[19F] With ankle pain post-fall

Patient Description

A 19-year-old female reports experiencing sharp and throbbing ankle pain that began after a fall. The pain started on a Friday when she heard a popping noise during the incident. The pain is rated as a 4 out of 10 currently but can become more severe. It worsens with walking and using stairs. The patient also notes swelling in the ankle but denies any bruising, numbness, or tingling. She has been able to bear weight on the ankle since the injury. There are no previous ankle injuries or surgeries reported, and no significant past medical history or chronic illnesses were mentioned.

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Arora's Assessment

What might be happening

Based on your symptoms and recent fall, here are some possibilities:

  • Ankle Sprain: This occurs when the ligaments in your ankle are stretched or torn. The popping sound you heard could indicate this. Sprains often cause pain, swelling, and difficulty walking.

    • Treatment typically involves rest, ice, compression, and elevation (RICE). Over-the-counter pain relievers can help manage pain.

  • Ankle Fracture: A fracture could also cause a popping sound and similar symptoms. It's important to rule this out with an X-ray.

    • Treatment may involve immobilization with a splint or cast, and in some cases, surgery.

What you can do

  1. Rest: Avoid putting weight on your ankle as much as possible.
  2. Ice: Apply ice packs for 15-20 minutes every few hours to reduce swelling.
  3. Compression: Use an elastic bandage to provide support and reduce swelling.
  4. Elevation: Keep your ankle raised above heart level when sitting or lying down.
  5. Pain Relief: Consider over-the-counter pain medications like ibuprofen or acetaminophen.
  6. Track Symptoms: Use MDandMe to journal your symptoms and track your progress. This can be helpful for your healthcare provider.

What you should look out for

Seek medical attention if you experience:

  • Increased pain or swelling
  • Inability to bear weight on your ankle
  • Numbness or tingling
  • Signs of infection, such as redness or warmth

Remember, it's important to consult a healthcare professional for a proper diagnosis and treatment plan.

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2 mo ago

People Also Ask

What is the difference between an ankle sprain and an ankle fracture?

An ankle sprain involves the stretching or tearing of ligaments, while an ankle fracture is a break in one or more of the bones in the ankle. Both can cause pain and swelling, but a fracture may require immobilization or surgery, whereas a sprain is often treated with rest and supportive care.

How can I manage ankle pain and swelling at home?

To manage ankle pain and swelling at home, you can use the RICE method: Rest the ankle, apply Ice packs for 15-20 minutes every few hours, use Compression with an elastic bandage, and Elevate the ankle above heart level. Over-the-counter pain relievers like ibuprofen can also help.

When should I see a doctor for an ankle injury?

You should see a doctor if you experience increased pain or swelling, cannot bear weight on the ankle, or notice numbness or tingling. Additionally, if there are signs of infection such as redness or warmth, medical attention is necessary.

What are the signs that my ankle injury might be serious?

Signs that your ankle injury might be serious include severe pain, inability to bear weight, significant swelling, or a visible deformity. A popping sound at the time of injury can also indicate a more serious issue, such as a fracture, which should be evaluated by a healthcare professional.

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