Hi! First of all I want to thank you for taking your time to help me. I connot find a doctor who understands my problem in my home country, Israel, so it's good to know that there is someone oversees who is happy to help!
I made a list of some words and phrases from your last post to me, that I didn't understand. So that I can understand "the big picture" I must understand these things first, so could you please explain them to me roughly?
-Tetra Ankle Immobalizer
-NWB crutch
-ADL
-Anterolateral aspect of the left ankle (by the way, the ankle I sprained was the left one too)
-Scar tissue formation(I've heard the term before, but I don't know what it is)

I quoted your last post to me (bellow) and I have some questions to ask (other than the words I've written above)
Quote Originally Posted by thomas bibu View Post
hi dear,

well, a couple of weeks back I had a patient with the similar problem. he had injured his left ankle while playing rugby, was treated conservatively with tetra ankle immobilizer and was on NWB crutch walking for 6 weeks.

following the 6 week period, he did undergo physiotherapy elsewhere for his post-traumatic stiffness. his ankle regained full range of motion and he was able to carry out his ADL without any problems.

he visited me, precisely 3 months after the injury, since he relocated here with complaints of a dull ache following exercise and palpable firm lump over his anterolateral aspect of the left ankle. I discussed with him the possibility of scar-tissue formation and treated him with continuous ultrasound & figure of 8 ankle bandaging while playing/exercise.
What does ultrasound do for this injury? How can the bandaging help(does it just stop the foot from swelling up or can the prussure or something bring down the hard lump?)

I did follow-up once weekly over a 3 week period to check whether the lump increased in size keeping in mind to rule out possibility of; bony exostosis, cyst, or a benign tumor.
Why did you rule out these possibilities? Are these things that are often caused by ankle sprains?(I don't know what any of them mean)
the lump size remained the same, but the patient did not complain of any pain or dull ache even after long walks, strenuous exercises etc.

I have not examined you, but from your description it looks like the same pathophysiology. well, try to undergo at least 3-5 sessions of physiotherapy and see how it goes. If it tends to remain the same or gets worse consider further tissue studies.
What do you mean by 'further tissue studies'? Where can I have this done?
If everything within normal limits
You mean if the tissue studies show that nothing is wrong?you may try a steroid shot and if pathological surgical intervention.Okay, this is the first time I've heard of those things aswell.

keep me posted. all the best.

cheers,

thomas

Thanks a lot, I have a feeling that you know the right way to treat my condition, unlike my physiotherapist who only wants to let time do its part!
Cheers to you too!
Yuval