Does Grade 2 ankle sprain require surgery?

A grade 2 sprained ankle will result in significant swelling and bruising. It is possible, though not as likely, to need surgery for a grade 2 sprain, depending on the severity of the sprain. It can take well over a month to fully heal from a grade 2 sprain.
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When is surgery needed for ankle sprain?

Ankle sprains range from mild to severe and in most cases do not require surgery. Sprains of the midfoot — called a Lisfranc injury — can often be treated successfully with non-surgical techniques as well. But in more serious cases, ligament repair surgery may be recommended.
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How do you treat a grade 2 ankle sprain?

For a Grade 2 sprain, a removable plastic device, such as a walking boot or aircast brace, can provide support. Grade 3 sprains may require a short leg cast or cast-brace for 10 to 14 days. In most cases, swelling and pain will last 2 to 3 days.
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How long does a grade 2 sprained ankle last?

Grade 2 ankle sprains involve greater injury to the ligament and can take up 4-6 weeks to allow full return to sport. Grade 3 injuries are more severe in nature and often involve full tearing of the ligament and possible bone fracture.
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Is grade 2 sprained ankle serious?

A Grade 2 sprain is considered to be moderate and is characterized by some, but not all, of the ligament fibers being torn. The affected ankle and foot are often painful and moderately bruised or swollen, but the stability of the ankle joint is generally not affected.
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When should I see a doctor for an ankle sprain



What does a Grade 2 sprain look like?

With a grade 2 sprain, your ligament is partially torn. The incomplete tear causes bruising (due to bleeding beneath the skin), swelling, and moderate pain. The joint remains fairly stable, but the affected area is tender to the touch.
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What is the fastest way to heal a Grade 2 ankle sprain?

Treatment
  1. Rest. Avoid activities that cause pain, swelling or discomfort.
  2. Ice. Use an ice pack or ice slush bath immediately for 15 to 20 minutes and repeat every two to three hours while you're awake. ...
  3. Compression. To help stop swelling, compress the ankle with an elastic bandage until the swelling stops. ...
  4. Elevation.
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When can I walk on a Grade 2 ankle sprain?

A grade 1 sprain causes little damage to the ligaments, and although the ankle will be tender for a few days, you can walk on it after a short period of rest. At grade 2 sprain, there is some tearing of the tissues and a longer recovery time of up to 4 weeks.
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Do grade 3 ankle sprains need surgery?

A Grade 3 sprain can be associated with permanent instability. Surgery is rarely needed. A short leg cast or a cast-brace may be used for two weeks to three weeks. Rehabilitation is used to help to decrease pain and swelling and to prevent chronic ankle problems.
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Do I have a grade 2 or 3 ankle sprain?

Grade 2: A more severe sprain, but incomplete tear with moderate pain, swelling and bruising. Although it feels somewhat stable, the damaged areas are tender to the touch and walking is painful. Grade 3: This is a complete tear of the affected ligament(s) with severe swelling and bruising.
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Should I see a doctor for a Grade 2 ankle sprain?

People with a more severe ankle sprain — characterized by extreme bruising or swelling and an inability to bear weight on the foot without significant pain, or when there doesn't seem to be any improvement over the first several days after the injury — should seek medical attention, Drs. SooHoo and Williams say.
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Does ATFL tear require surgery?

Your surgeon may remove your ATFL and your CFL ankle ligaments from where they attach on your fibula. He or she may make these ligaments shorter. Your surgeon may then reattach these ligaments to your fibula by using small new holes drilled into your bone. Your surgeon may make other repairs, if necessary.
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How long does a 2nd degree sprain take to heal?

A second-degree sprain happens when one or more ligaments has been damaged. There is usually more swelling and bruising with a second-degree sprain and it may require additional treatment to heal. You may need to consult with your physician for treatment and therapy, and it can take 2-6 weeks to completely heal.
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Is ankle surgery painful?

Another report by McGrath et al.,13 evaluated 5,703 patients postoperatively and found that orthopaedic surgery procedures were among the most painful in ambulatory surgery. In fact, two of the seven most painful procedures were ankle and knee operations.
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When do you need foot surgery?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include: Removing foot deformities like bunions and bone spurs. Severe arthritis that has caused bone issues.
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Is ankle ligament surgery painful?

However, it is common to experience some amount of pain for up to 2-3 months after surgery. This pain is usually mild and occurs after increased physical activities. You can apply ice to your ankle or take anti-inflammatory medications of this occurs.
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Do you need surgery for a torn ligament in ankle?

Healthcare professionals are quick to recommend surgery as soon as they have diagnosed an ankle ligament rupture. The only patients that need surgery are patients that have completely torn their ankle ligament and it is retracted as well. There are no other methods besides surgery to repair this type of injury.
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Does a grade 3 Atfl tear need surgery?

Many times in the United States, high grade ankle ligament tears (grade 3) are surgically repaired. This is despite their being a paucity of evidence that this is the best course of action for high grade ankle ligament sprains.
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How do I know what grade my sprain is?

3 Grades of Ankle Sprains
  1. Grade 1: Your ankle will probably feel sore and may be slightly swollen. In this case, the ligament has been overstretched but not torn.
  2. Grade 2: You have a partial tear in the ligament. This causes prolonged pain and swelling. ...
  3. Grade 3: This is a full tear of the ankle ligament.
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What happens if you keep walking on a sprained ankle?

Although the first temptation might be to “walk it off,” this can cause more damage to stretched or torn ligaments and prolong recovery time. It's important not to overdo it or get ahead of yourself: walking too soon on a sprained ankle can lead to reinjury, pain, and more chronic conditions like arthritis.
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Should you wrap a sprained ankle overnight?

Most experts recommend that you only wrap your ankle during the day for support and protection, while you continue to ice, elevate and rest the injury. While some people feel a sense of comfort from a compression wrap at night—unless it provides pain relief, you shouldn't have your ankle wrapped while you sleep.
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Should you wear an ankle brace to bed?

Unless and until your healthcare provider recommends that explicitly, do not wear ankle braces while going to sleep. How tight should the ankle brace be? The ankle brace should be a snug fit for you. It shouldn't be so tight as to make you uncomfortable or so loose that it loses its purpose.
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How long should you stay off a sprained ankle?

Grade 1 sprained ankle recovery time is anywhere from 2 weeks to a month, normally closer to the two-week mark with proper treatment. A grade 1 sprained ankle can be treated almost entirely at home. The pain is fairly minor, if difficult to deal with.
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Can a sprained ankle get worse?

Yes. That's the very short answer. According to the National Association of Athletic Trainers, ankle injuries, including sprains, are very often undertreated. Ignoring treatment, including excessive movement of the ankle through unnecessary walking, leads to a greater risk of worsening the injury.
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How do I know if I tore my ankle ligament?

If you have torn your ankle ligament, symptoms include:
  1. Swelling around your ankle joint.
  2. A feeling of instability.
  3. Bruising – sometimes up your lower leg and into your foot.
  4. Tenderness to touch.
  5. Pain when putting weight on your ankle.
  6. Popping sound at the time of injury.
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