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Why is my ankle still swollen after 2 months?

Published in Ankle Swelling Causes 2 mins read

Ankle swelling after 2 months could indicate underlying issues.

While some swelling after an ankle injury (such as a sprain) is normal, especially in the weeks immediately following the injury, persistent swelling after two months requires attention. According to the reference, swelling that lasts for more than three months may be a sign of trouble.

Here's a breakdown of potential reasons and what to consider:

Potential Reasons for Prolonged Ankle Swelling

Several factors could contribute to ankle swelling lasting longer than expected:

  • Incomplete Healing: The initial injury may not have healed properly due to insufficient rest or improper rehabilitation.
  • Re-injury: You may have re-injured your ankle without realizing it, hindering the healing process.
  • Underlying Medical Conditions: Swelling could be a symptom of a different condition, such as:
    • Arthritis
    • Venous insufficiency
    • Lymphedema
    • Kidney or heart problems (though these usually present with swelling in both ankles)
  • Blood clot: A blood clot in the leg can cause swelling.
  • Impingement: Soft tissues or bone spurs may be pinching structures in the ankle, leading to persistent swelling.

What to Do About Persistent Ankle Swelling

  1. Consult a Doctor: It is recommended to consult a doctor for a complete assessment. They can diagnose the cause of the swelling and develop an appropriate treatment plan.

  2. Physical Examination: The doctor will perform a physical examination of your ankle to evaluate the range of motion, stability, and pain points.

  3. Imaging Tests: X-rays or MRI scans may be ordered to visualize the structures in your ankle and identify any abnormalities.

  4. Treatment Plan: Treatment may include:

    • Physical therapy: To improve strength, flexibility, and stability.
    • Medications: Anti-inflammatory drugs or pain relievers.
    • Orthotics: To provide support and correct alignment.
    • Surgery: In rare cases, surgery may be necessary to repair damaged ligaments or remove bone spurs.
  5. R.I.C.E. Therapy (Rest, Ice, Compression, Elevation): Continue these measures to help manage the swelling.

    • Rest: Avoid activities that aggravate the swelling.
    • Ice: Apply ice packs for 15-20 minutes at a time, several times a day.
    • Compression: Use a compression bandage to help reduce swelling.
    • Elevation: Keep your ankle elevated above your heart as much as possible.

Summary

Symptom Possible Cause Action
Persistent ankle swelling after 2 months Incomplete healing, re-injury, underlying conditions Consult a doctor, follow treatment plan, R.I.C.E. therapy