[Gemstone]

My ankle is all swollen and blue, and I think I must have sprained it. I looked in a health book I had and it said to put some ice on it and I did that but the swelling isn't going down.

Does anyone know what else I should do to it?

[Monty_girl]

I'm the master of ankle injuries. I sprain my ankles at least twice a year.

Ibuprofen is good for the swelling. You might want to go ahead and go to the doctor to make sure that nothing is broke. A sprain takes a long time to heal the ligaments. There are 3 grades of sprains. The first is the ligaments are just pulled. The second is a ligament is torn some and the third is a complete tair of the ligament. If you can't put any weight on your ankle then it's more then likely a grade 2 or 3 sprain. You need to wrap the ankle. The compression helps decrease the swelling. Have you found the RICE formual for ankle injuries? I would just go to your regular doc and have them x-ray it first off.

RICE is:

R- rest
I- ice
C- compression
E- elevation

When you elevate your ankle you want to get it high enough you are above your heart. So lay on the couch and get it up on pillows. When using the ice, put the ice on for 20 mins at a time. You need to do this for the first 48 hours. You should be able to put some weight on it in a couple of days. If you can't do that you really need to see the doc.

[Monty_girl]

Here's some information for you.

Sprained Ankle
Description
A sprained ankle is a very common injury. Approximately 25,000 people experience it each day. A sprained ankle can happen to athletes and non-athletes, children and adults. It can happen when you take part in sports and physical fitness activities. It can also happen when you simply step on an uneven surface, or step down at an angle.

The ligaments of the ankle hold the ankle bones and joint in position. They protect the ankle joint from abnormal movements-especially twisting, turning, and rolling of the foot.

A ligament is an elastic structure. Ligaments usually stretch within their limits, and then go back to their normal positions. When a ligament is forced to stretch beyond its normal range, a sprain occurs. A severe sprain causes actual tearing of the elastic fibers.

How it happens

Ankle sprains happen when the foot twists, rolls or turns beyond its normal motions. A great force is transmitted upon landing. You can sprain your ankle if the foot is planted unevenly on a surface, beyond the normal force of stepping. This causes the ligaments to stretch beyond their normal range in an abnormal position.

Mechanism of injury

If there is a severe in-turning or out-turning of the foot relative to the ankle, the forces cause the ligaments to stretch beyond their normal length. If the force is too strong, the ligaments can tear. You may lose your balance when your foot is placed unevenly on the ground. You may fall and be unable to stand on that foot. When excessive force is applied to the ankle's soft tissue structures, you may even hear a "pop." Pain and swelling result.

The amount of force determines the grade of the sprain. A mild sprain is a Grade 1. A moderate sprain is a Grade 2. A severe strain is a Grade 3. (See Table 1.)

Grade 1 sprain: Slight stretching and some damage to the fibers (fibrils) of the ligament.

Grade 2 sprain: Partial tearing of the ligament. If the ankle joint is examined and moved in certain ways, abnormal looseness (laxity) of the ankle joint occurs.

Grade 3 sprain: Complete tear of the ligament. If the examiner pulls or pushes on the ankle joint in certain movements, gross instability occurs.



Diagnosis

See your doctor to diagnose a sprained ankle. He or she may order X-rays to make sure you don't have a broken bone in the ankle or foot. A broken bone can have similar symptoms of pain and swelling.

The injured ligament may feel tender. If there is no broken bone, the doctor may be able to tell you the grade of your ankle sprain based upon the amount of swelling, pain and bruising.

The physical exam may be painful. The doctor may need to move your ankle in various ways to see which ligament has been hurt or torn.

If there is a complete tear of the ligaments, the ankle may become unstable after the initial injury phase passes. If this occurs, it is possible that the injury may also cause damage to the ankle joint surface itself.

The doctor may order an MRI (magnetic resonance imaging) scan if he or she suspects a very severe injury to the ligaments, injury to the joint surface, a small bone chip or other problem. The MRI can make sure the diagnosis is correct. The MRI may be ordered after the period of swelling and bruising resolves.

Symptoms

The amount of pain depends on the amount of stretching and tearing of the ligament. Instability occurs when there has been complete tearing of the ligament or a complete dislocation of the ankle joint.

Treatment Options

Walking may be difficult because of the swelling and pain. You may need to use crutches if walking causes pain. Usually swelling and pain will last two days to three days. Depending upon the grade of injury, the doctor may tell you to use removable plastic devices such as castboots or air splints.

Most ankle sprains need only a period of protection to heal. The healing process takes about four weeks to six weeks. The doctor may tell you to incorporate motion early in the healing process to prevent stiffness. Motion may also aid in being able to sense position, location, orientation and movement of the ankle (proprioception). Even a complete ligament tear can heal without surgical repair if it is immobilized appropriately. Even if an ankle has a chronic tear, it can still be highly functional because overlying tendons help with stability and motion.

For a Grade 1 sprain, use R.I.C.E (rest, ice, compression and elevation):

Rest your ankle by not walking on it.

Ice should be immediately applied. It keeps the swelling down. It can be used for 20 minutes to 30 minutes, three or four times daily. Combine ice with wrapping to decrease swelling, pain and dysfunction.

Compression dressings, bandages or ace-wraps immobilize and support the injured ankle.

Elevate your ankle above your heart level for 48 hours.

For a Grade 2 sprain, the RICE guidelines can also be used. Allow more time for healing to occur. The doctor may also use a device to immobilize or splint the ankle.

A Grade 3 sprain can be associated with permanent instability. Surgery is rarely needed. A short leg cast or a cast-brace may be used for two weeks to three weeks.

Rehabilitation is used to help to decrease pain and swelling and to prevent chronic ankle problems. Ultrasound and electrical stimulation may also be used as needed to help with pain and swelling. At first, rehabilitation exercises may involve active range of motion or controlled movements of the ankle joint without resistance. Water exercises may be used if land-based strengthening exercises, such as toe-raising, are too painful. Lower extremity exercises and endurance activities are added as tolerated. Proprioception training is very important, as poor propriception is a major cause of repeat sprain and an unstable ankle joint. Once you are pain-free, other exercises may be added, such as agility drills. The goal is to increase strength and range of motion as balance improves over time.

All ankle sprains recover through three phases:

Phase 1 includes resting, protecting the ankle and reducing the swelling (one week).

Phase 2 includes restoring range of motion, strength and flexibility (one week to two weeks).

Phase 3 includes gradually returning to activities that do not require turning or twisting the ankle and doing maintenance exercises. This will be followed later by being able to do activities that require sharp, sudden turns (cutting activities) such as tennis, basketball or football (weeks to months).

Medication: Nonsteroidal anti-inflammatory drugs (NSAIDs) may be used to control pain and inflammation.

[Gemstone]

Thanks for all the info Monty. I really appreciate it.

My hubby is taking me to the doctor this afternoon. I can't put any weight on it at all so I guess I should get it checked.

Thanks again!

[January]

((((((((((( Gem ))))))))))

Please let us know how you are.

Hugs,

Jan

health food stores sell a product called "Traumed" that will help with the swelling. it is a cream.

[Gemstone]

The doctor sent me to get it xrayed, and it turned out I broke it. I have this lovely big boot thing to wear for the next little while, and some crutches.

[silver_queen]

(((((((((((( Gem )))))))))))))))

Sorry to hear that! Try to keep in good health and that should help the bone to heal quicker