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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Big Knot And Pain In Foot Caused After Twisting?

I twisted my foot and now have a big knot on the top left and lots of pain. I have it elevated and ice on it. My toes hurt when I wiggle them. I m female and 58 years old. Should I go to a clinic now or wait to see if it gets better. It s been about 20 min
Tue, 15 Nov 2022
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Anesthesiologist 's  Response
Hello,

You seem to have suffered an ankle sprain due to inward twisting of food. It results in severe pain and swelling of foot.

To those who come to my clinic with similar symptoms, I recommend the following:
1) X-ray foot to rule out fractures
2) Conservative therapy consists of
Rest
Ice
Compression and
Elevation
Protective devices
3) Protective devices include air splints or plastic and Velcro braces
4) NSAIDs like ibuprofen and Naproxen daily twice for 14 days
5) To reduce gastric irritation, tab. Pantop 40 mg once daily before food
6) Tab. Acetaminophen can be taken twice daily
7) Physical therapy during recovery phase to strengthen the muscles and relieve pain

Recovery phase (3 d to 2 week post injury) include the following:
1) Full, pain-free active and passive ROM (range of movements)
2) No pain or tenderness
3) Strength of ankle muscles 70-80% of that on the uninvolved side
4) Ability to balance on 1 leg for 30 seconds with eyes closed

If pain and swelling don't decrease in 3-4 days, please do consult an orthopedic surgeon.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Pallavi M., Anesthesiologist
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What Causes A Big Knot And Pain In Foot Caused After Twisting?

Hello, You seem to have suffered an ankle sprain due to inward twisting of food. It results in severe pain and swelling of foot. To those who come to my clinic with similar symptoms, I recommend the following: 1) X-ray foot to rule out fractures 2) Conservative therapy consists of Rest Ice Compression and Elevation Protective devices 3) Protective devices include air splints or plastic and Velcro braces 4) NSAIDs like ibuprofen and Naproxen daily twice for 14 days 5) To reduce gastric irritation, tab. Pantop 40 mg once daily before food 6) Tab. Acetaminophen can be taken twice daily 7) Physical therapy during recovery phase to strengthen the muscles and relieve pain Recovery phase (3 d to 2 week post injury) include the following: 1) Full, pain-free active and passive ROM (range of movements) 2) No pain or tenderness 3) Strength of ankle muscles 70-80% of that on the uninvolved side 4) Ability to balance on 1 leg for 30 seconds with eyes closed If pain and swelling don t decrease in 3-4 days, please do consult an orthopedic surgeon. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pallavi M., Anesthesiologist