Hello everyone,
I sprained my ankle last Sunday while playing soccer. After blocking a shot, I landed on the lateral side of my foot and actually heard the tear. So, severe pain, throwing myself on the ground, this and that (thank god I came with a cold pack), no immediate swelling was observed. Just a little bit of swelling, but couldn't tolerate weight bearing. then the swelling gradually increased. Swelling reached its peak next morning. First off, I had a grade 2 sprain on my other foot when I was 16 so this is a little different than that.
Examination:
Palpation is painful over ATF, CF and PTF ligaments. Peroneal tendons and anterior ankle (right where you take dorsalis pedis pulse) were also painful to touch.
Swelling was observed over those 3 ligaments plus around achilles (achilles tendon was not visible when the swelling was at its peak) and some over anterior ankle. Swelling now decreased by like 50-60%.
No tingling, numbness anywhere in my foot.
MMT: No 2-5 toe extension at all. I see some movement, but I can't lift them up at all so 1/5. Great toe extension is at around 4/5. Definitely diminished strength, but I think that is normal. Going into dorsiflexion is 2/5. Can't do full ROM and when I try, I feel pain on the anterior aspect of my ankle. Plantarflexion is somewhat painful, but normal.
Ankle stability seems to be good. I can weight bear on my foot with the use of crutches. I can also ambulate in my apt with out crutches, but it is a little painful, so for my own safety, I try to use crutches all the time.
I have been doing ankle pumps, general AROM (DF, PF, Eversion, Inversion) Alphabet, Achilles towel stretching, walking w/ crutches, some glut extensions in prone etc.... As far as what kind of exercises I should be doing, I know what to do, however the fact that I have no toe extension, and very limited ankle DF is worrying me a little. I do not have health insurance and I am scared that the doctor is going to order MRIs that I cannot afford at this point. I haven't done an ortho rotation yet so I also do not know much about the prevalence of my issues associated with an ankle sprain.
What do you all think? Especially the experienced PTs. Thanks in advance.
I sprained my ankle last Sunday while playing soccer. After blocking a shot, I landed on the lateral side of my foot and actually heard the tear. So, severe pain, throwing myself on the ground, this and that (thank god I came with a cold pack), no immediate swelling was observed. Just a little bit of swelling, but couldn't tolerate weight bearing. then the swelling gradually increased. Swelling reached its peak next morning. First off, I had a grade 2 sprain on my other foot when I was 16 so this is a little different than that.
Examination:
Palpation is painful over ATF, CF and PTF ligaments. Peroneal tendons and anterior ankle (right where you take dorsalis pedis pulse) were also painful to touch.
Swelling was observed over those 3 ligaments plus around achilles (achilles tendon was not visible when the swelling was at its peak) and some over anterior ankle. Swelling now decreased by like 50-60%.
No tingling, numbness anywhere in my foot.
MMT: No 2-5 toe extension at all. I see some movement, but I can't lift them up at all so 1/5. Great toe extension is at around 4/5. Definitely diminished strength, but I think that is normal. Going into dorsiflexion is 2/5. Can't do full ROM and when I try, I feel pain on the anterior aspect of my ankle. Plantarflexion is somewhat painful, but normal.
Ankle stability seems to be good. I can weight bear on my foot with the use of crutches. I can also ambulate in my apt with out crutches, but it is a little painful, so for my own safety, I try to use crutches all the time.
I have been doing ankle pumps, general AROM (DF, PF, Eversion, Inversion) Alphabet, Achilles towel stretching, walking w/ crutches, some glut extensions in prone etc.... As far as what kind of exercises I should be doing, I know what to do, however the fact that I have no toe extension, and very limited ankle DF is worrying me a little. I do not have health insurance and I am scared that the doctor is going to order MRIs that I cannot afford at this point. I haven't done an ortho rotation yet so I also do not know much about the prevalence of my issues associated with an ankle sprain.
What do you all think? Especially the experienced PTs. Thanks in advance.
