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Hckwek from Singapore asked a question

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

The consulting doctor is asking my mum to undergo surgery to repair the torn ankle ligament. I will like to know whether surgery is necessary please? What are other viable alternatives to surgery for a torn ankle ligament that is causing ankle pain? 

DOCTOR’S ANSWER (2)
Dr Dinesh Sirisena
Sport Medicine
Singapore
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Dr Dinesh Sirisena
Sport Medicine
Singapore
Answered on Tue May 08 2018 04:20:04 GMT+0000 (UTC)

Hi Hckwek,

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...

0 212 views 0 Doctors agree Tue May 08 2018 04:20:04 GMT+0000 (UTC)
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Dr Sean Ng
Orthopaedic Surgeon
Singapore
(3 Ratings)
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Dr Sean Ng
Orthopaedic Surgeon
Singapore
(3 Ratings)
Answered on Tue May 08 2018 03:25:45 GMT+0000 (UTC)

Hi,

Thank you for your email. I see plenty of torn ankle ligaments, and that is something that is extremely common. Often it starts from a simple sprain.

If not taken care of properly, this may lead to either prolonged pain, or instability. These are the two most common complaints that patients have. 

For your mum, whether or not she requires surgery depends on what the exact problem is. For example:

  • How many ligaments are torn, and to what extent they are torn
  • Are there also any other pathology within the ankle joint? Such as a talar osteochondral lesion or loose body? These can come about from the constant increased pressues on the ankle (as a result of the torn ligaments and subsequent instability)

I would recommend having a thorough physicial examination of your mum's ankle to...

0 216 views 0 Doctors agree Tue May 08 2018 03:25:45 GMT+0000 (UTC)
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