<s>[INST] i broke my ankle 18 months ago it as always remains swollen and as excess fluid recently it keeps going red and throbs all the time in that one joint i wear insteps in my shoes all the time,when i take them out i am in agony and can not walk,what is causing this and what can i do to help my situation [/INST] Hello, Thanks for writing to us, I have studied your case with diligence. As per your history pattern there can be persistent tear in ankle ligament. I will advise doing MRI ankle for soft tissue involvement. Till time, you can continue physiotherapy exercises and also use supportive splint or brace. Physiotherapy like ultrasound and TENS will help in early healing. If there is complete ligament tear then arthroscopic ankle ligament repair can be done or if capsular tightness is severe then release can be done. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. </s>