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Ankle Problems

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Other situations besides an ankle sprain can cause ankle pain. Follow this chart for more information about an ankle problem.


 

SYMPTOMS   DIAGNOSIS   SELF-CARE
Begin here        
1. Did you begin to have pain or swelling after a fall, a twisting injury or after the ankle was hit? No --> Go to Question 5.*    
Yes, go down        
2. Is the pain so intense you're unable to walk on the ankle? Yes --> You may have a FRACTURE or a severe SPRAIN, and either condition may require treatment. --> Don't walk on the foot. Raise the leg and place ice on the swollen area. See your doctor promptly.
No, go down        
3. Is there swelling and a bruise, but you're still able to walk on the ankle comfortably? Yes --> You probably have a SPRAINED ANKLE, but you could have a FRACTURE of the FIBULA. --> Use ice, elevation, rest and an elastic bandage to keep the swelling under control. See your doctor if the swelling and pain continue.
No, go down        
4. Are the discomfort and swelling mild? Yes --> This is likely to be a MILD SPRAIN. --> Use ice, rest, elevation and a compression wrap to keep down the swelling. After the first day, you may use heat for discomfort.
No, go down        
*5. Do you have swelling, redness or pain in both ankles? Yes --> You may have RHEUMATOID ARTHRITIS. --> Use analgesics and anti-inflammatory medicines for discomfort and check with your doctor.
No, go down        
6. Do you have a fever or is more than one joint swollen and red? Yes --> Fever along with a painful, swollen joint could mean an INFECTED JOINT. More than one affected joint could mean RHEUMATIC FEVER. --> URGENT
See your doctor promptly.
No, go down        
7. Did the pain come on rapidly or does clothing that rubs against the joint cause pain? Yes --> You may have GOUT (inflammation caused by high uric acid level in the blood). --> See your doctor.
No, go down        
8. Has the pain increased gradually? Yes --> It could be DEGENERATIVE JOINT DISEASE from arthritis or from previous trauma to the ankle. --> Use heat and an anti-inflammatory medicine for discomfort.
See your doctor.
No, go down        
For more information, please consult your doctor. If you think the problem is serious, call right away.        

This tool has been reviewed by doctors and is for general educational purposes only. It is not a substitute for medical advice. The information in this tool should not be relied upon to make decisions about your health. Always consult your family doctor with questions about your individual condition(s) and/or circumstances. Source: American Academy of Family Physicians. Family Health & Medical Guide. Dallas: Word Publishing; 1996.

Copyright © 2006 American Academy of Family Physicians


 
 
 

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