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Sprained ankle
Sprained ankle

Ankle pain
Definition:
Ankle pain involves any discomfort in the ankle(s).

Alternative Names:
Pain - ankle(s)

Considerations:
Arthritis can involve the bones and cartilage of the ankle and cause pain, but instability on the ankles and related pain is usually the result of problems in the ligaments.
Common Causes:
Home Care:

Be alert and sensitive to any pain. If your ankle is in pain, rest it.

Unstable ankles should be supported for major weight-bearing activity. Support can be obtained by wearing high-lacing boots or using an ankle brace. Professional help may be required for proper fitting of braces. Crutches or a cane can help take weight off a sore ankle.

For arthritis of the ankle, take medication exactly as prescribed.

When the pain begins to decrease, gently begin to exercise the joint again. Swimming is good, followed by stretching. Walking can be added later. Exercises can be done several times a day; but don't overdo it. Pain is a message from your body to stop.
Call your health care provider if:

You should contact your health care provider if any of the following occur:

  • Ankle pain is caused by an injury.
  • You have a fever.
  • There is heat in the ankle, redness, or severe pain when not bearing weight.
  • You are unable to walk at all.
  • Pain persists for more than 3 days.
What to expect at your health care provider's office:

Your health care provider will obtain your medical history and will perform a physical examination.

Medical history questions documenting ankle pain may include the following:

  • Distribution
    • Does the pain shift from joint to joint (migrating)?
    • Is the pain the same in both ankles (symmetrical)?
  • Time pattern
    • Did the pain begin suddenly and severely?
    • Did the pain begin slowly and mildly and then get worse?
    • Did the pain resolve spontaneously in less than 6 weeks?
  • Other
    • What other symptoms are also present?
    • Do you have a fever?
    • Does the ankle feel warm to the touch?
    • Is the ankle red?
    • Does the ankle hurt when you are not bearing weight on it?

The physical examination will include detailed examination of the ankles.

Diagnostic tests that may be performed include the following:

Nonsteroidal anti-inflammatory medications (NSAIDs), special foot gear, or braces may be prescribed. Surgery is occasionally necessary.
Review Date: 11/13/2002
Reviewed By: Thomas N. Joseph, M.D., Department of Orthopedic Surgery, NYU/Hospital for Joint Diseases, New York, NY. Review provided by VeriMed Healthcare Network.
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