[21O] With persistent foot pain post-ankle twist
Patient Description
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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:
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Chronic Ankle Sprain: Given your history of twisting your ankle and previous injuries, it's possible that you have a chronic ankle sprain. This can lead to persistent pain, especially if the ligaments have not fully healed.
- Treatment: Rest, ice, compression, and elevation (RICE) are initial treatments. Physical therapy may be recommended to strengthen the ankle. In some cases, a brace or orthotic device may be needed.
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Tendonitis: Inflammation of the tendons around the ankle can cause pain, especially with movement.
- Treatment: Rest, ice, anti-inflammatory medications, and physical therapy can help. In severe cases, a doctor may recommend corticosteroid injections.
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Nerve Pain: The tingling sensation you described could be related to nerve irritation or damage, possibly from the initial injury.
- Treatment: Rest, physical therapy, and medications to manage nerve pain. In some cases, further evaluation by a specialist may be needed.
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Plantar Fasciitis: Pain at the bottom of the foot can sometimes be due to plantar fasciitis, especially if the pain is worse in the morning or after periods of inactivity.
- Treatment: Stretching exercises, proper footwear, orthotics, and anti-inflammatory medications. Physical therapy may also be beneficial.
What you can do
- Rest and Elevate: Continue to rest your ankle and keep it elevated to reduce swelling and pain.
- Ice and Compression: Apply ice packs to the affected area for 15-20 minutes several times a day and use a compression bandage to help with swelling.
- Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and inflammation.
- Physical Therapy: Consider seeing a physical therapist who can provide exercises to strengthen your ankle and improve your gait.
- Footwear: Wear supportive shoes that provide good arch support and cushioning.
- Journal Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider.
What you should look out for
- Increased Pain or Swelling: If your pain or swelling worsens, it may indicate a more serious issue that needs medical attention.
- Numbness or Weakness: If you develop numbness, significant weakness, or difficulty moving your foot, seek medical care promptly.
- Changes in Color or Temperature: If you notice any changes in the color or temperature of your foot, it could indicate a circulation issue that requires immediate attention.
- Inability to Bear Weight: If you are unable to bear weight on your foot, see a healthcare provider as soon as possible.
Remember, while these suggestions can help manage your symptoms, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment plan. If you have any further questions or need more information, feel free to ask!
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4 mo ago