Understanding Why Ankle Pain Can Disappear Only to Return Intensified
Profile: 20 years old, 80 kilograms, 160 centimeters tall. This morning, I had an unfortunate incident where I twisted my ankle and fell. Strangely, there was no swelling, and I managed to walk despite the discomfort. After a short while, I completely forgot about it since the pain subsided significantly. However, around eight hours later, I began to feel discomfort in my ankle again. Over the last 20 minutes, the intensity of the pain has been increasing gradually. Although it is still tolerable at the moment, I find myself limping, and the sensation is more painful than right after the incident. I’m curious what might be causing this. It’s quite puzzling that the pain vanished for a while and then reemerged, intensifying unexpectedly. Given that I have hypermobile Ehlers-Danlos syndrome and often twisted my ankles during my teenage years, resulting in lasting effects on both, this experience is unusual for me.
Answers (1)
8/7/2025, 6:50:46 PM
OpenHealth AI
It's understandable to feel confused about why your ankle pain would disappear and then return stronger, especially with your history of ankle issues. Ankle pain, particularly after a twist or sprain, can behave unpredictably due to several reasons.
Main Points:
- The initial pain relief is common and can result from the body's natural response, such as the release of endorphins.
- After some time, inflammatory processes can kick in, leading to increased pain.
- Given your hypermobile Ehlers-Danlos syndrome, your ligaments may be more susceptible to injury, complicating recovery.
Explanation: When you twisted your ankle, the injury likely caused some initial strain or minor damage to the ligaments or tendons. For a period, your body might have controlled the pain effectively, leading to a temporary sense of relief. However, after an injury, healing starts, and inflammation can increase as the body sends immune cells to repair the injured area. This can result in returning pain, sometimes more intense as you noted.
With your condition (hypermobile Ehlers-Danlos syndrome), you might have increased laxity in your ligaments, which can lead to instability in your ankle joint. This could make the area vulnerable and result in lingering or recurring pain.
Next Steps:
- Rest: Minimize weight on the injured ankle. Use crutches if necessary to avoid putting pressure on it.
- Ice: Apply ice for 15-20 minutes every hour as needed to reduce inflammation and numb the pain.
- Elevation: Keep the ankle elevated above heart level when resting to help decrease swelling, even if swelling is not currently present.
- Gradual Movement: Once the pain allows, start gentle range-of-motion exercises to prevent stiffness, but stop if it becomes painful.
- Pain Management: Over-the-counter anti-inflammatory medications, like ibuprofen, can help reduce pain and inflammation if there are no contraindications for you.
If the pain does not improve within a few days, or if you develop swelling, bruising, or severe instability, more thorough evaluation may be necessary to rule out significant injuries like fractures or ligament tears.
Related Questions
Concerns Over My Partner's Persistent Pain and Resistance to Seek Medical Help
I’m facing a worrying situation with my partner, a 40-year-old man who stands 6 feet 1 inch tall and weighs approximately 19 stone. Here's a brief overview of his medical background: Twenty years ago, he experienced two instances of deep vein thrombosis (DVT) in his left shoulder. Following the second incident, doctors discovered an abnormal growth of a rib that was pressing against a vein, which was the cause of those DVTs. More recently, he dealt with a blood clot in his calf last year. Fortunately, that was successfully treated, and he returned to his normal health. Although he was advised to continue taking apixaban for the long term, he has, unfortunately, chosen not to follow through with this guidance. He also has a history of elevated blood pressure. For the past couple of days, he has been experiencing two concerning symptoms that emerged simultaneously: a persistent cough with no accompanying cold or flu signs, and a severe pain located on the right side of his torso. He describes this discomfort as being mostly in his stomach yet extending slightly to his back. I would pinpoint the troubled area as the lower part of his ribs along the side of his body. It's unusual for him to express discomfort or complain about his health, so his recent grievances signal to me that the pain is likely quite significant. Despite my repeated suggestions for him to visit a doctor, he insists that he may have simply pulled a muscle. To manage the pain, he's been applying an ibuprofen cream (voltarol) and taking naproxen, but neither seems to provide relief. What might be the underlying issue here? I hope that some medical professionals who see this post can offer their insights, which might persuade him to consider making a doctor’s appointment. I’m open to providing any additional information you might require for a more informed perspective. Thank you for your help!
Struggling with Bleeding and Pain Since Christmas
I'm a 27-year-old woman from the UK, and I've reached a point of exasperation. I'm reaching out because I hope someone can provide insight or guidance on what I should discuss with my doctors. Please excuse any grammar or spelling errors as I have dyslexia. I've been diagnosed with endometriosis and underwent surgery in 2022 for confirmation of that diagnosis. On December 15th, I had my birth control implant removed after nearly two years. During that period, I experienced severe menstrual cramps and PMS. My GP started me on Drospirenone 3mg and Estetrol 14.2mg COCP in October to alleviate these symptoms and suppress my periods, which provided some relief. Prior to this situation, I occasionally dealt with flare-ups that typically lasted a few days or up to a week. To help manage the discomfort, I have been prescribed Duloxetine at a dosage of 90mg. I had an ultrasound earlier this summer, and the results came back normal. Currently, I am awaiting an MRI. Last year, my smear test results were also clear. After the removal of my implant in December, I began bleeding on Christmas Eve. Initially, I could manage with just a panty liner, but over the next few weeks, the bleeding intensified, requiring the use of pads due to increased blood flow and blood clots. Given my history with endometriosis, pain isn't unfamiliar to me; my average pain level is around a 4, but it has recently escalated to 7 or 8. In the past couple of weeks, the discomfort has worsened. My job demands physical activity, and bending over now causes pain in my back and legs. Additionally, I experience discomfort when my bladder fills, and urination is painful, although it doesn't feel like a urinary tract infection. I've also been waking up at night to use the restroom. My doctor performed a urine dip test that showed no signs of infection, though there was blood in my urine, which he indicated was to be expected. Recently, my GP prescribed Tranexamic acid 500mg and Mefenamic acid 500mg, which helped with the blood clots, but I'm still experiencing bleeding and significant pain. I've been diligent about taking my medication, treating it like a strict regimen. I returned to the GP, who referred me for another ultrasound and advised me to go to A&E if the pain worsens. I've been resting as much as possible while still trying to maintain some level of activity, but it hasn't provided much relief. Any assistance or advice would be immensely appreciated! Thank you!
Normal MRI and EMG Reveal Nerve Slowdown
Greetings, I’m a 23-year-old female seeking guidance about some health issues I’ve been experiencing. Recently, I've noticed weakness in both my hand and arm, particularly in my dominant hand where grip strength has been notably diminished. After undergoing an EMG, the results indicated that my nerves are exhibiting a slowdown. However, my MRI results were unremarkable. To address some swelling I experienced, I was prescribed a course of steroids (4mg for a few months), which alleviated some of the issues, yet I still experience residual swelling in my hand. Often, my hand feels cold, and I notice a popping sensation when I move my fingers. Despite these sensations, I do not have any numbness or tingling, and the swelling appears sporadic. The pain I endure is quite severe, described as a hammering sensation throughout my hand. On occasion, I take ibuprofen (600mg) for relief, but it proves to be somewhat ineffective. My wrist itself seems fine, but my orthopedic specialist is considering a diagnosis of carpal tunnel syndrome (CTS), even though my symptoms don’t align with typical CTS indicators. I would greatly appreciate any advice or insights you may offer!
Experiencing Unusual Sensitivity to Paracetamol
Hello, Reddit community! I'm a newcomer here, so please bear with me as I navigate this platform as well as the rules. I appreciate your understanding regarding my writing skills. I find myself in a situation that lacks sufficient information online, and I'm reaching out for insights from others. Currently, I have reasons to believe that I might be experiencing a unique sensitivity to paracetamol, and I’d like to share my timeline regarding this matter. Throughout my life, I generally had no issues with paracetamol. I used various brands multiple times and felt fine. However, starting in the fourth grade, I began to experience difficulties with it. My initial problems were respiratory-related, but soon they also affected my gastrointestinal system. I haven't had any formal testing yet, but I can safely use other pain relievers like NSAIDs without any adverse effects. Initially, I tolerated paracetamol relatively well; my early symptoms seemed like common side effects. Unfortunately, it escalated to severe reactions, including vomiting, tightening of the throat, blood in my mucus, and shortness of breath. In my confusion, I thought limiting my dosage could help, which it did temporarily, but eventually even the reduced amounts failed to be effective. I experimented with syrup formulations that contain less paracetamol or where it isn't the primary ingredient, and found those to be more manageable. Recently, however, even those have become problematic, making it necessary for me to seek alternatives to paracetamol, as it has become increasingly intolerable. Through my research, I discovered that such reactions often stem from cross-sensitivity to other medications or from preexisting respiratory conditions. I lack a history of asthma or other respiratory issues, so I’m inclined to dismiss that possibility, although I remain uncertain. Moreover, I have no known allergies, which adds to my confusion since my reactions only occur with this one particular medication while all others seem fine. It is difficult for me to process this change, especially since I used to have no issues with paracetamol. It is widely available and generally considered safe, so I struggle to understand the source of my suffering. Many people insist that these reactions are normal side effects, leading me to question whether I am overreacting. The immediacy of my reactions intensifies my concern; I don’t even need to swallow the medication completely before I notice my throat constricting, increased mucus production, and shortly thereafter, some blood in my mucus along with persistent coughing. This pattern has become consistent, whereas it used to depend on the dosage. Now, regardless of how much I take, the same symptoms occur. I’ve tried to dismiss it, not wanting to worry my parents or seek medical attention for a dosage safety test, fearing I’ve already pushed my body too much. However, I am considering discussing my concerns with my mother since she is increasingly worried about my use of this medication. I’m not seeking a diagnosis or medical advice—I understand I should probably consult a professional. I’m just interested in knowing if anyone else has faced similar experiences, as the confusion grows. What I once assumed were normal side effects now seem to signify something more concerning.
Chronic Foot Pain: Seeking Insights on Possible Causes
I'm reaching out to gather thoughts on a perplexing issue I'm facing. Since my first pregnancy back in 2020, I've been dealing with intense foot pain that appears unpredictably. It all started when I was about seven months along while working long shifts in a busy kitchen, four days a week, for eight hours each day. At the time, I dismissed the discomfort as something typical for pregnancy, but it fortunately subsided about six months after giving birth to my first child. Fast forward to late 2024, when I became pregnant with my second child. By now, I had transitioned to being a stay-at-home mother, with none of the rigorous demands of my previous job. However, around three months into this new pregnancy, the foot pain reemerged and has persisted ever since. My youngest is turning two this month, which helps frame this timeline. The pain has oscillated between being severe and manageable, but the previous six months have marked a significant decline into debilitating territory. When I am at rest, I feel sharp pains in my metatarsals that radiate up to my knees. To alleviate some discomfort, I’ve been altering my walking style to shift weight more onto my heels instead of the balls of my feet. However, this adjustment has introduced a new level of discomfort in my heels. Ironically, the only relief I find is while walking. Nonetheless, excessive walking—even something as simple as taking my oldest to school for a brief ten-minute journey—leaves me nearly immobilized the following day. Currently, I’m on a regimen of 50 mg of APO-Diclofenac DR, taken twice daily, yet I’ve found no relief. Previously, I also tried 500 mg of naproxen twice a day without any positive outcomes. I've experimented with various footwear, but none have alleviated the pain. My primary care physician has arranged for bilateral x-rays and blood tests to check for conditions like gout and markers for osteoarthritis and rheumatoid arthritis, among other things. So far, all tests have returned normal. There have been occasions where I’ve had to keep my oldest child at home from school simply because I’m unable to walk even a short distance, such as the fifty steps from my bedroom to the kitchen. Standing causes distress, and even elevating my feet while resting feels unbearable. Additionally, any gentle touch to my feet triggers intense pain that shoots up my shins. The only feedback I’ve received from my doctor so far is that it likely stems from inflammation, along with a recommendation to expedite weight loss. I had a chiropractor assess my condition, and they noted that I am hypermobile, but I’m unsure how significant that could be to my situation. If you have any questions for clarification, I’d be more than willing to respond. I’m enduring considerable pain and would greatly appreciate any suggestions on possible avenues for finding relief.