Question
Hi,
What are your thoughts about chiropractors dealing with ankle sprains? I have been seeing one to treat a sprain but it is still painful for him to work on two months after injury. Also, the doctor at the er took x-rays then the ortho took them again two days later, what is the possibility that he missed something? I heard it is better to wait ten days before re-xraying.

Answer
Hi Sarah,

I'm a big fan of chiropractors.  However, x-rays alone are not the best choice for ankle injuries with this type of continued pain.  After 2 moonths you need to be re-evaluated.

You need to have an MRI to see if there is a tendon or ligamant tear, or possibly a missed fracture!

I would have this done before continuing any treatments.  Initially after a sprain you should be immobilized and then gradually returned to motion with physical therapy.  

At this point you need a more definitive diagnosis and then go to physical therapy.

Hope that helps.

Sincerely,

Marc Katz, DPM
Tampa, FL
Advanced Podiatry
www.thetampapodiatrist.com
www.tampacryosurgery.com
www.fix-my-foot.com

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