When is surgery necessary to repair a torn ankle ligament that is causing prolonged ankle pain? (photo)

Doctor's Answer

Thank you for your question. Unfortunately I can only see half the report, and hence it is difficult to advise you fully without all the information.

As Dr Sean mentions, the two important symptoms following an ligament injury are pain and instability.

Often, pain can be due to a cartilage injury, a loose body in the joint, or recurrent sprains. Depending on the number of ligaments injured, options include:

1. Seeing a Physiotherapist to rehabilitate the ankle.

2. Seeing a Podiatrist, who can provide orthoses to help stabilise the ankle.

3. Seeing a Sports/MSK Physician to discuss options such as prolotherapy, cortisone or PRP injections.

4. Seeing an Orthopaedic surgeon for ankle ligament reconstructions.

If pain is the issue, and there are not problems inside the joint, then perhaps if this symptom can be settled, it will allow rehabilitation to be undertaken. Sometimes, however, simply offloading and giving the ankle a chance to settle down itself is also an option!

Good luck to your mum! And if you can share with us the other half of the report, including the images, that would be most useful.

Bw

Dr Dinesh

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