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Ankle pain

Ankle pain

I fell down from two foot height and landed unevenly on a concrete surface I injured my ankle three weeks ago. There was immediate swelling at my left toe but no bruise.  I went to the doctor two days after and he said that it was just a bad sprain. But the severity of the pain was same so i went to another doctor after 10 days and X- ray report came negative.I am feeling pain at the fifth metatarsal bone of my left ankle. I am on crutches since three weeks though there is no fracture at fifth metatarsal bone. The pain is less compared to the first week now but I don't know whats going on in my ankle. can anyone tell me what could be the problem in my ankle.? what should i do in order to heal faster?
The pain is coming from base i.e head of the fifth metatarsal bone, some what at joint  i.e stable zone and pain is persisting to the inside of the ankle ligaments that is making me unstable to stand and bear any weight.
Tags: ankles
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Avatar_dr_f_tn
Hello Dear,
Most ankle sprains need only a period of protection to heal. The healing process takes about four weeks to six weeks.Continue to move a sit prevents stiffness.. 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
• 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.
Nonsteroidal anti-inflammatory drugs may be used to control pain and inflammation.Do not worry and practice the above measures.
Refer http://orthoinfo.aaos.org/topic.cfm?topic=A00150
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Avatar_n_tn
I am feeling pain just under the cuboid region of the fifth metatarsal bone. It has been 4 weeks now and i am still feeling the same intensity of the pain as i had first week. I went to three doctors and had X-rays three times but the report came negative. I am putting partial weight on left ankle with boot and crutches. none of the doctors are able to figure out the possible problem, I don't know what to do now. Please tell me what could be wrong and suggest me some precautions that i have to take.
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Avatar_dr_f_tn
Hello Dear,
There could be subluxation of the cuboid.Treatment for a subluxated cuboid syndrome consists of a series of manipulations of the joint and secure strapping to reduce the subluxation. The manipulation needs to be done by a professional a chiropractor or osteopath trained in extremity manipulation. However, applying a cuboid pad sometimes provides relief. This can be done by trimming a 1/4-inch thick felt pad approximately 1 inch square and taping it under the cuboid. This is the area under the outer border of the foot, just behind the bump which is the base of the metatarsal at about the middle of the foot. If this padding causes increasing pain, it should be discontinued. Anti-inflammatory medication may help ease any discomfort.
Prevention can be done with-Foot supports, or orthotics, may be necessary to stabilize the foot and prevent re-injury. They can be obtained from a chiropractor or podiatrist. After care with orthotic control, use calf-stretching exercises to guard against re-injury.
You should discuss these options with your orthopedic physician.
Refer http://www.cascadewellnessclinic.com/articles/2002art/0211art.shtml for more details.
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