[21F] With ankle and foot pain and heat sensation post-injury

Patient Description

A 21-year-old female has been experiencing pain and a hot sensation in her ankle and foot for the past three days. The symptoms began suddenly after an injury to the ankle. The pain is localized to the ankle and heel, with intermittent numbness and tingling. There is no swelling, redness, or bruising, and the patient is able to walk and put weight on the foot. Cold applications provide relief. The patient had a previous injury to the same ankle 3-4 weeks ago when she ran over it with a chair wheel. There is no history of surgeries on the ankle or foot. The patient does not use tobacco, alcohol, or recreational drugs and is not currently taking any medications. She mentioned a possible deficiency in nutrients that support bone and tissue health and has been doing a lot of walking recently. The patient has a family history of diabetes and reports irregular menstrual periods. She is currently on birth control.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Ankle Sprain: Given your recent injury and the sudden onset of pain and heat, you might have sprained your ankle. An ankle sprain occurs when the ligaments that support the ankle stretch or tear. Symptoms can include pain, swelling, and a hot sensation in the affected area.

    • Treatment: Rest, ice, compression, and elevation (RICE) are commonly recommended. Over-the-counter pain relievers like ibuprofen can help manage pain and inflammation. Physical therapy may be needed for severe sprains.
  • Tendonitis: Overuse or injury can lead to inflammation of the tendons around the ankle and heel, causing pain and a hot sensation.

    • Treatment: Rest and avoid activities that exacerbate the pain. Ice the affected area and consider anti-inflammatory medications. Physical therapy may also be beneficial.
  • Nerve Impingement: The numbness and tingling you described could be due to nerve impingement or irritation, possibly from swelling or inflammation in the area.

    • Treatment: Rest and avoid activities that worsen the symptoms. Ice and anti-inflammatory medications can help reduce swelling. If symptoms persist, a doctor may recommend imaging studies or refer you to a specialist.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:

  1. Rest: Avoid putting weight on your ankle and foot as much as possible. Use crutches if necessary.
  2. Ice: Apply ice packs to the affected area for 15-20 minutes every 2-3 hours to reduce pain and swelling.
  3. Compression: Use an elastic bandage or ankle brace to provide support and reduce swelling.
  4. Elevation: Keep your ankle elevated above the level of your heart to help reduce swelling.
  5. Over-the-counter pain relief: Consider taking ibuprofen or acetaminophen to manage pain and inflammation.
  6. Monitor your symptoms: Keep track of your symptoms using the MDandMe journal. This can help you identify any patterns and provide useful information to your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Increased pain or swelling: If your symptoms worsen despite home treatment, it may indicate a more serious injury.
  • Inability to bear weight: If you cannot put any weight on your foot, you should see a doctor.
  • Signs of infection: If you notice redness, warmth, or pus around the injury, or if you develop a fever, seek medical attention immediately.
  • Persistent numbness or tingling: If these symptoms do not improve or worsen, consult a healthcare professional.

Remember, while these suggestions can help manage your symptoms, they are not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and treatment plan.

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2 mo ago


People Also Ask


What are the common symptoms of an ankle sprain?

Common symptoms of an ankle sprain include pain, swelling, bruising, and a hot sensation in the affected area. You may also experience difficulty walking or putting weight on the foot.


How can I differentiate between tendonitis and a sprain in my ankle?

Tendonitis typically involves pain and tenderness along a tendon, often without significant swelling, while a sprain involves ligament damage and may present with more swelling and bruising. A healthcare provider can help differentiate between the two through a physical exam and possibly imaging.


What should I do if I experience numbness and tingling in my foot after an ankle injury?

If you experience numbness and tingling in your foot after an ankle injury, it could be due to nerve impingement or irritation. Rest, ice, and avoiding activities that worsen the symptoms can help. If the symptoms persist, consult a healthcare professional for further evaluation.


Are there any long-term effects of repeated ankle injuries?

Repeated ankle injuries can lead to chronic instability, increased risk of future sprains, and possibly arthritis over time. Strengthening exercises and physical therapy can help improve stability and prevent further injuries.


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