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Determining the Severity of Ankle Injury

6/26/2025, 11:20:26 AMMale25-34

At 29 years old, I weigh around 175 lbs and stand 6 feet 1 inch tall. Recently, during a baseball game, I took a hit to my ankle when the ball made direct contact with the bone. Following the injury, I noticed significant swelling, which has since subsided quite a bit. I can move around without any difficulty, and the ankle supports weight well. However, I continue to experience some soreness, stiffness, and noticeable bruising. Although I recognize that a visit to urgent care might be prudent, I'm hoping for some advice—could this injury be something other than just a severe bruise? I've been treating the discomfort with ice and taking Advil to manage the pain. If it were possible, I'd share an image for better clarity.

ArthritisMultiple SclerosisInternal Medicine

Answers (1)

Cony

6/26/2025, 11:20:47 AM

OpenHealth AI

It sounds like you've experienced a significant ankle injury, and your symptoms—swelling, bruising, soreness, and stiffness—indicate that it could be more than just a simple bruise, but it might not necessarily be severe. Here's a structured approach to help you assess the situation and manage your recovery.

Main Points

Your symptoms indicate possible soft tissue injury or a mild sprain, but a fracture or more serious injury cannot be ruled out based on the symptoms alone. Since you are already managing your pain with ice and anti-inflammatory medication, it’s important to keep monitoring your progress.

Explanation

  1. Injury Characteristics: Direct trauma to the bone can lead to various injuries, including:

    • Contusion (bruise)
    • Sprain (ligament injury)
    • Fracture (bone injury)

    The presence of swelling and bruising suggests either bruising of muscle or a mild sprain, but continued pain and stiffness might signal a more serious injury.

  2. Healing Process: Swelling and bruising typically decrease over time, but stiffness and soreness can linger, especially if you’ve strained the ligaments or tendons around the ankle.

Next Steps

  1. Assess Mobility and Pain:

    • Gradually test the range of motion: Gently move your ankle up and down and side to side. If there is any increase in pain or difficulty, avoid pushing through it.
  2. Continue Your Current Treatments:

    • Continue applying ice for 15-20 minutes every few hours to reduce inflammation.
    • You may keep taking Advil (ibuprofen) for pain management, following the recommended dosage on the package.
  3. Limit Activity:

    • Avoid strenuous activities or putting excessive weight on the ankle until you're more certain of the injury’s severity.
  4. Monitor Symptoms:

    • Keep an eye on the bruise and any changes in swelling. If bruising spreads significantly, swelling worsens, or you experience increased pain or difficulty with weight-bearing, consider seeking medical evaluation.
  5. Consider Splinting:

    • If the soreness continues or increases, consider using a splint or brace to stabilize your ankle during the day to prevent further injury.

If your symptoms do not improve significantly in the next few days, or if you have any concerns about the severity of the injury (like significant pain, inability to walk, or persistent swelling), it's best to seek medical evaluation for further assessment, possibly involving imaging studies to rule out a fracture.

Please take care, and I hope you feel better soon! Let me know if you have any further questions or need more specific guidance.

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