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Why Does My Sprained Ankle Still Hurt After 6 Months?

Published in Ankle Pain Causes 3 mins read

Your sprained ankle might still hurt after 6 months due to several possible reasons related to incomplete healing or complications arising from the initial injury.

Possible Reasons for Persistent Ankle Pain

Several factors could be contributing to your lingering ankle pain. It's important to consult with a healthcare professional for a proper diagnosis. Here's what could be happening:

  • Inadequate Initial Treatment: You may not have received the appropriate treatment when you first sprained your ankle. Proper rest, ice, compression, and elevation (RICE) are crucial in the initial stages. Insufficient care can lead to prolonged healing times and chronic pain.
  • Re-injury: Returning to activity too soon or without proper rehabilitation can lead to re-injury, setting back the healing process.
  • Chronic Ankle Instability: Repeated ankle sprains can lead to chronic ankle instability, making you more prone to pain and further injury.
  • Compressed or Pinched Nerve: According to available information, a compressed or pinched nerve in the ankle area can cause persistent pain. Nerve irritation can stem from the initial injury or subsequent inflammation.
  • Fracture or More Serious Injury: A small, initially missed fracture could be causing the pain. A more serious injury, beyond a simple sprain, requires prompt attention.
  • Underlying Conditions: Sometimes, other conditions, such as arthritis or tendonitis, can contribute to ankle pain.
  • Scar Tissue: Scar tissue that formed during the healing process may limit movement and cause pain.
  • Peroneal Tendon Injuries: Injuries to the peroneal tendons (tendons on the outside of the ankle) are frequently overlooked with ankle sprains and can be a cause of ongoing pain.
  • Sinus Tarsi Syndrome: Inflammation of the sinus tarsi (a space between the heel bone and talus bone) can occur after an ankle sprain and lead to chronic pain.
  • Prone to Chronic Ankle Sprains: You might be prone to chronic ankle sprains.

What You Should Do

  1. Consult a Doctor or Physical Therapist: It's crucial to get a professional assessment to determine the exact cause of your pain.
  2. Imaging Tests: Your doctor might recommend X-rays, MRI, or other imaging tests to rule out fractures or other structural damage.
  3. Physical Therapy: A physical therapist can develop a rehabilitation program to strengthen your ankle, improve your range of motion, and reduce pain.
  4. Pain Management: Depending on the cause of your pain, your doctor might recommend pain medication, injections, or other pain management strategies.

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