[35F] Experiencing ankle pain and instability

Patient Description

A 35-year-old female reports a sharp pain and instability in the right outside ankle, with a severity of 5-6 on a scale of 10, worsening to 7 at times. The symptoms, present for 3 days, are exacerbated by wearing shoes, walking, running, and descending stairs. The patient has a full range of motion and may have rolled the ankle. She has a history of stress fractures from ten years ago, takes vitamins, has no chronic conditions, and is allergic to penicillin. There are no other symptoms or prescribed medications reported. The patient is an athlete looking to return to training.

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Arora's Assessment

What might be happening

Based on your symptoms, the most likely causes for your ankle pain include:

  • Ankle Sprain: This is a common injury among athletes and can occur when the ankle is twisted or rolled, causing damage to the ligaments that support the ankle. The pain is often worse when walking or running and can cause feelings of instability.

    • Treatment usually involves rest, ice, compression, and elevation (RICE). Over-the-counter pain relievers can also help manage the pain. Physical therapy exercises can help restore strength and prevent future injuries.
  • Peroneal Tendonitis: This condition involves inflammation of the peroneal tendons, which run along the outside of the ankle. It can cause pain and instability, particularly when wearing shoes or performing activities that put stress on the ankle.

    • Treatment usually involves rest, ice, and over-the-counter pain relievers. Physical therapy can help strengthen the ankle and prevent future injuries. In severe cases, a brace or cast may be needed.
  • Stress Fracture: Given your history of stress fractures, it's possible that you've developed another one in your ankle. Stress fractures are small cracks in a bone that occur over time due to repetitive force, often from sports-related activities.

    • Treatment usually involves rest and avoiding the activity that caused the fracture. In some cases, a brace or cast may be needed.

What you can do

While waiting to see a doctor, you can try the following to help manage your symptoms:

  1. Rest: Try to avoid putting weight on your ankle as much as possible. This can help prevent further injury and promote healing.
  2. Ice: Apply an ice pack to your ankle for 15-20 minutes every 2-3 hours to help reduce swelling and pain.
  3. Compression: Wrap your ankle in an elastic bandage or wear a brace to help reduce swelling and provide support.
  4. Elevation: Whenever possible, try to elevate your ankle above the level of your heart to help reduce swelling.
  5. Over-the-counter pain relievers: Non-prescription medications like ibuprofen can help manage your pain.

What you should look out for

You should seek immediate medical attention if:

  • Your pain becomes severe or unbearable
  • You're unable to bear weight on your ankle
  • Your ankle becomes significantly swollen or discolored
  • You develop a fever or other signs of infection

Remember, I'm an AI and not a doctor. It's important to consult with a healthcare professional for an accurate diagnosis and treatment.

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1 yr ago

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People Also Ask


What are the common symptoms of an ankle sprain?

Common symptoms of an ankle sprain include pain, swelling, bruising, and instability in the ankle. The pain often worsens with weight-bearing activities such as walking or running.


How can I differentiate between peroneal tendonitis and an ankle sprain?

Peroneal tendonitis typically causes pain and swelling on the outside of the ankle, especially when wearing shoes or during activities that stress the ankle. An ankle sprain, on the other hand, often results from a specific injury and may cause more immediate swelling and bruising.


What are the signs that I might have a stress fracture in my ankle?

Signs of a stress fracture in the ankle include persistent pain that worsens with activity and improves with rest, swelling, and tenderness at a specific point on the bone. Unlike sprains, stress fractures may not cause immediate swelling or bruising.


What immediate steps can I take to manage ankle pain at home?

To manage ankle pain at home, you can follow the RICE method: Rest the ankle, apply Ice to reduce swelling, use Compression with an elastic bandage, and Elevate the ankle above heart level. Over-the-counter pain relievers like ibuprofen can also help alleviate pain.


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