Sustained Complete Ligament Tear in Ankle: Now What?


The ligament is completely torn. You even heard a popping sound when the injury happened. There’s significant swelling. The ankle is unstable and cannot bear your weight. You’re in a lot of pain.

That’s grade 3 ankle sprain!

Now what?

For the starters, you should visit the best orthopedic doctor in Kolkata who specializes in ligament injuries; someone who’s experienced and reputed.

The doctor, after doing physical examination, would order some tests to have proper diagnoses. It could include normal x-ray, stress x-ray, MRI scan and/or ultrasound. Meanwhile, you might be prescribed some medications to relieve the pain and discomfort.

Following the test results, after the doctor has confirmed that it is indeed a grade-3 sprain, they would outline you a course of treatment.

Now note, even though the sprain is severe, you might not necessarily require a surgery. In rare cases do orthopedic doctors recommend surgical treatment when other non-invasive alternatives have failed to deliver the desired result aka improvement. And this is true with sprains in any part – whether ankle or knee. If you have sustained grade 3 sprain in your knee, the doctor won’t outright recommend arthroscopy knee surgery unless it’s an exceptional case and other solutions have failed.

Non-surgical treatment for your grade 3 sprained ankle would include physical therapy. The rehabilitation program would focus on controlling the pain, as well as reducing the swelling by improving lymphatic drainage. It would help boost immune cells to repair and regenerate healthy tissue. Over the period, the rehab would progressively improve your ankle stability, motion, balance, and strength through proper exercises.

Your doctor would recommend you the RICE protocol, wherein you would be asked to rest, apply ice, apply compression, and keep the ankle elevated.

Your doctor may also ask you to wear braces for stability.

In all, the recovery would have three phases. The first phase is all about resting, reducing pain and swelling. In the second phase, the focus would be on restoring your ankle’s motion and flexibility. The third phase will include basic exercises and subsequent return to your regular activities. How long will this take? It really depends on many factors. But you can expect the recovery to take three months or more.

During recovery, complications rarely arise unless you aren’t following the doctor’s advice properly and aren’t taking care of the injury. In case, as mentioned earlier, if the injury isn’t healing and you’re still in pain, you may have to go with surgical treatment. But again, that happens only in rare cases.

Once you’ve recovered and are back on track, start taking better care of your ankles. How? Give this a quick read: How to Keep Your Ankles Healthy (and Injury-Free)

Audio Version:-

Sustained Complete Ligament Tear in Ankle: Now What?


Grade 3 Ankle Sprain: Everything You Need To Know

ankle sprain

If you’ve hurt your ankle, after a thorough physical examination and some tests, your doctor would classify that injury into one of the three grades based on its severity: Grade 1, Grade 2, and Grade 3. Grade 3 ankle sprain is the most severe one. In this, your ligament has torn completely. This will come with severe pain and swelling. The joint will be unstable, so you won’t be able to walk; not without pain at least.

How Grade 3 Ankle Sprain (And Not Grade 1 And 2)?

While grade 3 ankle sprain is not “very common” as opposed to lesser severe grade 1 and grade 2, it can happen in certain cases. Maybe you were running or jumping on an uneven surface; maybe you tripped on something. People who are into physically intensive sports, as well as those who live a sedentary lifestyle and have poorly conditioned bones, joints, and muscles – they are more likely to sustain severe sprains. When you completely tear a ligament, in addition to acute pain and extreme loss of motion, you even hear or feel a pop sound.

How Will It Get Diagnosed?

Unsurprisingly, grade 3 ankle sprain takes a long time to heal. If you have sustained this injury, as mentioned earlier, the doctor will do physical examinations and even order a few tests to have a clear understanding of the extent and severity of the injury. The tests can include x-rays, MRI scan, and ultrasound. Accordingly, the doctor would outline a course of treatment for you and offer some advice that you should follow religiously.

Would You Need a Surgery?

Even something as severe as grade 3 ankle sprain does not necessarily require surgery. Your doctor would recommend any invasive treatment only if your sprain hasn’t positively responded to non-surgical treatments and rehabilitation. In this case, you should always look for the best orthopedic hospital in India (or any specific city) and trust only the experienced and specialist surgeons.

Treatment For Grade 3 Ankle Sprain

An important part of non-invasive treatment for your grade 3 ankle sprain is getting enough rest and allowing your ligament to heal itself. In addition to this, you should follow the entire RICE model, which also includes applying ice and compression, as well as keeping your ankle at an elevated level.To control the pain and swelling, the doctor would likely prescribe you pain medication. In the second phase of recovery, once you have made some progress, you will have to focus on restoring flexibility and strength of your ankle. In the next phase, you will gradually get back to your regular activities – first the activities that do not put stress on your ankles and then anything strenuous.

How Long Will The Recovery Take?

How long the recovery from grade 3 ankle sprain takes varies for different people. It depends on how your injured area, and body, is responding to the treatment. However, you can expect it to take about 12 weeks before you can slowly get back to your normal routine. In this period, your doctor may ask you to wear crutches or use a walking stick. Your physical therapy in the second and third phases of recovery will include doing basic strength, balance, and endurance exercises whose intensity will progressively increase as your ankle heals.

Get Help From The Right Doctor (And Your Family Members or Friends)

Admittedly, the recovery period might not be easy – even though, in the early phase, all you will have to do is rest. There will be occasional discomfort. This could be emotionally and psychologically tolling. This is why it’s just as much about your family members who should be there to support you – at least in the first few days – as it is about the teamwork between you and your doctor. But the good thing is you might not require surgery, which could have its own set of challenges; plus, surgical treatment would also be relatively costly.

Hope this article provided you will all the basic information about grade 3 ankle sprain.

Audio Version:-

Grade 3 Ankle Sprain: Everything You Need To Know


How To Prevent Osteoporosis In Your Old Age? [PART 2]

    • In the previous part of this 2-part series, we touched the basics of osteoporosis. If you didn’t read it, please go here and give it a quick read: How to Prevent Osteoporosis In Your Old Age? [PART 1]
    • If you have been diagnosed with osteoporosis, your doctor would outline you a proper course of treatment, which will help slow the breakdown of bones and even supplement the growth of new bone.
    • Dr. Manoj Kumar Khemani is one of the top orthopedic surgeons and clinicians in Kolkata, specializing in a wide range of orthopedic conditions. He is recognized as the best hip replacement surgeon in VIP road Kolkata, also playing a go-to for hundreds of people with osteoporosis. Get in touch with him and take confident strides to effectively control and treat your osteoporosis.
    • Even if you don’t have any symptoms of osteoporosis, which become more evident in the latter stage of life, you must take adequate preventive measures right from an early age, as we mentioned in the previous part. There are several things you can do to minimize the risks of developing this bone disease.
    • Working out is one of the most important preventive measures. Exercising helps your bones get stronger. It helps in slowing bone loss. So, if you don’t already, start working out regularly. (If you have an existing orthopedic condition, consult your doctor first.)
    • There are certain types of exercises that are more beneficial and effective in strengthening your bones. Get more involved with weight-bearing workouts like running and water aerobics. Then, of course, strength training is highly effective. Lift free weights, do pushups and squats, and workout with resistance bands.
    • Our bones require calcium and vitamin D to get stronger and have better density. Sadly, 70-90 percent of Indians have Vitamin D deficiency. Are you on of them? You need to increase your daily intake of vitamin D and calcium.
    • Sunlight is the best source of vitamin D. There are several foods that are high in this vitamin; it includes fortified milk, egg, salmon, mushrooms, and oatmeal. Similarly, there are food items that are rich in calcium; it includes cheese, beans, lentils, almonds, spinach, tofu, and milk. Include more of these foods in your daily meals. (And get enough sunlight every day.)
    • In addition, improve your overall lifestyle and pick better habits. Like, quit smoking. Avoid drinking too much alcohol and soda. Learn more about osteoporosis and other orthopedic problems; more information and better understanding will help you stay in good health.
    • In case if your loss of bone is high and your bones are abnormally weaker, your doctor might also prescribe you medications. The primary medication will help slow down the loss of bone density. They might also prescribe additional drugs to strengthen your bones and increase its mass.
    • The symptoms of osteoporosis don’t show up until late in life. In fact, many people suffer from this bone disease without even being aware of it. So, don’t wait up to see the symptoms. Start the preventive measures as early as you can. Take better care of your bones to not only prevent osteoporosis but also various other orthopedic problems.
    • If you need help, please get in touch with Dr. Manoj Kumar Khemani. He is a highly trusted orthopedic doctor in Kolkata, specializing in a range of bone and joint-related issues, including osteoporosis. Hand in hand with him, build better orthopedic health and enjoy an improved life.

Audio Version:-

How To Prevent Osteoporosis In Your Old Age? [PART 2]


First Orthopedic Appointment After Lockdown: Dos And Don’ts


While the country is slowly and cautiously opening after the lockdown, do not take it as a sign that threat from coronavirus has eased. It’s still just as much there. A basic lapse on your end can have serious outcomes for you and your loved ones. Staying vigilant and taking all precautionary measures is essential. This includes also when booking your orthopedic appointment and visiting the best orthopedic hospital in India for the first time after the lockdown. You need to be careful to ensure maximum safety. Here are some of the dos and don’ts. Continue reading “First Orthopedic Appointment After Lockdown: Dos And Don’ts”