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Which doctor should I listen to for treatment of my ankle? If either?

I injured my ankle in the middle of October. I was simply walking, tripped and thought that I just rolled my ankle and foot. I believed that it was nothing serious as did many people around me, it did not swell very big and hardly even bruised at all. I was strongly encouraged to rest it, take Advil, elevate it and rotate heat and cold on it. I did this until the past week it was finally getting to the point where I could no longer stand it. The pain seems to be spreading up my leg and becoming more intense. I finally chose to see a doctor. I went to a smaller clinic at first because I knew they gave discounts for self pay patients.

This doctor looked at my ankle and foot pretty extensively. He mentioned that I most likely tore ligaments in my ankle and was very concerned about my Akiles tendon because as he showed my boyfriend it was hardly responding on my hurt ankle when compared to my other ankle. He strongly encouraged me to go to another doctors office who did in house x-rays so that it would not cost as much, yet he strongly believed that x-rays were needed to properly diagnose me as he said. He also said that I would need a walking boot at the least so that I would finally give my ankle a break and time to truly heal. He also stated that my foot was injured as well.

I then went to my old family doctor because I knew that they did x-rays in house and that the doctors looked at them themselves instead of sending them out. By the time that I saw this doctor I had already waited 2 hours in their waiting room so now I am really starting to wonder about a lot of what she said. As soon as she walked into the room before even looking at me said that x-rays were not going to tell us a thing and they were completely pointless. She then looked at my foot, and I will admit she looked more at my foot than the first doctor did. However when I tried to explain that I had constant pain in the back of my ankle and up my calf she just said that I did not. If I mentioned anything that the first doctor said she would just put her hands in the air and wave them around. She said that my foot was hurt where all of the bones connect together and that now I have severe arthritis in my foot. About my third time asking what to do for the pain in the back of my ankle she finally responded with well your foot is small so the pain has to go somewhere. It seemed very strange to me, but I had a migraine and was very hopeful that she was right and nothing was wrong. Her treatment recommendation was to keep doing everything that I had been doing from the beginning (advil every 4 hours, which I will admit I was not extremely strict with then but have been since, heating my ankle and foot when they hurt) and to stop using cold on my foot because I need to get new blood flowing into my foot. All of this did, and still do make sense. However, as I explain to her if I put heat on my foot it is swelling quite large and makes it EXTREMELY painful and difficult to walk on. I asked her about the boot that the other doctor recommended and she said their expensive. I do not have insurance so it was nice that she was concerned, but she did not say it would not help. She said to try doing this treatment for 10 more days and unless I am surprisingly better come back. I have since left a message for her asking if she understands this is what I have been doing the entire time and asking if the boot would help because that was not clear to me. She only works part time though so I am not sure when I will hear back from her again.

To explain I get pain in the back of my ankle pretty much at all times. When I try to stand or walk it hurts throughout my ankle and on the bottom of my foot towards the heel but on the outside. It is very hard to move my toes (the second doctor said this was not a concern but I was not sure) and it is painful when I do move them. Not extreme pain but very uncomfortable. The swelling in my foot goes throughout all of it and even around the whole back part of my foot, sometimes even up to the middle of my calf. It swells daily, even if I try to elevate it often, but when I wake up it usually is not swollen. I work from home so I do try to walk as little as possible, but when I do walk it is very difficult. As I explained the the doctors when they move my foot and ankle around for the most part it was not severe pain, but it was uncomfortable and it is very stiff and hard to move on my own. I am not sure what else you need to know, but if anyone has any idea which doctor I should listen to please let me know! I just know I finally went to the doctors and paid so much money because I was wanting to end the pain not be told to do the same then for another week (after 6) then come in to pay another office visit and then "talk about some other things to try" as the second doctor said. I do understand I should have went in right away but I didn't because I didn't want to pay over $100 to be told to heat and take advil l

4 Answers

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  • ?
    Lv 6
    1 decade ago
    Favorite Answer

    Hello,

    It is very hard to tell exactly what happened to your foot, and it must be frustrating to receive such poor feedback from doctors.

    According to your description it sounds like you hurt the ligaments in your foot - especially around your ankle and that requires treatment and it won't go away easily just with time.

    It is impossible to diagnose a condition but it could be achilles tendinitis involved with this injury.

    If you can give provide answers to these questions I will be able to help some more.

    1) Do you have pain in your heel at all?, if you do where exactly?

    2) Do you have high or low arches?

    3) Does it hurt if you press on it?

    4) Is there any swelling in your achilles tendon?

    5) What kind of shoes you usually wear?

    In the meantime I would suggest normal treatment which involves stretching and icing at least 4 times a day - avoid heat just ice.

    Even though the ice doesn't help at first, it reduces swelling so you should keep applying it, you should also try and avoid walking on your foot completely - use crutches if available.

    Unfortunately this is all you can do at the moment and you really should seek professional help by a podiatrist (specializes in feet) or an orthopedic sports doctor.

    I am really sorry for your pain and frustration ans wish you the best of luck and a quick recovery!

    If you prefer you can write directly to me at itaiw@yahoo.com

  • 1 decade ago

    well you will know if its your tendons because your foot wouldn't be very mobile because they are the things that attach the bone and mussel. but if you could walk on it at all i would give it a really small chance of being broken but it could be your ligaments. i needed crutches after i broke a load in my knee playing football but it wasn't until a month after the accident it got worse so if it gets really bad try ER.

  • 1 decade ago

    Go to an orthopedic doctor, preferably one that specializes in feet and ankles.

  • Anonymous
    1 decade ago

    a podiatrist

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