• 23 days ago

    Ankle Pain

    About a months ago, I was playing tennis and I sprained my right ankle. For the first few days it was swollen and painful. Eventually the swelling went away, but I still have ankle pain. I try to play tennis but I have to stop cuz of the pain. It also feels weak at times, I would walk and it feels like it would give out. My doctor said to ice my ankle and rest. It is frustrating because Ive tried massages, icing, and pain meds, but nothing is working.

Responses

  • 23 days ago

    RE: Ankle Pain

    Dear James2323,

    My name is Jameel, a 2nd year Physical Therapy Student at NIU. I am sorry that you are going through this. I understand what you are going through. I have had multiple ankle sprains in the past that have had lasting effects for a long time. I noticed that physical therapy was not listed as one of the methods you have tried to alleviate your ankle pain. I believe that you could benefit from physical therapy.

    Physical therapists are experts of human movement that involves the musculoskeletal and neuromuscular systems. They work with patients to develop exercise programs to correct muscle imbalances, muscle weakness, and reduce pain. Not only do physical therapist use strengthening and stretching exercises, they also utilize massages, manual therapy, ultrasound, and many other methods of treatment.

    Chronic ankle weakness and instability is something that physical therapists encounter a lot in their clinic. Research has shown that chronic ankle weakness and instability can be effectively treated by physical therapy. The Academy of Orthopedic Physical Therapy has written a guide for physical therapist to treat chronic ankle instability.1 I will post a link to it below, feel free to take a glance at it.

    As mentioned earlier, physical therapists use exercise to treat many muscular pain and weakness. Exercise is a key in reducing ankle weakness and instability. One study stated that ankle strengthening exercise programs had significant improvements in functional ability and a reduction of pain, as well as reducing the re-occurrence of pain.2 Physical therapists also use manual therapy, which is the manipulation of joints, soft tissue and connective tissue, in treating ankle weakness and instability. Manual therapy reduces ankle pain and increases ankle range of motion.3

    If you live in a state with direct access, I highly suggest you see a physical therapist. With direct access, you do not need a physician’s referral to see a physical therapist. I will provide you a link below of states with direct access. Once you are at a physical therapy clinic, they will be able to examine and evaluate your ankle. From there, they will implement a treatment plan that is specified for you to have the best possible outcome.

    I hope you found this information helpful. I know it can be frustrating but stay positive. If you have any questions, I suggest you contact your primary care physician or a licensed physical therapist. Best of luck!


    References
    1.Martin RL, Davenport TE, Paulseth S, Wukich DK, Godges JJ. Orthopaedic Section American Physical Therapy Association. Ankle stability and movement coordination impairments: ankle ligament sprains. J Orthop Sports Phys Ther. 2013;43(9):A1–40.
    2.Bleakley CM, O’Connor SR, Tully MA, et al. E!ect of accelerated rehabilitation on function after ankle sprain: randomised controlled trial. BMJ. 2010;340:c1964. http://dx.doi.org/10.1136/bmj.c1964
    3.Collins N, Teys P, Vicenzino B. The initial e!ects of a Mulligan’s mobilization with movement technique on dorsiflexion and pain in subacute ankle sprains. Man Ther. 2004;9:77-82. http://dx.doi.org/10.1016/ S1356-689X(03)00101-2

    Academy of Orthopedic Physical Therapy

    https://www.orthopt.org/uploads/content_files/ICF/2014/14._Ankle_Stability___Movement_Coordination_Impairments_Ankle_Sprain___September_2013.pdf

    Direct Access

    http://www.apta.org/uploadedFiles/APTAorg/Advocacy/State/Issues/Direct_Access/DirectAccessbyState.pdf
      • 21 days ago
        Thanks! I'm going to a physical therapy appointment soon and hopefully get everything better!