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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Painfully Swollen Shin With Clicking Sensation In The Ankle?

Pain and swelling in need with fluid. Hard to put pressure on it. Pops and clicks at times swelling also on ankle and pain on shin. Worked a 6 day week and 12 hour day yesterday. Icing and resting it all day today. Ibuprofen taken three times today. What more can I do?
Fri, 10 Mar 2017
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General & Family Physician 's  Response
HI, thanks for using healthcare magic

Based on the symptoms mentioned, you likely have soft tissue injury to the muscles or ligaments in the ankle or/and leg.
If you have a history of severe trauma, however, a fracture needs to be ruled out by an x ray.

Treatment of soft tissue injuries involve the acronym PRICE MM: (1) protect the area from further injury

(2)rest- optimally, you need to be off the affected leg for at least a few days to allow it to heal.
One day is not likely to be enough

(3)icing as yo have been doing, this can be done 2 to 4 times a day

(4)compression bandage to the affected area to reduce the swelling

(5)elevation

(6)medication- you may need to increase the ibuprofen. The maximum dose of ibuprofen that can be used in a day for acute pain is 3200mg.
This would be 800mg strength , 4 times a day.

Should be used with meals

The other M stands for modalities such as physiotherapy.

I hope this helps
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What Causes A Painfully Swollen Shin With Clicking Sensation In The Ankle?

HI, thanks for using healthcare magic Based on the symptoms mentioned, you likely have soft tissue injury to the muscles or ligaments in the ankle or/and leg. If you have a history of severe trauma, however, a fracture needs to be ruled out by an x ray. Treatment of soft tissue injuries involve the acronym PRICE MM: (1) protect the area from further injury (2)rest- optimally, you need to be off the affected leg for at least a few days to allow it to heal. One day is not likely to be enough (3)icing as yo have been doing, this can be done 2 to 4 times a day (4)compression bandage to the affected area to reduce the swelling (5)elevation (6)medication- you may need to increase the ibuprofen. The maximum dose of ibuprofen that can be used in a day for acute pain is 3200mg. This would be 800mg strength , 4 times a day. Should be used with meals The other M stands for modalities such as physiotherapy. I hope this helps