$Unique_ID{BRK00314} $Pretitle{} $Title{Ankle Sprains and Treatment} $Subject{sprains sprain first aid ankle ankles pain Musculoskeletal Connective Tissue tissues ligaments ruptures tears mild tenderness partial torn unstable elastic strapping taping elevation cast casting Arthrography x-ray injury Nonsteroidal anti-inflammatory drug drugs NSAID NSAIDs joint joints} $Volume{M-17} $Log{ Anatomy of the Ankle*0006602.scf} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Ankle Sprains and Treatment ------------------------------------------------------------------------------ QUESTION: I turned my ankle several weeks ago, and still suffer from some pain. Why would a simple thing like a sprain take so long to heal and what can I do to treat it? ------------------------------------------------------------------------------ ANSWER: Ankle sprain is not always the simple thing folks take it to be. When one of the ligaments that help form the ankle ruptures or tears, home remedies may not be sufficient to get the patient back on the foot rapidly. Sprains can be classified into three grades of seriousness. Grade 1 is where there is no ligament tear, and there is mild tenderness and some swelling. When there is a partial tear or rupture, and obvious swelling and discoloration or difficulty in walking, it ranks as a Grade 2. When a ligament is completely torn, and the ankle becomes unstable with the patient unable to walk, it is classified as Grade 3. Care is graded as well. For the case of Grade 1, elastic strapping or taping, elevation of the foot, followed by gradual walking and exercise suffices. For Grade 2, a below the knee walking cast immobilizing the ankle for three weeks is advised. Grade three is of course the most difficult to treat, requiring casting and even surgery. Arthrography, a special x-ray technique, is used when surgery is considered to determine the exact state of the injury, and to help plan the surgical procedure. However, this must be performed during the first days following the injury to be of value. Nonsteroidal anti-inflammatory medications (NSAIDs) help reduce inflammation and control pain. In your case, it would seem that an x-ray is in order to rule out any bony injury, and medical consultation and advice about treatment is required. You have gone too long to try home remedies now. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.