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Sprained Ankle

post #1 of 11
Thread Starter 

I twisted my foot hiking on holiday two weeks ago. I did the RICE thing but the whole foot swelled up like a purple baloon anyhow.

 

My PT, who I see for another thing, looked at it and said my ATL is torn through with maybe some cartilage or other damage. It happened just before the labor day holiday weekend and I was far from home, so it was over a week before I saw anyone beyond the emergency doc who (apparently) misdiagnosed it as a foot sprain and did not suggest any ankle support.

 

I couldn't get an ortho appointment for over two weeks after I got home and only go finally to see them next week.

 

I've since heard lots of horror stories about how sprained ankles that don't get attention can become chronic problems. Experience from other injuries tells me I should try to keep rather than regain range of motion. So, I've started some home re-hab. theraband stretches, alphabet circles, etc. It doesn't really hurt too much,especially braced, so I'm walking on it as normally as I can but am not sure how aggressive to be with these exercises.

 

Of course, my most pressing concern is, will I be ready for the ski season? (AAAAAK)

post #2 of 11

Try to find a physio that uses Mulligan techniques. A few weeks after I sprained my left ankle 6 or 7 years ago, my pt did some mobilization therapy using this ... I had immediate relief, and I have not had any trouble -- at all -- since.  My big fear was that it would be a chronic issue, as you point out. I think the theory behind it is (very roughly) that the fibula and tibia become a bit displaced when you turn your ankle, and the fibula needs to be put back into the correct place to fully heal your ankle. 

post #3 of 11
Thread Starter 

Thank you Seg. I'll ask the PT on Friday when I go back as well as the ortho when i see him/her on Monday. Our choices are limited around here, so I'm hopeful it exists. Glad to hear about your outcome.

post #4 of 11

You really need to see a OS as soon as possible. having had both a 3rd degree tear in one ankle and a high sprain with nerve impingement in the other I can only strongly suggest you get immediate diagnosis and care. the protocols will vary widely depending on the injury. I was not in any braces or casts for either injury; just crutches until I could bear weight however, you could have a more severe injury that could require a cast or immediate surgery. Since that would depend on the extent of the injury, you need to see someone who can X-ray and more than likely have an MRI. 

 

The fact that you are able to articulate the ankle and if you are able to actually do exercises with resistance is a very good sign.

 

I wish you the best!  Keep in mind a severe sprain can take months to heal!

post #5 of 11
Thread Starter 
Quote:
Originally Posted by Finndog View Post

keep in mind a severe sprain can take months to heal!

 Yes, that's the rub eh... I may be able to get into ski boots at Thanksgiving, but the rest of me will have melted into a total blob by then.

post #6 of 11
Quote:
Originally Posted by Mom View Post

 Yes, that's the rub eh... I may be able to get into ski boots at Thanksgiving, but the rest of me will have melted into a total blob by then.

no!  once the ankle calms down, talk to your PT about riding a stationary bike. I could ride fine as long as I didn't articulate the ankle. You may have to spin at a low level of resistence at first but you should be able to ride this way. 

post #7 of 11
Thread Starter 

You're right Finndog and I have been on the stationary bike. Booooring. even with a book on tape. Ortho appointment was finally yesterday and turns out i sprained both foot and ankle. good news is that the tendon is not torn through so I should mend good as new (eventually.) Was also told to start strength training on the foot/ankle, but to avoid reptative motions. I forgot to ask him about the bike, but will ask PT tomorrow.

 

Seg, the Ortho thought the Mulligan taping technique was not going to be useful this late in the game. Could be because he didn't know about it or the nature of my injury. I emailed one of the practitioners listed on the website (thank you) to ask but have not heard back.

post #8 of 11

what grade tear, 1 or 2? 

 

OK, the key to the bike is to set it up in front of a tv and put some good ski movies on. just zone out and enjoy the stoke.  icon14.gif  yeah, its boring but it will keep you from losing too much muscle tone and it will burn calories and keep your metabolism up. Use what you have. 

post #9 of 11
Thread Starter 

2...

 

Thanks for the good advice and cheerleading!

post #10 of 11
Quote:
Originally Posted by Mom View Post

You're right Finndog and I have been on the stationary bike. Booooring. even with a book on tape.

You might try Spinervals.  I find that they give you 1) a really good workout and 2) aren't as boring as sitting in front of the tv/book.  Besides, it si pretty hard to get a workout sitting in front of the TV/book.  The problem is that if you do the high intensity ones (like #10), it can be 1) painful and 2) you may make a lot of noise.  I was called out by someone in the gym on Saturday as evidently I was "screaming."  I would've called it grunting, but anyway...

 

Mike

post #11 of 11
Quote:
Originally Posted by habacomike View Post

You might try Spinervals.  I find that they give you 1) a really good workout and 2) aren't as boring as sitting in front of the tv/book.  Besides, it si pretty hard to get a workout sitting in front of the TV/book.  The problem is that if you do the high intensity ones (like #10), it can be 1) painful and 2) you may make a lot of noise.  I was called out by someone in the gym on Saturday as evidently I was "screaming."  I would've called it grunting, but anyway...

 

Mike

Do you go to Planet fitness?  OMG, that's too funny. 

 

Spinervals are great if she can tollerate them. it may be a while.  My stationary bike has computer workouts so although its not perfect, you can keep muscle tone and burn calories.

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