Conversation: The conversation between human and AI assistant.
[|Human|] I twisted my foot over a tree root 4weeks ago, doc said it was a sprain, swelling has gone down an most of the time I can walk without pain, I have sporadic sharp pain,there is a lump just below and in front of ankle which is very tender to touch with an almost numb feeling around,, when in bed the pain gets worse an keeps me up, only relief is to sleep with leg dangling out of bed ,is this just a simple sprain
[|AI|]  Hi, Welcome to Chat Doctor. If the pain has not relieved after 4 weeks after the ankle sprain, It could be bony injury of the ankle joint. Any nerve/tendon overlapping with entrapment in the anterior ankle needs to be ruled out.Hence, I would suggest you to get Second Opinion from Orthopedic Surgeon, who would direct for its management after needful physical and radiological check up.-Treatment-Rest ElevationPost-Below Knee slab if you need x for 3 weeks after X-ray ankle. Tab Anti-inflammatory under guidance from your doctor. Hot fomentation/compresses to reduce edema complicating the issues. Orthopedic consultation and needful further treatment as directed from him. Hope this would help you to plan treatment with your doctor. Will appreciate your review write up and hitting thanks, to help needy patient visitors like you at Chat Doctor. Welcome for any further query in this regard. Good day!! Chat Doctor. N. Senior Surgical Specialist. M.S. Genl-CVTS