ANKLE help please. Recomendations?

[mujastarrr]

Back in January I sprained my ankle pretty bad during a basketball game, I play for a D3 college. The trainers looked me over and said I have a first degree ankle sprain. it was an inversion sprain, i just landed on someone else's foot. I am a athletic training major so i kind of know what I'm talking about here. They gave me exercises to do and told me to rest. after two months of rest and physical therapy the immediate pain was gone but it was in no way healed. so over spring break i went to my sports medicine doctor at home, he sent me to get an MRI. turns out i completely tore all the ligaments on the lateral side of my ankle, Posterior talofibular, calcaneofibular, and anterior talofibular as well as bruised my talus and partially tore and bruised my deltoid. pretty far from a first degree sprain if you ask me. So the trainers told me the talus was still bruised and that was the pain i was feeling and that i would need to take another month or two off, so i did. I waited until i got out of school to go see a ankle specialist. the ankle specialist gave me a stress x ray and it showed that my ankle was still incredibly stable, no instability at all. So he gave me a cortisone shot right in the joint. it worked for a week or two. then i went back and got another cortisone shot. it also worked for about a week or two. apparently the next step is to get an arthroscopy, i think its how its spelled. he described it as vacuuming out the junk that stuck in my ankle joint. Is this the best action? I have had another sports medicine doctor recommend a total ankle reconstruction. This goes way past what we learn in athletic training at school. I might add that i have no pain when just walking around every day. the ankle pops a lot and i can hear stuff grinding around inside of it when i move it but it only hurts when i play basketball which i just started doing after i got the first cortisone shot. Please let me know what the best course of action would be here. It would also be very helpful if you could include your credentials when answering the questions so i can trust you.

Thanks for your time.

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[lloydsimoes]

Looks like with the extensive damage within the ankle complex as well as the supporting ligaments, youre bound to have a long rehab time as well as a slow sustained recovery period, the MRI/arthroscopy wil give the best possible options, til then stick to progressive graded strengthening techniques for the ankle and some proprioceptive training for the ankle, i wouldnt reccomend playing basketball till youre through with rehab and a good painfree ankle joint. good luck. Lloyd (Physiotherapist)

[sherille]

I totally agree with what lloyd's advise. from the meantime try to do ankle taping at least to avoid extreme movement in your ankle.