Discussion- Assessing muscuskeletal Pain

When it comes to ankle sprain it is usually caused by the inversion type twist of the foot, which leads to the pain and swelling mostly in the lateral ankle complex that is composed in the calcaneofibular, talofibular and posterior talofibular ligaments.  The  nerve root that is likely to be involved in the pain is the peroneal nerve that is often injured or compressed near the knee with will lead to foot paind and foot drop when the patient tries to move her leg("Ankle Pain," 2010). To test for the pain, one can bend, twist or conduct a direct hit on the patient’s ankle or the foot which could have injured the foot bones, the blood vessels, ankle joint, muscles, and the tendons which lead to the foot pain.  Based on the level of the patient’s pain, other symptoms that should be explored include tingling or numbness, radiating pain like radicular or sciatica, pain in the compression area like the low back and the neck, needs and burning sensation and weakness which is especially involving various activities. Other differential diagnoses would be Achilles tendinitis, Achilles tendon rupture and flexor halluces longus tendinitis(Amaha & Nozaki, 2016). Some physical examination to perform the ankle will include moving it side to side, pressing on the sprained area, twisting or hitting.

 

References

Amaha, K., & Nozaki, T. (2016). Anterolateral ankle pain: Comparison of two areas of clinical anterolateral pain using imaging and arthroscopic findings. Clinical Research on Foot & Ankle, 04(02). https://doi.org/10.4172/2329-910x.1000187

Ankle pain. (2010). In The treatment of pain with chinese herbs and acupuncture (pp. 429–438). Elsevier. https://doi.org/10.1016/b978-0-7020-3179-3.00038-1