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Dr. Andrew Rynne
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Dr. Andrew Rynne

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What Is The Treatment For Ankle Sprain?

Hi. I sprain my ankle playing roller derby four months ago. I foolishly did not rest it properly when I first did it, but I did use a cold compress at the time of injury. The following day I had an egg sized swell on my outer ankle bone. I continued to play roller derby at least once a week, avoiding certain moves which enhance the permanent mostly low level pain I suffer. I have not seen a doctor, because I convinced myself that it was just a sprain and it will get better eventually. I stopped doing most other forms of exercise when I got the injury, because of the pain, but roller derby is my life, and have found it impossible not to take part except for a four week rest period the whole team have had over Christmas. Of course I thought my ankle would fix itself during this time, but actually it feels worse some days. There is a constant almost burning sensation over the ankle bone which hugely intensifies and take hours to settle if I accidently put pressure on my ankle, for example, crouching down to pick something up with my foot flat on the floor, or walking down stairs. It has always be most uncomfortable at bedtime, throughout the night and mild (ish) and irritating pain often wakes me up several times. So I guess this problem is not just going to go away now and you are going to advise me to see a doctor, right?! It may be worth mentioning that a visit to the doctors where I live cost £40 each time, and I guess another reason for not going to see my doctor is the belief that I would have had to visit several times with this problem, and it still not being cured! Does this injury just sound like an aggravated sprain?
Wed, 7 Jun 2017
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Orthopaedic Surgeon 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Based on the information that you give about your injury it could be from a bad ankle sprain, syndesmosis injury, to ankle fracture. Do not be surprised with the latter option. I have seen many people with ankle fracture walking around and presenting to the doctor days after the initial injury with swelling and bruising of the ankle but still able to bear weight.

I understand that it is expensive in your country to see the doctor. I would recommend you to first do the x-ray of ankle to rule out the fracture. If x-ray is okay than we are left with the option of a bad ankle sprain not treated properly with rest 3 to 6 weeks and then physical therapy. I urge you to see the doctor now before is too late and the expenses will be even higher.

Wish you quick recovery.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Edvin Selmani
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What Is The Treatment For Ankle Sprain?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Based on the information that you give about your injury it could be from a bad ankle sprain, syndesmosis injury, to ankle fracture. Do not be surprised with the latter option. I have seen many people with ankle fracture walking around and presenting to the doctor days after the initial injury with swelling and bruising of the ankle but still able to bear weight. I understand that it is expensive in your country to see the doctor. I would recommend you to first do the x-ray of ankle to rule out the fracture. If x-ray is okay than we are left with the option of a bad ankle sprain not treated properly with rest 3 to 6 weeks and then physical therapy. I urge you to see the doctor now before is too late and the expenses will be even higher. Wish you quick recovery. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Edvin Selmani