatomy lesson: The navicular bone is near your tibia. On the inside of the ankle, it’s that highest foot bone you feel sticking out diagonally from the tibia.

3. You’re unable to bear weight due to foot pain.suspect a broken leg bone (tibia or fibula) if you have any of these three findings
Please do watch these videos to fully understand these rules.
http://www.ohri.ca/emerg/cdr/ankle_rule_flash.html

If you have an ankle break, visit your doctor immediately . otherwise splint a twisted ankle as best you can . Stay off of it if it hurts. If you suspect a break, stay off of it as much as you can. (If you walk too much too soon on a sprained ankle, it’s going to hurt and swell more and may take longer to heal.)Thank you.
Dr. Khan
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3613 Questions

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Suggest Remedy For Twisted Ankles And Bruising On The Calf

Brief Answer: ankle sprain or break Detailed Answer: Hi, Ottawa rules is one of the methods you can tell between a sprain and a break with ankle twist. Please use the following rules. 1. There’s tenderness when you press on the tibia along any part of the six centimeters (about two-and-a-half inches) above where it ends. Anatomy lesson: The end of your tibia is that knot on the inside of your ankle. The tibia is the larger of the two leg bones, and it supports your weight. 2. There’s tenderness when you press on the fibula along any part of the six centimeters above where it ends. Anatomy lesson: The end of your fibula is that knot on the outside of your ankle. The fibula is smaller than the tibia. It’s just there for extra support and for muscles to attach to it. 3. You’re not able to bear any weight because of ankle pain. (Limping is OK.) Suspect a break in the foot if you have any of these three findings: 1. There’s tenderness when you press near the ankle on the fifth metatarsal. Anatomy lesson: The metatarsals are those long bones in your foot that the toes attach to. The fifth metatarsal is the one that goes with the little toe. If the ankle gets rolled inward too far, it’s not uncommon for that metatarsal to break off from the ligament that attaches it to an ankle bone. In essence, you have a broken foot bone. 2. There’s tenderness when you press on the navicular bone anywhere. (Press the top of it or its inner side.) Anatomy lesson: The navicular bone is near your tibia. On the inside of the ankle, it’s that highest foot bone you feel sticking out diagonally from the tibia. 3. You’re unable to bear weight due to foot pain.suspect a broken leg bone (tibia or fibula) if you have any of these three findings Please do watch these videos to fully understand these rules. http://www.ohri.ca/emerg/cdr/ankle_rule_flash.html If you have an ankle break, visit your doctor immediately . otherwise splint a twisted ankle as best you can . Stay off of it if it hurts. If you suspect a break, stay off of it as much as you can. (If you walk too much too soon on a sprained ankle, it’s going to hurt and swell more and may take longer to heal.)Thank you. Dr. Khan