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Question about a sprained / broken ankle

Posted on 2/17/15 at 12:39 am
Posted by VermilionTiger
Member since Dec 2012
37586 posts
Posted on 2/17/15 at 12:39 am
Hurt my ankle pretty bad Sunday morning. Not sure if it's sprained or broken really.

I've been icing it and soaking it in hot water a few times a day and then having it wrapped in a bandage when I'm not doing that.

1. What are some signs that it's broken?

2. Is there a point where it's useless to ice it? Or as long as there's swelling it's good to ice it down?
Posted by lsunurse
Member since Dec 2005
129003 posts
Posted on 2/17/15 at 12:42 am to
You should get it looked at it you are questioning whether it's broken vs sprained.


I badly sprained my foot once.....was on crutches for a couple weeks. Couldn't bear full weight on it cause it hurt bad and my foot turned black from the bruising and swelled up twice its size. That was my clue that something wasn't right
Posted by Jim Rockford
Member since May 2011
98188 posts
Posted on 2/17/15 at 12:44 am to
My dad tripped and "sprained" his ankle. Went to the Dr a couple of days later just in case, and found out it was fractured. Bottom line, you don't know for sure without an x ray.
Posted by pongze
IE, SoCal
Member since Nov 2007
1713 posts
Posted on 2/17/15 at 12:45 am to
I am an ER physician. Google Ottawa ankle rules, that is the decision tool that we are supposed to use for x-raying ankles.

But, my personal experience is that I broke my ankle snowboarding a few years ago and I wouldn't have x-rayed it initially based on the rules. I walked on it for about 5 days before getting it x-rayed. I typically see much more brusing from fractures than what I had as well.

As far as recommendations, however, ice for the first 24 - 48 hours. Elevation above the level of your heart, compression with an ACE bandage help, too.
Posted by VermilionTiger
Member since Dec 2012
37586 posts
Posted on 2/17/15 at 12:46 am to
It's pretty bruised on the side of my left foot leading up to my ankle

And I have some bruising/swelling higher on my ankle (high ankle sprain?)
Posted by lsunurse
Member since Dec 2005
129003 posts
Posted on 2/17/15 at 12:47 am to
And if his foot is really swollen getting an X-ray right now might not show a fracture(at least that is what I was told at urgent care). They did initial xrays at urgent care for mine and didn't see a fracture...but my doctor made me get more X-rays a week or so later to make sure.
This post was edited on 2/17/15 at 12:52 am
Posted by strikingoutsince87
BTR
Member since Jan 2009
1961 posts
Posted on 2/17/15 at 8:22 am to
I always wondered if y'all actually followed the Ottawa ankle rules. I know what its intended use is for although it seems like a lawsuit waiting to happen when a simple diagnosis can be confirmed on a cheap radiograph
Posted by el Gaucho
He/They
Member since Dec 2010
53010 posts
Posted on 2/17/15 at 8:25 am to
make sure you put weight on it, preferably running. If you don't put weight on these injuries they don't heal properly and you'll be predisposed to it happening again
Posted by jakedel12
Dallas, Texas
Member since Nov 2006
1449 posts
Posted on 2/17/15 at 8:30 am to
quote:

make sure you put weight on it, preferably running


Not sure if serious
Posted by Tigerpaw123
Louisiana
Member since Mar 2007
17261 posts
Posted on 2/17/15 at 8:36 am to
Stop soaking in hot water, continue using ice, compression and elevation

The only way to confirm or rule out fracture is with x ray, get it checked out
Posted by HebertFest08
The Coast
Member since Aug 2008
6392 posts
Posted on 2/17/15 at 8:36 am to
i worked in an ortho trauma service for about 5.5 yrs. Go get it xrayed. Could be just a severe sprain or an avulsion fx.... or could be much worse. either way you need to be immobilized for several days for it to get better.
Elevate, ice and ibuprofen or sodium naproxen (aleve).
Posted by YouAre8Up
in a house
Member since Mar 2011
12792 posts
Posted on 2/17/15 at 8:42 am to
quote:

What are some signs that it's broken?


Posted by TIGRLEE
Northeast Louisiana
Member since Nov 2009
31493 posts
Posted on 2/17/15 at 8:47 am to
Quit being poor and go to the doctor.
My tax dollars will pay for you too.
Posted by The Pirate King
Pangu
Member since May 2014
57701 posts
Posted on 2/17/15 at 8:47 am to
How did you injure it? What was the trauma that happened? (Twisting, blunt force, etc.)
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