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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Swollen Ankle Due To Injury. Hard Painful Lump Formed. No Fracture In The X-ray. Sprain?

Hi,
I injured my ankle 6 weeks ago. It was severely swollen. Black and blue at the bottom of my heel. My ankle is still slightly swollen (not nearly as noticeable, but it is definitely much larger then my other ankle. There is also a hard lump above my ankle, it is tender to touch, but not a sharp pain. I was in an air cast for four weeks and am still limping if I am on my feet for longer then 15 minutes. It can become so painful that I need to stop walking. I have had x-rays done, and there is no break. I went to an orthopedic surgeon 2 weeks after my injury and he didn't seem to concerned. Is this something that is normal for a sprain?
Mon, 15 Apr 2013
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Orthopaedic Surgeon 's  Response
Your injury looks severe since there was severe swelling and lots of bleed underneath the skin.
Ligament injuries (sprains) , if severe do take a lot of time to settle down. Some physiotherapy might help to reduce pain, swelling and to increase muscle tone and strength.

The swelling above ankle could be - collected blood (haematoma), a retracted torn muscle (if injury was not just a sprain) or a healing fracture(??)-missed on initial X rays. Better to visit the doctor again.
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Swollen Ankle Due To Injury. Hard Painful Lump Formed. No Fracture In The X-ray. Sprain?

Your injury looks severe since there was severe swelling and lots of bleed underneath the skin. Ligament injuries (sprains) , if severe do take a lot of time to settle down. Some physiotherapy might help to reduce pain, swelling and to increase muscle tone and strength. The swelling above ankle could be - collected blood (haematoma), a retracted torn muscle (if injury was not just a sprain) or a healing fracture(??)-missed on initial X rays. Better to visit the doctor again.