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Can an orthopedist do anything for a sprained ankle?

Posted on 2/8/22 at 7:54 am
Posted by Gaston
Dirty Coast
Member since Aug 2008
38927 posts
Posted on 2/8/22 at 7:54 am
Athletic trainer is sending my boy to his parent clinic this morning for x-rays on a sprained ankle…and I’m just wondering what for. Can they even tell if ligaments are damaged with an x-ray? If he has a slight break what would they do, he’s been on crutches for well over a week?

Went to this same place for his separated AC joint and they didn’t do shite…so it seems like if you don’t fall into the ‘you need surgery’ bin you aren’t much good to them. Doubt I’d let them do surgery on my sons ankle anyway…surely not without a second opinion.
This post was edited on 2/8/22 at 7:55 am
Posted by SlowFlowPro
Simple Solutions to Complex Probs
Member since Jan 2004
421355 posts
Posted on 2/8/22 at 7:57 am to
quote:

Can they even tell if ligaments are damaged with an x-ray?

Will likely need an MRI to really determine the level of sprain (which is essentially the level of tearing).

quote:

If he has a slight break what would they do

THAT question is beyond my abilities, but I assume it is a "that depends" situation. Where is the break? How bad is the break? Etc.
Posted by MorbidTheClown
Baton Rouge
Member since Jan 2015
65666 posts
Posted on 2/8/22 at 7:58 am to
if they can't, who can?
Posted by BadatBourre
Member since Jan 2019
736 posts
Posted on 2/8/22 at 8:00 am to
Aight, let me explain something boss.

Trainer is sending your kid to Ortho to simply have his ligaments checked since he's been on crutches a week with little improvement. Almost every Ortho takes Xrays because they are generally cheap with insurance, and can be used to tell insurance that Xrays were negative, so you need an MRI to further diagnosis.
Posted by Gaston
Dirty Coast
Member since Aug 2008
38927 posts
Posted on 2/8/22 at 8:00 am to
I’d assume this is a PT issue at this point. Reducing the recovery time…and making a full range of motion recovery are the two main focuses…and if a surgeon is involved both of those are shot.
Posted by jgoodw318
Bossier City
Member since Sep 2013
1102 posts
Posted on 2/8/22 at 8:01 am to
You know you do have the option of taking your child to a dr of your choosing right? That’s the first thing. How old is your boy? Is he the next Joe Burrow or Babe Ruth or something? If not, I would do whatever the dr says. As long as there is no significant break the ankle should heal properly and naturally would be the best thing for him.
Posted by WDE24
Member since Oct 2010
54132 posts
Posted on 2/8/22 at 8:01 am to
quote:

Can an orthopedist do anything for a sprained ankle?
Can determine if it is a sprain or fracture. If fractured, can determine and monitor healing to make sure surgery isn’t needed and to determine appropriate pt and recovery plan.

I told you two weeks ago you should X-ray because very possibly could be a fracture.
This post was edited on 2/8/22 at 8:03 am
Posted by Gaston
Dirty Coast
Member since Aug 2008
38927 posts
Posted on 2/8/22 at 8:04 am to
15, he’s solidly a D1 caliber kicker. This is his kicking foot and not the plant.

Hurt it playing soccer. Never had a lower leg injury before.
Posted by Gaston
Dirty Coast
Member since Aug 2008
38927 posts
Posted on 2/8/22 at 8:05 am to
They wanted the swelling to go down before full diagnosis…so we dunked it ice water for the first week.
Posted by LSUfan4444
Member since Mar 2004
53730 posts
Posted on 2/8/22 at 8:06 am to
Until he's had an x-ray, you can't do anything beyond guess.
Posted by jgoodw318
Bossier City
Member since Sep 2013
1102 posts
Posted on 2/8/22 at 8:11 am to
quote:

15, he’s solidly a D1 caliber kicker


Dude. He’s 15. As long as it’s not a significant break best decision for your son would be to let it heal naturally. His body is not fully developed yet is the reason. Listen to what your ortho says to do.
Posted by Jake88
Member since Apr 2005
68030 posts
Posted on 2/8/22 at 8:13 am to
quote:

Is he the next Joe Burrow or Babe Ruth or something?
He thinks he's the next Morten Andersen or Pulisic. He posts more about his kid than the OT posts "Did anyone else hear that explosion?" threads.
Posted by Tigersonfire
Pville
Member since Oct 2018
3027 posts
Posted on 2/8/22 at 8:16 am to
Go to the Ortho. Daughter “sprained” her ankle in a bball game. ER said it was just severe sprain. Went to Ortho and could clearly see multiple fractures in X-ray. Don’t be a tight arse.
Posted by LSUAlum2001
Stavro Mueller Beta
Member since Aug 2003
47119 posts
Posted on 2/8/22 at 8:17 am to
I sprained an ankle badly once and ended up finding a chip fracture via xrays that needed 2 screws to repair.
This post was edited on 2/8/22 at 8:19 am
Posted by Gaston
Dirty Coast
Member since Aug 2008
38927 posts
Posted on 2/8/22 at 8:18 am to
That’s scary. What did they do, cast it?

The swelling has mostly gone down. It’s just super stiff.

Posted by TDsngumbo
Alpha Silverfox
Member since Oct 2011
41526 posts
Posted on 2/8/22 at 8:26 am to
I broke my foot a few years ago. ER told me it wasn’t broken and sent me home with crutches. A week later it was still hurting very much so I went to the ortho unit on Bluebonnet. They told me it was indeed broken but that since so much time had gone by there wasn’t much they could do other than tell me to continue to stay off of it. Said the ER at St. Elizabeth in Gonzales should be ashamed of themselves for letting me leave without a boot.
This post was edited on 2/8/22 at 8:27 am
Posted by Wtodd
Tampa, FL
Member since Oct 2013
67482 posts
Posted on 2/8/22 at 8:27 am to
quote:

Can an orthopedist do anything for a sprained ankle?

Absolutely....tell ya not to walk on it and charge you $350 for that advice
Posted by DaBeerz
Member since Sep 2004
16892 posts
Posted on 2/8/22 at 8:29 am to
Went to ER in college for severe sprain and couldn’t put weight on it, throwing up from pain. No fracture. Sent home on crutches. Went to ortho and he immediately noticed ankle mortise was widened due to torn ligament and had surgery to place screws through both bones for 2 months then they were removed.

Tua had surgery on his ankle for bad sprain.

Just depends on extent of ligament damage. I had another bad one, they gave me steroid shot in ankle and PT, took 6 months to heal.
Posted by jacksajester
Metry
Member since Jun 2014
1500 posts
Posted on 2/8/22 at 8:29 am to
Alabama docs will suggest tightroping it.
Posted by VABuckeye
Naples, FL
Member since Dec 2007
35473 posts
Posted on 2/8/22 at 8:31 am to
quote:

Reducing the recovery time


Never a good idea and particularly with ankle sprains.
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