General Discussion - Sprained ankle

Sprained ankle

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Forum Name: General Discussion
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Topic: Sprained ankle

Posted By: RSPT
Subject: Sprained ankle
Date Posted: May 15 2018 at 12:06pm

I am working with a 13 year old girl who has sprained her ankle many times. She is no longer in the acute phase. When she does her ankle strengthening and balance exercises she complains of pain. She has followed up with the orthopedist but the orthopedist said everything anatomically is normal. Passive and active range of motion is pain free. Muscle testing also does not produce pain. Balancing on one foot is what produces the most pain. Should I tell her to push through the pain? Thank you

Replies:

Posted By: Ask a PT
Date Posted: May 21 2018 at 1:30pm

Have you checked the joint mobility at the superior and inferior tibfib joint? I often find a dysfunction here as a result of an inversion ankle sprain. Mobilizing the joint(s) at both ends can often allow for more normal arthrokinematics at the tibfib joint and alleviation or reduction of pain. If your patient is experiencing that much pain I wouldn't have her push through it as you likely will most likely just further irritate the joint or ligament(s). Does she continue to have tenderness at ATFL upon palpation and is that the area where she continues to have the pain?

Posted By: johncarter
Date Posted: Apr 23 2019 at 2:22am

Hi,

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Posted By: dowhyme
Date Posted: May 01 2019 at 5:42am

Does she still have pain while exercising?

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Evaluate Educate Rehabilitate

Posted By: Seeker88
Date Posted: Feb 24 2022 at 5:41am

hi, have you tried consulting a physiotherapist? I had undergone an ankle sprain last year and medications proved to be helpful as a temporary relief. It was then I switched to physiotherapy treatment. It seemed to be very fruitful and the pain recued drastically. Now, I'm totally healthy and pain-free.