Like Selina08 I sprained my ankle. However, this was on 4/12/08, I was put into a fracture boot, sent to physical therapy etc. I have no strenght in my toes. I can not stand on my tip toes on that foot, my little toe pops in and out and my ankle locked up today, only for a moment but it brought me to my knees, it has been more than 120 days now, I stopped wearing the boot the end of june, my ankle gets egg shaped swelling out of the back, and right in front of my ankle bone. Looks really weird. I have had x-rays, and now an MRI (don't know the results). I am 47 years old and have never had anything so bizarre happen, and it is taking forever to get back on my feet. I don't understand how my little toe is so affected by all of this. I have exercised done all of my ROM excercises, stretch before I get up in the morning. Is there going to be an end to this, or am I going to just go through life dragging this foot around.
Debbie
Hi Selina,
How are you feeling?
Ankle sprains cause sequential disruption of: Anterolateral joint capsule, Anterior Tibio-Fibular Ligament and Calcaneo-Fibular Ligament.
Initial management should consist of RICE protocol.
Rest: no weight-bearing activities for the first 24 hours after the injury.
Ice: apply ice packs to the area that is painful or the focal point of the injury. Apply ice intermittently for the first 24 hours, utilizing a pattern of 20 minutes of ice followed by 60 minutes without ice.
Compression: apply an ACE bandage or other elastic wrap to ankle joint to help prevent swelling.
Elevation: elevate the leg to reduce swelling.
Stirrup ankle brace to facilitate early ambulation
NSAIDs may help with pain.
Gentle active ROM as tolerated is advised.
For severe sprains, consider a formal strengthening and proprioception retraining program with physical therapy.
This could be done for 3-4 weeks and review status after that.
Keep me informed if you have any further queries.
Bye.