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PT TWISTED ANKLE Able to bear weight but with significant pain. She reports pain across her right midfoot .An examination reveals edema over the lateral malleolus and diffuse tenderness, but she does not have any pain OVER posterior distal lateral and medial malleoli SHOULD U DO XRAY OR NOT?

NO XRAY ALTHOUGH LATERAL MALLEOLUS TTP, DISTAL PART OF LATERAL/MEDIAL MELLEOLUS IS NOT TTP OR PAINFUL AND ALTHOUGH PT HAS PAIN, SHE IS ABLE TO BEAR WEIGHT (4 STEPS) = CONSERVATIVE MANAGEMENT D) Lace-up ankle support, ice, compression, and clinical follow-up

1 Answer

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Final answer:

The recommended approach for a twisted ankle with significant pain but able to bear weight is D) Lace-up ankle support, ice, compression, and clinical follow-up

Step-by-step explanation:

Based on the provided information, it is recommended to choose conservative management for the twisted ankle. Lace-up ankle support: Using a lace-up ankle support provides stability to the ankle joint and helps reduce pain. Ice: Applying ice to the affected area can help reduce swelling and relieve pain. Compression: Using compression bandages or wraps can provide support, reduce swelling, and improve healing.

Clinical follow-up, it is important to seek medical attention and follow up with a healthcare professional to monitor the progress of the injury and ensure proper healing. This approach is suitable because the patient is able to bear weight, indicating that the injury is likely not severe.

Although there is pain and tenderness, the absence of pain over the posterior distal lateral and medial malleoli suggests that there is no significant fracture or dislocation. X-ray is not necessary in this case as it would not provide additional information for the management plan.

In conclusion, the recommended approach for the twisted ankle is lace-up ankle support, ice, compression, and clinical follow-up. These measures will help alleviate pain, reduce swelling, provide support to the ankle joint, and promote healing. The correct answer is D) Lace-up ankle support, ice, compression, and clinical follow-up

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