r/Ankle

Grade 3 Sprain and not being able to feel any progress into week 3 - getting very nervous
▲ 1 r/Ankle

Grade 3 Sprain and not being able to feel any progress into week 3 - getting very nervous

I tried to consider myself a very proactive, relatively mindful person when it comes to my body and my health. I had my first sprained ankle and felt the “pop” and dropped to the ground. After going to urgent care and getting an x-ray that confirmed there was no broken bone. I decided to put a boot on and finish a (Hair Client) that day and could feel it beginning to swallow even more. After that, I started the rice method and lightened my load for the next couple days so I can get through a weekend with some extra rest. With no significant improvement in the swelling went and saw an orthopedic doctor on the seventh day got another x-ray, which confirmed no broken bone but soft tissue damage. Dr guessed it was between a grade 2 or 3. I went ahead and got my own MRI the following day to get more insight of what’s going on. I tried again working one of the days I had an easy client, rolled around on my chair mostly with very little weight put on ankle but the next day it actually felt worse. Ended up going back to the doctor, which ended up being around the two week mark from my fall and got the results which were much worse than the doctor originally thought my injury was. It is now considered a grade 3 multi ligament tear and I’m having additional issues with my tendons and peroneal nerve/tendon.
Maybe the doctor was having a bad day, but she made it seem like I needed to deep tissue massage through the hematoma and dry blood that was stuck inside my ankle and try to get some improvement with my tendons and that a lot of it I needed to do on my own so that I could elude surgery. She wasn’t very nice and then kept me on my original 30 60 90 plan of weight-bearing over the next few weeks that was originally giving me per the old scaling of the injury that she thought it was.
This is all new territory for me and I do love my work but I honestly feel unstable now on my ankle in the standing position or the pressure of the inflammation feels uncomfortable.

MRI findings
Your MRI indicates a severe lateral ankle sprain involving a complete (Grade 3) rupture of the anterior talofibular ligament (ATFL), significant bone bruising (contusions) inside the ankle joint, localized bleeding/swelling (\(4.1 \times 4.0 \times 0.7\text{ cm}\)), and secondary strain on the deep deltoid fibers and peroneal tendon sheath. [1, 2, 3, 4, 5]

Summary of Findings
Ligament Tears: Complete Grade 3 tear of the anterior talofibular ligament (ATFL) with potential involvement of the calcaneofibular ligament (CFL) and retinaculum. Mild partial tear of the deep deltoid ligament. [1, 2, 3, 4, 5]
Bone Contusions & Effusion: Patchy edema (bone bruises) inside the talus bone accompanied by moderate-to-large joint fluid and blood accumulation (hemarthrosis). [1]
Tendon Involvement: Flattening and tendinosis of the peroneus brevis tendon with tenosynovitis or surrounding hematoma.
Soft Tissue Swelling: Substantial swelling and localized fluid collection/post-traumatic bleeding measuring about \(4.1 \times 4.0 \times 0.7\text{ cm}\) near the outer ankle. [1, 2, 3, 4]

I’m so sorry this is a lot of information and a very long-winded post but I was just hoping to find anybody else who has had something similar happened to them.

u/Mammoth_Fudge2304 — 4 hours ago
▲ 6 r/Ankle

D8 post ATFL rupture

*1st photo yesterday second photo today (24 hours later)*
Hi guys completely ruptured my ATFL 8 days ago have been in CAM boot however felt quite a bit of pain in it and now have new onset of swelling and redness.

Is this new swelling and redness to be expected? I’m worried further damage has occurred. Pain along the bone can be very unbearable. Wondering if the hard plastic along the side of camboot could be causing pressure?

u/CommercialRepulsive2 — 13 hours ago
▲ 1 r/Ankle+1 crossposts

5 weeks post fibula distal fracture and sprain. Is this normal??

The ortho said I can start walking in another week. I mentioned numbness and tingling and he seemed unconcerned.
I can move everything almost normally now but the ankle area remains swollen and it seems to be cutting off circulation to my foot.
(Right foot in pic) specifically blood seems to struggle to come back up. If I look at my left the veins are near the surface and on right invisible -
Thoughts? Should I push my GP for an ultrasound (?) or wait it out and start walking next week and see how it goes?
Anyone else have this and it went away?
Thanks!

u/Jnnn1111 — 1 day ago
▲ 4 r/Ankle+1 crossposts

Trimalleolar Fracture Week 7

I was just cleared to but a little bit of weight- AKA still wear my boot and use my walker but sit on a bike at physical therapy. My foot is still so stiff and i expected that, but doss the stiffness go away? I couldn’t walk if I tried right now.

I used to teach dance(in heels) and also go for runs. Feeling kind of stir crazy and worried.

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▲ 1 r/Ankle

Realistic expectations?

I'm 10 weeks post injury (torn ATFL, CFL, deltoid, bone bruising, etc) and after significant dorsiflexion issues during recovery and being referred to an orthopaedic surgeon he has recommended arthroscopic ankle synovectomy and endoscopic gastroc lengthening. I was really hoping to avoid surgery but it seems inevitable. For those who have had those surgeries - how was your recovery? I'm a dancer and I'd love to get back to it eventually but I know there's a risk of nerve damage and/or weakening of calf from the lengthening procedure

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u/LuluWoohoo92 — 1 day ago
▲ 2 r/Ankle

MRI report after bad ankle sprain. Complete ligament tear, will I need surgery? Seeing doctor next week.

Landed on my ankle after a jump playing volleyball, able to walk limping after 11 days. Just got the MRI report. Will see the doctor next week, how bad does it look?

Summary:

You have a very severe ankle sprain, not just a mild one:

  • One major ligament on the outside of your ankle is completely torn.
  • A major ligament on the inside of your ankle is almost completely torn.
  • There is also a small piece of bone likely pulled off where that inside ligament attaches, a small avulsion fracture.
  • Your ankle joint has a lot of swelling/fluid and inflammation.
  • The good news: the Achilles tendon, other ankle tendons, and the ligaments holding the two lower-leg bones together are intact.

Full report:

Clinical information: Fell onto the left ankle with an inversion injury while playing volleyball. Unable to bear weight since the fall. Pain over the outer ankle bone; rule out fracture.

LEFT ANKLE MRI

Comparison exam: None.
Technique: Examination performed using a standard protocol.

Findings

1. Ligaments

The anterior talofibular ligament has a heterogeneous, disrupted appearance, compatible with a complete tear. The posterior talofibular and calcaneofibular ligaments remain intact.

There is a high-grade, nearly complete tear of the deltoid ligament, with only very few continuous fibers remaining along its lower inner edge. There is marked thickening of the spring ligament without a tear, related to a sprain.

The anterior and posterior syndesmosis are intact, with no widening of the space between the tibia and fibula.

2. Tendons

The peroneal tendons and Achilles tendon appear normal.

The ankle flexor and extensor tendons are normal, without tear or synovitis.

3. Bones and joints

There is subchondral bone marrow edema of the talus where the deltoid ligament attaches, with interruption of the cortex, suggesting a small avulsion fracture. There is also bone marrow edema of the sustentaculum tali. No osteochondral lesion or other acute fracture is identified.

There is a large amount of fluid within the joint, with synovitis, especially at the front of the ankle.

4. Tarsal tunnel and sinus tarsi

Normal.

5. Plantar fascia

Normal.

Conclusion

  • Complete tear of the anterior talofibular ligament (ATFL).
  • High-grade, nearly complete tear of the deltoid ligament, with very few remaining continuous fibers along the lower inner side.
  • Sprain of the spring ligament, without a definite tear.
  • Cortical interruption and subchondral edema of the talus at the deltoid-ligament attachment, suggesting a small avulsion fracture.
  • Large joint effusion with synovitis.
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u/youwillnevercatme — 3 days ago
▲ 3 r/Ankle+1 crossposts

Sprained ankle

Sprained my ankle heard a pop when it happened. At first I was able to walk without pain, but putting pressure walking in any way (heel) is extremely painful. This first photo the foot is elevated and throbbing pain is present no matter how my foot is place. I am able to move toes and slightly move side to side and front and back with the same pain. The second photo shows my feet side to side. My right foot is curved, even if my legs are straight. Should I be concerned? Should I go to the ER? Or just continue the R.I.C.E method?

u/Over_Location188 — 3 days ago
▲ 2 r/Ankle+1 crossposts

Persistent ankle pain with no explanation

About four years ago, I noticed my left ankle felt strange. It felt like I had a string tied around it too tightly. When I examined it, I saw that it was significantly swollen. Worried that it might be something serious. I went to see my primary care doctor. After some x-rays showed nothing abnormal she referred me to an orthopedic. The orthopedic took his own x-rays. It also saw nothing out of the ordinary. I went home and eventually the swelling reduced. My ankle went back to relatively normal for a few months and then the pain and swelling returned. I went through this cycle of pain and swelling for another three years before attempting to seek help from someone else. I went to see a different orthopedic and he ordered an MRI. By this time, the pain, swelling and added neuropathy in my ankle had become near constant. My ability to walk was severely compromised and I couldn’t tolerate the feeling of anything touching my ankles. I can’t wear shoes that touch my ankles. I was hopeful that the new orthopedic and MRI would find something that could be fixed. Unfortunately, once again the test showed nothing significant. There was a mild irregularity in the medial ligaments that the orthopedic said was likely due to an ankle injury. I don’t recall injuring my ankle and anyway, this situation with my ankle had been going on for three years by now. I would think that an ankle injury would have resolved after three years. Now going on my fourth year my right ankle is starting to feel some mild similar symptoms. My left ankle has deteriorated to where even with physical therapy I walk with a cane and I experience periods of moderate ankle weakness. If an MRI and two separate orthopedics can’t figure out what’s going on what else can I do? Maybe I should add, I recently discovered that I have adult scoliosis with major curvature of my lower spine. I don’t know if that could be useful information? I decided to throw this information out on Reddit to see if anyone else has experienced anything similar and if so, were they able to do anything about it?

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u/princess-1971 — 3 days ago
▲ 5 r/Ankle

Rolled my ankle two days ago walking to the casino

Would like to know if this is bad or not. I’ve been walking on it for the past two days since I’m on vacation. Don’t wanna miss anything. It hurt really bad the first day but now it’s feeling slightly better. Got a compression wrap and been icing it.

u/Inevitable_Ad_3227 — 4 days ago
▲ 17 r/Ankle+1 crossposts

Scottie dancing feet

The question is, don't his ankles hurt🤕? But they say "you have a shot? Scottie can shot.."

u/MidHcpGolfers — 4 days ago
▲ 0 r/Ankle

Potentially misdiagnosed ankle issue

Hello! Im a girl 18 years old 5'4. I played rugby in highschool for my school and city, but when I was in grade 10, around 3.5 years ago I got a horrible 'sprain' on my ankle in a rugby match, my whole foot was swollen and bruised green with a purplish bruise line on the side. I got x rays at the hospital and there was no break and no visible fracture, but they also said there was a chance I did have a fracture because my bone looked a little bit wide (idk if I'm remembering correctly), and it was just a sprain. I could barely play and could barely walk for about 3-4 weeks, and I'm worried because there's something still off with my ankle. I went back to the doctor and she just said I should do physiotherapy, we don't have the money for that so I tried my best and deeply looked at stretches and light exercises, and now, the bone area on my left ankle (where the injury was) looks different as in bigger/more swollen compared to my right one. For the last few years it's felt a bit weak but it wasn't too bad so I didn't do anything about it, but on Monday I did 30000 steps with my friend, I feel fine, my right ankle is not remotely sore or hurting but I can barely put any weight on my left and it looks more swollen than usual. I really thought my injury is more substantial than a sprain because it's still injured, I tried insisting that to my doctor the last time I went but he said it wasn't (without even looking at it) and I don't want to be rude and just listened because I obviously don't have a medical degree.. but I'm so sick of this I can't play the same and I've just been in pain the past few days because of it.

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u/BetSad6646 — 4 days ago
▲ 4 r/Ankle

Ankle injury

Hi, i’m 25 and about 16 weeks pregnant, i don’t smoke etc etc but i stepped off a deck today around noon it’s 6:42p (around 2 feet) and fell in a hole & when i hit the ground i heard a couple cracks & my ankle twisted.

currently im in a lot of pain without even walking in it & walking on it hurts (i have a limp now) is this something i need to get checked or should i give it time!

(my feet are just chunky so ignore that but my ankle is killing me)

u/Responsible-Farmer-2 — 4 days ago
▲ 1 r/Ankle

Residual pain and possible swelling 7 months after ankle sprain

I sprained my ankle in January. I was in a boot for about two months, using crutches for two or three weeks of that. Since then I can walk and bear weight without issue, but I've noticed that the injured ankle is still slightly puffier than my other one, and it seems to become more prominent during 'episodes' where I am feeling pain. The pain mostly does not cause issues with walking, but it is extremely uncomfortable and can persist anywhere from minutes to hours. Ice pack, elevation, and massaging seem to help when I'm able to do so. It didn't concern me so much in the first four or five months, but it's July now and I am wondering if it's worth checking out again. Is it normal to still be dealing with pain this after so long?

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u/Ok-Gift414 — 4 days ago
▲ 3 r/Ankle

Ankle sprain with swelling on both sides

I fell while camping an hour from home and ended up at urgent care. It swelled up to baseball size in under 5 minutes. The first picture is a bad angle but taken that night. The urgent care said it’s not broken but I can’t put any weight on it so I have a boot and crutches. The next day the baseball swelling is a little better but the inner ankle area is shiny and puffy and across the top of the foot as well. Those are the pics 2 and 3.

Has anyone had a sprain behave like this? The urgent care didn’t say much about timeline or severity and dr google is a bit on the hysterical side. How long does it typically take to get off crutches from this kind of thing? I have kids home for summer and I’m slightly despairing trying to work out a plan for keeping all of us sane.

u/Ohmaggies — 5 days ago
▲ 2 r/Ankle

Ankle sprain

I sprained my ankle in end of April. I was weight bearing and able to walk on it. I fractured the same ankle July of 2025. For the fractured i was in a boot for about 2 1/2 months then brace and went to physical therapy. For the sprain I was in a boot for a week. Then braces for two weeks. I couldn’t do physical therapy because i wasn’t covered for it. I am back in CrossFit and HYROx with my brace on, i could do burpees, squats, lunges, etc. i am afraid to do it without the brace.

u/Icy-Compote721 — 6 days ago
▲ 3 r/Ankle

Brostrom with Internal Brace - Advice PLEASE!

I'm scheduled for a Broström repair with Internal Brace on August 19th, and I'm trying to get as prepared as possible. I'd love to hear from anyone who's had this procedure.

A little background: I injured my left ankle at a wedding last September and suffered an avulsion fracture of the fibular tip. We never got an MRI at the time, but based on my symptoms and imaging later on, my surgeon believes I most likely tore my ATFL, CFL, and PTFL. Despite months of conservative treatment, I continued having pain, instability, and swelling. My PCP ordered an MRI in April and referred me to ortho. I completed 5 weeks of physical therapy, but unfortunately it wasn't at all helpful, so surgery is now the next step.

My surgeon's plan is 2 weeks in a splint/cast and completely non-weight bearing. At my 2-week follow-up, I'll transition into a CAM boot, begin weight bearing as tolerated, and start physical therapy.

I've started making a shopping list for recovery. So far I have:

  • Leg elevation pillow
  • Knee scooter (I absolutely cannot survive on crutches 😂)
  • Waterproof cast cover for showering
  • Shower chair
  • Loose shorts and baggy pants
  • Robe
  • Ice packs

Is there anything else you found invaluable during recovery?

A few questions I have:

  • How painful was the surgery compared to what you expected?
  • What was the worst part of recovery?
  • How long were you truly non-weight bearing?
  • How long before you felt comfortable walking in the boot?
  • Is there anything you wish you had bought before surgery?
  • Is there anything you thought you'd need that ended up being unnecessary?
  • How long did it take before your ankle actually felt stable again?
  • If you've had the Internal Brace version, would you do the surgery again?
  • Any tips for making those first two weeks easier?
  • Any advice for sleeping comfortably or showering safely?

I'm equal parts excited and terrified, so I'd appreciate any advice, tips, or "I wish someone had told me..." stories. Thanks!

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u/LilacFire21 — 7 days ago
▲ 3 r/Ankle+1 crossposts

How bad is the sprain?

I sprained it Saturday night. First 3 pics are from today & 4 pic is from yesterday morning. How bad is it? I will be going to a walk in clinic today evening

u/Inside_Smoke266 — 6 days ago
▲ 3 r/Ankle+1 crossposts

6 weeks post orif ankle surgery

I am 5weeks and a few days post standard orif ankle surgery. I am no weight bearing but my surgeon expects me to start weight bearing in a boot with one crutch or no crutches this week. Each stage of recovery is an improvement and also make me nervous as I don’t know what to expect.

I have PT starting this week and will have it weekly. I was also told I will need to limit to 5 -15 minutes every hour.

What did this stage look like for you? Did you feel more independence? Could you get in the shower yourself? Did you still use a knee scooter when needed? I have been doing knee scooter and not crutches. What does your day look like?

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u/Top-Risk-7793 — 7 days ago